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Trends in hospitalization for fall-related injury among older adults in the United States, 1988-2005.

机译:1988-2005年,美国老年人跌倒相关伤害的住院治疗趋势。

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The aim of the present study was to analyze trends in hospitalizations for fall-related injury among older adults in the United States from 1988 to 2005. The National Hospital Discharge Survey (NHDS) was used to generate injury hospitalization estimates based on the recommendations of the State and Territorial Injury Prevention Directors Association. Hospital- ization rates were standardized to the year 2000 U.S. population to account for changes in the age distribution of the population over time. Joinpoint regression analysis was used to calculate annual percentage changes in hospitalization rates and to identify points where a statistically significant change occurred over time. Hospitalization rates increased across all age groups (all p for trend <0.001). After age-adjustment, hospitalization rates among women increased by 5.9% (95% CI, 3.7 to 8.2) per year from 304.2 in 1988 to 729.9 per 100,000 persons in 2005. Similarly, age-adjusted rates among men increased at an annual rate of 5.8% (95% CI, 3.5 to 8.2) from 162.7 in 1988 to 377.4 per 100,000 persons in 2005. However, joinpoint regression analysis identified a change in the slope around 1997 and 1998 in men and women, respectively. Thereafter, hospitalization rates in men leveled off at an annual rate of 0.5% (95% CI, -3.6 to 4.7) from 1997 to 2005. In women, there was a non-significant trend toward decreasing rates by -1.3% (95% CI, -4.6 to 2.2) per year between 1998 and 2005. Hospitalization rates for fall-related injury clearly increased among older adults in the United States during the study period. The aging of the population is likely to increase the number of hospitalizations for severe fall-related injuries.
机译:本研究的目的是分析1988年至2005年美国老年人因摔倒相关伤害而住院的趋势。根据美国医院出院调查的建议,使用国家医院出院调查(NHDS)得出受伤住院的估计值。国家和地区伤害预防主任协会。住院率被标准化为2000年美国人口,以说明该人口年龄分布随时间的变化。 Joinpoint回归分析用于计算住院率的年度百分比变化,并确定随时间推移发生统计学上显着变化的点。所有年龄段的住院率均增加(趋势<0.001,所有p)。调整年龄后,妇女的住院率从1988年的304.2每年增加5.9%(95%CI,3.7至8.2),到2005年为100,000人的729.9。同样,男性的年龄调整率以每年5.8%(95%CI,3.5至8.2)从1988年的162.7增加到2005年的100,000人的377.4。但是,结合点回归分析发现,在1997年和1998年左右,男女的斜率发生了变化。此后,从1997年到2005年,男性的住院率以每年0.5%的速度下降(95%CI,-3.6至4.7)。女性的非住院率下降了-1.3%(95%),这一趋势不显着在1998年至2005年期间,每年CI(-4.6至2.2)。在研究期间,美国老年人因摔倒相关伤害的住院率明显增加。人口老龄化可能会增加严重摔倒相关伤害的住院治疗次数。

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