文章摘要
陆治名,汪媛,叶鹏鹏,耳玉亮,段蕾蕾.2015-2018年全国伤害监测系统中老年人跌倒/坠落病例分布特征[J].中华流行病学杂志,2021,42(1):137-141
2015-2018年全国伤害监测系统中老年人跌倒/坠落病例分布特征
Analysis on epidemiologic characteristics of fall in old people: results from Chinese National Injury Surveillance System, 2015-2018
收稿日期:2020-04-24  出版日期:2021-01-22
DOI:10.3760/cma.j.cn112338-20200424-00646
中文关键词: 跌倒;伤害;监测;老年人
英文关键词: Fall;Injury;Surveillance;Old people
基金项目:
作者单位E-mail
陆治名 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050  
汪媛 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050  
叶鹏鹏 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050  
耳玉亮 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050 eryuliang@ncncd.chinacdc.cn 
段蕾蕾 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 北京 100050  
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中文摘要:
      目的 了解2015-2018年我国≥ 60岁人群因跌倒/坠落就诊病例分布特征,为开展预防老年人跌倒工作,制定相关政策提供依据。方法 提取2015-2018年全国伤害监测系统(NISS)中≥ 60岁人群跌倒/坠落病例数据,分析其一般人口学特征、伤害发生和伤害临床特征。结果 2015-2018年NISS共采集老年人跌倒/坠落病例205 670例,男女性别比为1:1.37。跌倒/坠落发生高峰时间段在10:00-10:59(11.91%)。发生地点以家中(56.41%)、公路/街道(17.24%)、公共居住场所(14.36%)为主。发生时活动前三位分别是休闲活动(37.56%)、家务(24.20%)和步行(15.07%)。跌倒/坠落造成受伤性质前三位分别是挫伤/擦伤(42.17%)、骨折(31.79%)和扭伤/拉伤(14.62%)。受伤部位主要是下肢(31.38%),其次是头部(22.46%)和躯干(20.71%)。中重度损伤占比为37.21%,22.49%因跌倒/坠落就诊老年人需要住院治疗。结论 2015-2018年NISS中≥ 60岁老年人跌倒/坠落病例数量较多,呈增加趋势,应将老年人作为重点人群,进行有效的跌倒/坠落预防控制工作。
英文摘要:
      Objective To understand the epidemiologic characteristics of fall in people aged 60 years and above in China from 2015 to 2018, and provide basis for the prevention of fall in old people and the development of related policies. Methods Descriptive analysis was conducted on general information, injury occurrence information and injury clinical characteristics of fall cases in people aged 60 years and above by using the data from Chinese National Injury Surveillance System(NISS). Results A total of 205 670 fall cases were reported to NISS from 2015 to 2018 with the male to female ratio of 1.37. Falls mainly occurred during 10:00-10:59 am (11.91%). The top three places where fall might occur were home (56.41%), road (17.24%) and public residence (14.36%). Leisure activity(37.56%), housework (24.20%) and walk (15.07%) were top three activities in which fall occurred. Bruise/scrape (42.17%), fracture (31.79%) and sprain/strain (14.62%) were the major injuries. The most common body parts involved were low limbs (31.38%), head (22.46%) and truncus(20.71%). Moderate and severe injuries accounted for 37.21% of all cases, and 22.49% of the elderly seeking medical care due to fall required hospitalization. Conclusions The number of fall in people aged 60 years and above increased from 2015 to 2018. The elderly is a key population in the prevention and control of fall.
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