School of Public Health, Harbin Medical University, 157 Baojian Road, Nangang District, Harbin, 150081, China.
National Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, China.
BMC Geriatr. 2023 May 11;23(1):284. doi: 10.1186/s12877-023-03971-6.
There is well-established evidence to understand the characteristics of falls among the older patients with hip fracture in many countries, but very little knowledge existed in China. This study described the characteristics of falls in older patients with hip fractures from six Chinese hospitals.
This cross-sectional study is a post-hoc descriptive analysis of a recently completed trial. Eligible patients were aged 65 years and older, with confirmed hip fractures due to falls, and were admitted to the hospital within 21 days of the fracture. All patients were consecutively enrolled and screened within one year (November 15, 2018, to November 14, 2019). The collected data included patient demographics and fall-related information.
A total of 1,892 patients' fall-related information were described. Most patients with hip fractures caused by falls were in the oldest old age group (60.4% in age group ≥ 80), with an overall average age of 80.7 (7.6) years. There were more females (n = 1,325, 70.0%) than males (n = 567, 30.0%). The majority lived in urban (n = 1,409, 74.5%). Most falls (n = 1,237, 67.3%) occurred during the daytime (6:01-18:00). There were 1,451 patients had their falls occurring at home (76.7%). Lost balance (n = 1,031, 54.5%) was reported as the primary reason to cause falls. The most common activity during a fall was walking (n = 1,079, 57.0%).
Although the incidence of fall-related hip fractures in China is unclear, preventing falls and fall-related hip fractures in older people remains an urgent health concern as the ageing society increases. Studies with larger sample size and diverse population are needed to robustly understand this growing epidemic.
许多国家都有充分的证据来了解老年髋部骨折患者跌倒的特征，但中国对此知之甚少。本研究描述了来自中国六家医院的老年髋部骨折患者跌倒的特征。
这是一项横断面研究，是最近完成的一项试验的事后描述性分析。符合条件的患者年龄在 65 岁及以上，因跌倒导致髋部骨折，骨折后 21 天内入院。所有患者均在一年内（2018 年 11 月 15 日至 2019 年 11 月 14 日）连续纳入和筛查。收集的数据包括患者人口统计学和与跌倒相关的信息。
共描述了 1892 例与跌倒相关的患者信息。大多数因跌倒导致髋部骨折的患者处于最年长的年龄组（年龄组≥80 岁的患者占 60.4%），平均年龄为 80.7（7.6）岁。女性患者（n=1325，70.0%）多于男性患者（n=567，30.0%）。大多数患者居住在城市（n=1409，74.5%）。大多数跌倒（n=1237，67.3%）发生在白天（6:01-18:00）。有 1451 例患者跌倒发生在自家（76.7%）。失去平衡（n=1031，54.5%）被报告为跌倒的主要原因。跌倒时最常见的活动是行走（n=1079，57.0%）。
尽管中国跌倒相关髋部骨折的发生率尚不清楚，但随着老龄化社会的增加，预防老年人跌倒和跌倒相关髋部骨折仍是一个紧迫的健康问题。需要进行更大规模和更多样化人群的研究，以充分了解这一不断增长的流行趋势。
