Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
Ann Emerg Med. 2023 Dec;82(6):666-677. doi: 10.1016/j.annemergmed.2023.04.013. Epub 2023 May 18.
The aim of this study was to examine the epidemiology of alcohol-associated fall injuries among older adults aged ≥65 years in the United States.
We included emergency department (ED) visits for unintentional fall injuries by adults from the National Electronic Injury Surveillance System-All Injury Program during 2011 to 2020. We estimated the annual national rate of ED visits for alcohol-associated falls and the proportion of these falls among older adults' fall-related ED visits using demographic and clinical characteristics. Joinpoint regression was performed to examine trends in alcohol-associated ED fall visits between 2011 and 2019 among older adult age subgroups and to compare these trends with those of younger adults.
There were 9,657 (weighted national estimate: 618,099) ED visits for alcohol-associated falls, representing 2.2% of ED fall visits during 2011 to 2020 among older adults. The proportion of fall-related ED visits that were alcohol-associated was higher among men than among women (adjusted prevalence ratio [aPR]=3.6, 95% confidence interval [CI] 2.9 to 4.5). The head and face were the most commonly injured body parts, and internal injury was the most common diagnosis for alcohol-associated falls. From 2011 to 2019, the annual rate of ED visits for alcohol-associated falls increased (annual percent change 7.5, 95% CI 6.1 to 8.9) among older adults. Adults aged 55 to 64 years had a similar increase; a sustained increase was not detected in younger age groups.
Our findings highlight the rising rates of ED visits for alcohol-associated falls among older adults during the study period. Health care providers in the ED can screen older adults for fall risk and assess for modifiable risk factors such as alcohol use to help identify those who could benefit from interventions to reduce their risk.
本研究旨在调查美国≥65 岁老年人中与酒精相关的跌倒损伤的流行病学情况。
我们纳入了 2011 年至 2020 年期间全国电子伤害监测系统-所有伤害项目中成年人因非故意跌倒受伤而前往急诊部（ED）就诊的病例。我们根据人口统计学和临床特征，估计了与酒精相关的跌倒导致 ED 就诊的年度全国发生率以及这些跌倒在老年人跌倒相关 ED 就诊中的比例。使用 Joinpoint 回归分析了 2011 年至 2019 年期间老年人各年龄段与酒精相关的 ED 跌倒就诊趋势，并将这些趋势与年轻人的趋势进行了比较。
共有 9657 例（加权全国估计值：618099 例）与酒精相关的跌倒导致 ED 就诊，占 2011 年至 2020 年期间老年人跌倒相关 ED 就诊的 2.2%。在与酒精相关的跌倒相关 ED 就诊中，男性的比例高于女性（调整后患病率比[aPR]=3.6，95%置信区间[CI]2.9 至 4.5）。头部和面部是最常见的受伤部位，而内部损伤是与酒精相关的跌倒的最常见诊断。从 2011 年到 2019 年，老年人因与酒精相关的跌倒导致 ED 就诊的年度率呈上升趋势（年变化百分比为 7.5%，95%CI 6.1%至 8.9%）。55 岁至 64 岁的成年人也出现了类似的增长；在年龄较小的群体中没有发现持续的增长。
我们的研究结果突出了研究期间老年人因与酒精相关的跌倒导致 ED 就诊率的上升。ED 医护人员可以对老年人进行跌倒风险筛查，并评估可改变的风险因素，如饮酒，以帮助识别那些可能受益于降低风险的干预措施的人群。
