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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Risk factors for single and recurrent falls: A prospective study of falls in community dwelling seniors without cognitive impairment
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Risk factors for single and recurrent falls: A prospective study of falls in community dwelling seniors without cognitive impairment

机译：一次跌倒和反复跌倒的危险因素：对没有认知障碍的社区居家老年人跌倒的前瞻性研究

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Objective: The purpose of this study is to contribute evidence towards heterogeneity in risk factors for single and recurrent falls. Method: This is a prospective study conducted in Taiwan. Participants were randomly selected from the examinees of the annual health examination in 2010. Participants were interviewed with a detailed questionnaire and followed up one year later. Predictor variables included socio-demographic characteristics, medical conditions, laboratory data, and risk factors for osteoporosis. The outcome was falls in the ensuing 12. months. Results: The mean age of the 653 completers was 75.6 ± 6.4. Half (48.7%) were women. Fallers and recurrent fallers comprised 14.5% and 6.0% of the participants, respectively. Blurred vision (adjusted odds ratio (aOR): 1.93, 95% confidence interval (CI): 1.02-3.67), minimal outdoor activities (aOR: 2.28, 95% CI: 1.06-4.88), and overactive thyroid/parathyroid (aOR: 3.49, 95% CI: 1.29-9.50) were associated with single falls. Frailty (aOR: 2.81, 95% CI: 1.11-7.09), decreased body height (aOR: 3.15, 95% CI: 1.52-6.54) and taking sedatives/hypnotics (aOR: 4.23, 95% CI: 2.06-8.67) were associated with recurrent falls. Previous falls (aOR: 2.64, 95% CI: 1.44-4.84 for single falls; aOR: 5.26, 95% CI: 2.61-10.60 for recurrent falls) were associated with all falls. Conclusion: Different intervention strategies should be developed for single and recurrent fallers.
机译：目的：本研究的目的是为单次和反复跌倒的危险因素的异质性提供证据。方法：这是在台湾进行的前瞻性研究。从2010年年度健康检查的受检者中随机选择参加者。对参加者进行详细问卷调查，并在一年后进行随访。预测变量包括社会人口统计学特征，医疗状况，实验室数据和骨质疏松的危险因素。结果是随后的12个月下降。结果：653名完成者的平均年龄为75.6±6.4。女性占一半（48.7％）。下降者和反复下降者分别占参与者的14.5％和6.0％。视力模糊（调整后的优势比（aOR）：1.93，95％置信区间（CI）：1.02-3.67），最少的户外活动（aOR：2.28，95％CI：1.06-4.88），甲状腺/甲状旁腺功能亢进（aOR： 3.49，95％CI：1.29-9.50）与一次跌倒相关。身体虚弱（aOR：2.81，95％CI：1.11-7.09），身高下降（aOR：3.15，95％CI：1.52-6.54）和服用镇静剂/催眠药（aOR：4.23，95％CI：2.06-8.67）与反复跌倒有关。先前的跌倒（单次跌倒的aOR：2.64，95％CI：1.44-4.84;反复跌倒的aOR：5.26，95％CI：2.61-10.60）与所有跌倒相关。结论：应针对单个和复发性跌倒者制定不同的干预策略。

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