社区居住的老年人跌倒风险预测:无实际测量的评估量表和评估项目分析。
Fall Risk Prediction for Community-Dwelling Older Adults: Analysis of Assessment Scale and Evaluation Items without Actual Measurement.
机构信息
Department of Physical Therapy, Faculty of Rehabilitation, Gunma University of Health and Welfare, Maebashi Plaza Genki 21 6-7F, 2-12-1 Hon-machi, Maebashi-shi 371-0023, Japan.
Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, 501 Naka Orui-machi, Takasaki-shi 370-0033, Japan.
出版信息
Int J Environ Res Public Health. 2024 Feb 14;21(2):224. doi: 10.3390/ijerph21020224.
The frequency of falls increases with age. In Japan, the population is aging rapidly, and fall prevention measures are an urgent issue. However, assessing fall risk during the coronavirus disease pandemic was complicated by the social distancing measures implemented to prevent the disease, while traditional assessments that involve actual measurements are complicated. This prospective cohort study predicted the risk of falls in community-dwelling older adults using an assessment method that does not require actual measurements. A survey was conducted among 434 community-dwelling older adults to obtain data regarding baseline attributes (age, sex, living with family, use of long-term care insurance, and multimorbidity), Frailty Screening Index (FSI) score, and Questionnaire for Medical Checkup of Old-Old (QMCOO) score. The participants were categorized into fall ( = 78) and non-fall ( = 356) groups. The binomial logistic regression analysis showed that it is better to focus on the QMCOO sub-item score, which focuses on multiple factors. The items significantly associated with falls were Q5 (odds ratio [OR] 1.95), Q8 (OR 2.33), and Q10 (OR 3.68). Our results were similar to common risk factors for falls in normal times. During the pandemic, being able to gauge the risk factors for falls without actually measuring them was important.
随着年龄的增长,跌倒的频率会增加。在日本,人口老龄化迅速,预防跌倒措施是一个紧迫的问题。然而,由于为了预防疾病而实施了社交距离措施,评估疾病大流行期间的跌倒风险变得复杂,而传统的需要实际测量的评估方法也很复杂。本前瞻性队列研究使用不需要实际测量的评估方法预测了社区居住的老年人的跌倒风险。对 434 名社区居住的老年人进行了一项调查,以获得有关基线特征(年龄、性别、与家人同住、使用长期护理保险和多种疾病)、虚弱筛查指数(FSI)评分和老年医学检查问卷(QMCOO)评分的数据。参与者被分为跌倒(=78)和非跌倒(=356)组。二项逻辑回归分析表明,最好关注 QMCOO 子项目评分,该评分侧重于多个因素。与跌倒显著相关的项目是 Q5(比值比 [OR] 1.95)、Q8(OR 2.33)和 Q10(OR 3.68)。我们的结果与正常时期跌倒的常见危险因素相似。在大流行期间,能够在不实际测量的情况下评估跌倒的危险因素很重要。