文章摘要
耳玉亮,段蕾蕾,叶鹏鹏,汪媛,纪翠蓉,邓晓,高欣,金叶,王临虹.2014年全国伤害监测系统老年跌倒/坠落病例特征分析[J].中华流行病学杂志,2016,37(1):24-28
2014年全国伤害监测系统老年跌倒/坠落病例特征分析
Epidemiologic characteristics of fall in old population: Results from national injury surveillance in China, 2014
收稿日期:2015-10-08  出版日期:2016-01-12
DOI:10.3760/cma.j.issn.0254-6450.2016.01.005
中文关键词: 跌倒/坠落  监测  老年人
英文关键词: Fall  Surveillance  Aged
基金项目:
作者单位E-mail
耳玉亮 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
段蕾蕾 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室 leileiduan@vip.sina.com 
叶鹏鹏 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
汪媛 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
纪翠蓉 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
邓晓 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
高欣 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
金叶 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心伤害防控室  
王临虹 100050 北京, 中国疾病预防控制中心慢性非传染性疾病预防控制中心  
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中文摘要:
      目的 了解2014年全国伤害监测系统(NISS)≥60岁老年人跌倒/坠落病例分布特征,为制定老年人跌倒/坠落预防控制策略措施提供依据。方法 对2014年因跌倒/坠落首次在NISS监测点医院门/急诊室就诊的≥60岁老年人病例,采用全国伤害管理软件统一录入监测数据,利用SPSS 19.0软件进行描述性分析。结果 2014年老年人跌倒/坠落病例41 073例,占该人群全部非故意伤害病例的52.81%,且该比例随年龄增长而增大。病例性别比为0.77;女性比例随年龄增大而增加。老年人跌倒/坠落发生高峰时间段是8:00-11:59(占全天病例的33.31%)。跌倒/坠落发生地点构成前三位是家中(55.66%)、公共居住场所(20.52%)、公路/街道(11.64%)。跌倒/坠落发生时活动的构成前两位是休闲活动(68.94%)和家务/学习(16.14%)。受伤部位构成前三位的是下肢(29.28%)、头部(24.40%)、躯干(20.04%)。跌倒/坠落造成挫伤/擦伤为主(45.76%),其次是骨折(29.52%)、扭伤/拉伤(13.28%)。跌倒/坠落伤害的严重程度以轻度为主(64.20%),随年龄增加,中重度伤害比例逐渐增加。结论 跌倒/坠落是我国老年人伤害的主要原因,其在老年人群全部非故意伤害中的构成比例随年龄增大而增加;跌倒/坠落预防应作为老年人伤害预防控制的优先工作。
英文摘要:
      Objective To understand the epidemiologic characteristics of fall in people aged ≥60 years in China and provide evidence for the development of prevention and control measures of fall in old population. Methods Data of fall in people aged ≥60 years in China in 2014 were collected from National Injury Surveillance System (NISS) for the descriptive epidemiologic analysis. Results A total of 41 073 fall cases were reported in people aged ≥60 years in 2014,accounting for 52.81% of total unintentional injuries in this population. The fall to unintentional injury ratio was higher in older age group. The gender ratio of fall cases was 0.77 and the proportion of females increased with age. Fall mainly occurred during 8:00-11:59 in the morning (33.31%). The top three places where fall might occur were home (55.66%), public residential places (20.52%) and roads (11.64%). Recreational activity (68.94%) and housework/study (16.14%) were the major causes for fall. The common injury sites were low limbs (29.28%), head (24.40%) and body (20.04%), while the common injuries caused by fall were bruise (45.76%) and fractures (29.52%), spain/strain (13.28%). The fall injuries were mainly mild (64.20%), while more moderate and serious fall injuries occurred in older age group. Conclusion Fall is the major cause of injury in old population in China, and the proportion of fall in unintentional injury in this population increased with age, indicating that the prevention of fall in old population should be strengthened.
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