老年人与意外伤害

Older Adults and Unintentional Injury.

作者信息

Hill Linda, Moran Ryan

机构信息

Herbert Wertheim School of Public Health, University of California San Diego, 9500 Gilman Drive, MS 0811, La Jolla, CA 92093-0811, USA.

Department of Medicine, School of Medicine, University of California San Diego, 9500 Gilman Drive, MS 0811, La Jolla, CA 92093-0811, USA.

出版信息

Med Clin North Am. 2023 Nov;107(6):1001-1010. doi: 10.1016/j.mcna.2023.05.011. Epub 2023 Jul 14.

DOI:10.1016/j.mcna.2023.05.011

PMID:37806720

Abstract

Clinicians play an important role in the prevention of unintentional injuries. Falls and motor vehicle crashes (MVC) have predictable and overlapping antecedents. Systematic screening for and management of vision impairment, frailty, cognitive impairment, polypharmacy, and inappropriate medications will reduce both falls and MVC risks. Fall-prevention measures, such as strength training, need to be more widely prescribed by physicians and implemented by older adults. Technologically tailored approaches are needed to leverage fall-reduction programs at home, as well as education of older adults regarding home hazards.

摘要

临床医生在预防意外伤害方面发挥着重要作用。跌倒和机动车碰撞（MVC）有可预测且相互重叠的先兆因素。对视力障碍、身体虚弱、认知障碍、多重用药及不适当用药进行系统筛查和管理，将降低跌倒和MVC的风险。预防跌倒的措施，如力量训练，需要医生更广泛地开出处方，并由老年人实施。需要采用技术定制的方法来利用家庭中的跌倒预防计划，以及对老年人进行家庭危险方面的教育。