Ryynänen O P
University of Kuopio, Department of Community Health and General Practice, Finland.
Public Health. 1994 Mar;108(2):99-110. doi: 10.1016/s0033-3506(05)80015-0.
This study was done to investigate health, functional capacity, health behaviour and psychosocial factors associated with the occurrence of falls leading to medical treatment in elderly Finns (> or = 65 yrs). An unmatched case-control study was performed in the Town of Pori, Western Finland during the 12 months from September 1987 to August 1988. The series consisted of 380 fallers who sought medical treatment and 342 elderly control subjects selected randomly from the population register. Logistic regression analysis showed falls in the home-dwelling men to be associated with high age, high white blood cell count, poor self-perceived health and presence of depressive symptoms. In the home-dwelling women the occurrence of falls was associated with high white blood cell count, low blood haemoglobin level, high age and being afraid of falling. The occurrence of falling in the women showed a tendency to be associated with poor functional capacity, high axillary temperature and poor mental capacity. In the log-linear model in the men occurrence of falling was independently associated with poor self-perceived health and with high white blood cell count. In the women occurrence of falling was associated with high age, poor functional capacity, poor mental capacity, low blood haemoglobin and high white blood cell count. High age was associated with poor functional capacity and with low blood haemoglobin. Poor functional capacity and poor mental capacity were associated with each other. Poor mental and functional capacities, anaemia in women and acute infections are associated with falls leading to medical treatment in the elderly. Elderly subjects with an acute infection should be treated carefully to avoid falling complications.
本研究旨在调查与芬兰老年人群（≥65岁）因跌倒而就医相关的健康状况、功能能力、健康行为及社会心理因素。1987年9月至1988年8月的12个月期间，在芬兰西部的波里镇进行了一项非匹配病例对照研究。该系列包括380名因跌倒而就医者以及从人口登记册中随机选取的342名老年对照者。逻辑回归分析显示，居家男性跌倒与高龄、白细胞计数高、自我感觉健康状况差及存在抑郁症状有关。居家女性跌倒的发生与白细胞计数高、血红蛋白水平低、高龄及害怕跌倒有关。女性跌倒的发生显示出与功能能力差、腋窝温度高及心理能力差有相关性。在男性的对数线性模型中，跌倒的发生与自我感觉健康状况差及白细胞计数高独立相关。在女性中，跌倒的发生与高龄、功能能力差、心理能力差、血红蛋白水平低及白细胞计数高有关。高龄与功能能力差及血红蛋白水平低有关。功能能力差和心理能力差相互关联。心理和功能能力差、女性贫血及急性感染与老年人群因跌倒而就医有关。患有急性感染的老年受试者应谨慎治疗以避免跌倒并发症。
