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听力诊所的跌倒筛查:一项前瞻性试点研究。

Screening for Falls: A Prospective Pilot Study for the Audiology Clinic.

机构信息

Department of Speech, Language and Hearing Sciences, Western Michigan University, Kalamazoo.

出版信息

Am J Audiol. 2023 Sep 6;32(3):583-592. doi: 10.1044/2023_AJA-23-00021. Epub 2023 Aug 4.

Abstract

PURPOSE

The purpose of this study was to determine if clinical measures that audiologists may already be using or are able to collect on a routine basis are useful in screening for future falls.

METHOD

This prospective cohort study protocol included 20 community-dwelling participants aged 60 years or older who completed case history questions, pure-tone and speech audiometry, common questionnaires, the Timed Up and Go test, and a prospective 6-month falls diary to determine which measures were correlated with the number of prospective 6-month falls.

RESULTS

Five participants (25%) fell in the 6 months after the research session. Significant correlations were noted between prospective falls and age, home safety modifications, engagement in fall prevention activities, and history of falls in the last 12 months.

CONCLUSION

Straightforward case history questions that could be part of a routine audiologic evaluation, such as fall history in the previous year, are significantly correlated with prospective number of falls in 6 months. These questions could help to identify audiology patients who may benefit from further fall risk assessment.

摘要

目的

本研究旨在确定听力学家可能已经在使用或能够常规收集的临床测量指标是否有助于筛查未来的跌倒。

方法

本前瞻性队列研究方案纳入了 20 名年龄在 60 岁及以上的社区居住参与者,他们完成了病史问题、纯音和言语测听、常见问卷、计时起立行走测试以及为期 6 个月的前瞻性跌倒日记,以确定哪些测量指标与未来 6 个月的跌倒次数相关。

结果

研究期间后的 6 个月内,有 5 名参与者(25%)跌倒。前瞻性跌倒与年龄、家庭安全措施、参与跌倒预防活动以及过去 12 个月的跌倒史之间存在显著相关性。

结论

作为常规听力学评估的一部分,简单的病史问题,如前一年的跌倒史,与未来 6 个月的预期跌倒次数显著相关。这些问题有助于识别可能受益于进一步跌倒风险评估的听力学患者。

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