Petridou E, Polychronopoulou A, Dounis E, Tsampira P, Revinthi K, Trichopoulos D
Department of Hygiene and Epidemiology, Athens University Medical School, Greece.
Accid Anal Prev. 1996 May;28(3):333-8. doi: 10.1016/0001-4575(95)00072-0.
Extrinsic and intrinsic risk factors for injuries among the elderly in Greece were investigated in a hospital based case-control study. Cases were 200 elderly persons, residents of the Greater Athens area, who contacted the "Laiko" University Hospital for accident-related injuries, during a 10-month period, whereas the control series comprised 385 elderly who, during the same period, contacted the same hospital for non-injury related medical reasons. Data were analyzed by modeling through multiple logistic regression. Statistically significant associations were found for smoking vs non-smoking [odds ratio (OR) 2.40; 95% confidence interval (CI) 1.22-4.70], moderate use of alcoholic beverages vs non use (OR 0.37; CI 0.23-0.61) and house safety score (OR 0.72; CI 0.56-0.93 for an improvement by 1 unit). Non statistically significant positive associations were noted with history of previous hospitalizations for injury, chronic central nervous system conditions, defective hearing, refractive eye disorders, current use of psychoactive drugs, excessive use of alcoholic beverages, other than ground floor residency, cohabitation with fewer members and other than currently married status. Restricted activity was assessed in subsamples of cases and controls and was associated with somewhat reduced risk for injury (OR for one unit increase in a 10 unit modified Groningen activity scale is 1.06; CI 0.99 to 1.13). Overall, these results suggest that there is a constellation of plausible risk factors for injuries among the elderly.
在一项基于医院的病例对照研究中，对希腊老年人受伤的外在和内在风险因素进行了调查。病例为200名居住在大雅典地区的老年人，他们在10个月内因事故相关伤害前往“拉伊科”大学医院就诊，而对照组包括385名老年人，他们在同一时期因非伤害相关的医疗原因前往同一家医院就诊。通过多元逻辑回归建模对数据进行分析。结果发现，吸烟与不吸烟之间存在统计学显著关联[比值比（OR）2.40；95%置信区间（CI）1.22 - 4.70]，适度饮用酒精饮料与不饮用之间存在关联（OR 0.37；CI 0.23 - 0.61），以及家庭安全评分（每提高1个单位，OR 0.72；CI 0.56 - 0.93）。还注意到与既往受伤住院史、慢性中枢神经系统疾病、听力缺陷、屈光不正、目前使用精神活性药物、过度饮用酒精饮料、不住在一楼、家庭成员较少以及非目前已婚状态之间存在非统计学显著的正相关。在病例和对照的子样本中评估了活动受限情况，发现其与受伤风险略有降低相关（在10单位改良格罗宁根活动量表中，每增加1个单位，OR为1.06；CI 0.99至1.13）。总体而言，这些结果表明老年人受伤存在一系列看似合理的风险因素。
