老年人意外伤害的首要病因——跌倒的评价和预防.PDF

【摘要】 基金项目 作者单位 【关键词】 Evaluation and Prevention for Falls in Elder People : A Leading Cause of Unintentional 通信作者 Injuries ZHENG Hua-Guang, JU Yi, SHEN Dong-Chao, WANG Lin, JIANG Rui-Xuan, ZHAO Xing-Quan, WANG Yong-Jun, WANG Chun-Xue. Department of Neurology, Beijing snowsen@126.com Tiantan Hospital, Capital Medical University, Beijing 100050, China Corresponding Author:WANG Chun-Xue, E-mail:snowsen@126.com 【 】 Abstract Falls are the leading cause of both fatal and non-fatal unintentional injuries in older people. Patients with neurologic or general conditions were associated with an increased risk of falling. Risk factors for falls include age older than 80 years, depression, use of four or more prescription medications, muscle weakness, arthritis, and impairments in gait, balance, cognition, vision. An increased risk of falls is established among persons with diagnoses of stroke, dementia, and disorders of gait and balance and probable among patients with Parkinson disease, peripheral neuropathy, lower extremity weakness or sensory loss, and substantial vision loss. A history of falling in the past year strongly predicts the likelihood of future falls. A risk-as