2016-2020年上海市某社区老年人跌倒/坠落伤害流行病学特征

Epidemiological Characteristics of Injury Caused by Fall in the Elderly in a Community in Shanghai from 2016 to 2020

目的:了解社区老年人跌倒/坠落伤害发生的流行病学特征,为伤害预防干预工作提供依据。方法:收集2016—2020年上海市某社区伤害监测哨点医院收治的伤害病例信息进行流行病学分析。结果:共收集老年人跌倒/坠落伤害病例829例,占老年人总伤害病例的68.57%;男女性别比为1∶1.91,平均年龄为(73.44±9.057)岁;伤害大多发生在家中,常见于家务活动,主要为轻度擦伤/挫伤,女性较男性更易发生骨折;多因素logistic回归分析结果显示,性别、年龄、户籍和伤害发生时的活动是老年人跌倒/坠落伤害发生的主要影响因素。结论:跌倒/坠落是老年人伤害的主要原因,女性是伤害的高危人群,老年人跌倒/坠落伤害预防干预应根据分布特征采取相应措施。

OBJECTIVE To understand the epidemiological characteristics of falls among the elderly in communities,and to pro⁃vide basis for injury prevention and intervention.METHODS The information of injury cases at initial visits of injury surveillance hos⁃pitals was collected for epidemiological analysis.RESULTS A total of 829 elderly falls cases were collected,accounted for 68.57%of the total elderly injuries.The sex ratio of men and women was 1∶1.91 in the fall cases with an average age of(73.44±9.057)and the falls mainly occurred in homes,doing common housework,mainly mild abrasions/contusions.Women were more prone to frac⁃ture.Multivariate logistic regression analysis showed that gender,age,registered residence and injury activities were the main factors influencing falls in elderly people.CONCLUSION Fall is the main cause of injuries to the elderly,especially the female group.Corre⁃sponding measures should be taken for the prevention and intervention of falls in the elderly in the community according to the distri⁃bution characteristics.