Cho Ok-Hee, Yoon Jeongeun
Department of Nursing, College of Nursing and Health, Kongju National University, Gongju 32588, Republic of Korea.
Department of Nursing, Kunsan College of Nursing, Gunsan 54068, Republic of Korea.
Medicina (Kaunas). 2024 Apr 3;60(4):593. doi: 10.3390/medicina60040593.
: Accidental home injuries among older adults are increasing globally, but reporting is limited. This study aims to establish foundational data for program development and policies to prevent accidental injuries at home in older adults by using data on the occurrence of accidental injuries at home and analyzing the risk factors of mortality due to accidental injuries among adults aged 65 years and older. : This retrospective study used data from the community-based Severe Trauma Survey in South Korea. This study identified general, injury-related, and treatment-related characteristics of older adults who were transported to the emergency department with accidental injuries at home. Single-variable and multiple logistic regression analyses were used to identify risk factors for mortality after injury. : The majority of older adults in this study who experienced accidental injuries at home were aged 75 to 84 (42.8%) and female (52.8%), with 1465 injured from falls and slips (68.0%). Risk factors for mortality included older age (≥85 years) (ORs 2.25, 95% CI 1.47-3.45), male sex (ORs 1.60, 95% CI 1.15-2.20), mechanism of injury (falls or slips vs. contact injury, ORs 6.76, 95% CI 3.39-13.47; airway obstruction vs. contact injury, ORs 13.96, 95% CI 6.35-30.71), higher severity (moderate vs. mild, ORs 2.56, 95% CI 1.45-4.54; severe vs. mild, ORs 12.24, 95% CI 6.48-23.12; very severe vs. mild, ORs 67.95, 95% CI 38.86-118.81), and receiving a blood transfusion (ORs 2.14, 95% CI 1.24-3.67). : Based on these findings, the home and community environments where older adults live should be inspected and monitored, and in-home accidental injury prevention strategies should be developed tailored to the characteristics of older adults' risk factors and their injury-related characteristics.
老年人在家中发生的意外伤害在全球范围内呈上升趋势，但相关报告有限。本研究旨在通过利用老年人在家中发生意外伤害的数据，并分析65岁及以上成年人因意外伤害导致死亡的风险因素，为预防老年人在家中发生意外伤害的项目开发和政策建立基础数据。
这项回顾性研究使用了韩国基于社区的严重创伤调查数据。本研究确定了因在家中发生意外伤害而被送往急诊科的老年人的一般特征、与伤害相关的特征以及与治疗相关的特征。采用单变量和多因素逻辑回归分析来确定受伤后死亡的风险因素。
本研究中大多数在家中发生意外伤害的老年人年龄在75至84岁之间（42.8%），女性居多（52.8%），其中1465人因跌倒和滑倒受伤（68.0%）。死亡的风险因素包括高龄（≥85岁）（比值比2.25，95%置信区间1.47 - 3.45）、男性（比值比1.60，95%置信区间1.15 - 2.20）、伤害机制（跌倒或滑倒与接触性伤害相比，比值比6.76，95%置信区间3.39 - 13.47；气道阻塞与接触性伤害相比，比值比13.96，95%置信区间6.35 - 30.71）、更高的严重程度（中度与轻度相比，比值比2.56，95%置信区间1.45 - 4.54；重度与轻度相比，比值比12.24，95%置信区间6.48 - 23.12；极重度与轻度相比，比值比67.95，95%置信区间38.86 - 118.81）以及接受输血（比值比2.14，95%置信区间1.24 - 3.67）。
基于这些发现，应该对老年人居住的家庭和社区环境进行检查和监测，并根据老年人风险因素的特征及其与伤害相关的特征制定针对性的家庭意外伤害预防策略。
