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首页> 外文期刊>BMJ Open >Population ageing and injurious falls among one million elderly people who used emergency medical services from 2010 to 2017 in Beijing, China: a longitudinal observational study
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Population ageing and injurious falls among one million elderly people who used emergency medical services from 2010 to 2017 in Beijing, China: a longitudinal observational study

机译：纵向观察研究显示，2010年至2017年，中国北京有100万使用紧急医疗服务的老年人口中的人口老龄化和伤害下降

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Objectives To access the epidemiological characteristics of elderly people using emergency medical services (EMS) in Beijing, as a consequence of injurious falls, and the association between an ageing population and injurious falls.Design A longitudinal observational study based on Beijing EMS data.Setting All citizens aged 60 years or above who used EMS from 2010 to 2017 in Beijing, China.Participants During 2010 to 2017, 2516 128 people used EMS in Beijing. Of these, 1528 938 people aged under 60 years were excluded and the remaining 987 190 people were included in our study.Methods Data were from the emergency dispatch database of Beijing’s Emergency Medical Centre. We described the proportion of elderly people using EMS in Beijing due to injurious falls with regard to region, time, sex, age and proportion of the elderly population.Results Among the 987 190 participants who used EMS, 82 694 (8.38%) had had a fall. The proportion of falls rose from 7.12% in 2010 to 9.45% in 2017, and was higher in urban (8.62%) than in suburban (7.80%) regions. Elderly people were more likely to use EMS due to injurious falls during September to November (8.99%) than during December to February (7.68%) (adjusted OR (aOR)=1.19), and during 08:00 to 09:59 (10.02%) than during 00:00 to 01:59 (4.11%) (aOR=2.52). Elderly people in districts with high (8.92%, aOR=1.15) and medium (8.23%, aOR=1.09) proportions of an elderly population were more likely to use EMS due to injurious falls than those in districts with a low proportion of elderly population (7.81%).Conclusions In Beijing, the proportion of elderly people using EMS due to injurious falls increased with age, and was positively correlated with the proportion of the elderly population. Taking care of elderly people and preventing injurious falls should be one of the key issues to be handled in a society with an ageing population.
机译：目的了解北京因跌倒造成的老年人急诊服务的流行病学特征以及人口老龄化与跌倒的关系。基于北京EMS数据设计纵向观察研究。 2010年至2017年在中国北京使用EMS的60岁以上公民。参加者2010年至2017年，北京有2516 128人使用了EMS。其中，年龄在60岁以下的1528 938人被排除在外，其余987 190人被纳入我们的研究。方法数据来自北京急诊中心的急诊调度数据库。我们描述了因伤害事故在北京地区使用EMS的老年人比例，包括地区，时间，性别，年龄和老年人口比例。结果在987190名使用EMS的参与者中，有82694名（8.38％）接受了EMS掉落。下降比例从2010年的7.12％上升到2017年的9.45％，城市地区（8.62％）高于郊区地区（7.80％）。与9月至2月（7.68％）（调整后的OR（aOR）= 1.19）以及08:00至09:59（10.02）相比，9月至11月（8.99％）的老年人由于跌倒造成的伤害发生的可能性更高， ％）比在00:00到01:59（4.11％）期间（aOR = 2.52）。老年人口比例较高的地区（8.92％，aOR = 1.15）和中等比例（8.23％，aOR = 1.09）的老年人比人少的地区由于伤害跌倒而更可能使用EMS （7.81％）。结论在北京，因伤害性跌倒而使用EMS的老年人比例随年龄增长而增加，并且与老年人口比例呈正相关。在人口老龄化的社会中，照顾老年人和防止伤害性跌倒应该是要处理的关键问题之一。

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