跌倒病人的老年画像

N. O. Khovasova, A. Naumov, O. Tkacheva, V. I. Moroz
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引用次数: 2

摘要

的目标。评估老年跌倒患者的老年和躯体状态。材料和方法。该研究纳入655例(81%为女性),年龄为75.1±8.2岁,在老年科住院。根据他们是否经历过跌倒,患者被分为两组:1组(332人,50.7%)由在当年至少经历过一次跌倒的患者组成,2组(323人,49.3%)由没有经历过跌倒的患者组成。患者接受了一般临床检查和综合老年评估。60岁以上的住院患者中有一半经历过跌倒,而在没有跌倒经历的患者中,50.8%的患者有很高的跌倒风险。跌落导致软组织擦伤246例(74.1%),不同部位骨折36例(10.8%),外伤性脑损伤6例(1.8%)。两组患者平均诊断出5种疾病,两组患者的分类学结构无差异。由于进行了全面的老年评估,跌倒患者被诊断为虚弱、痴呆、抑郁、视力障碍、步态和平衡障碍以及直立反应的比例明显更高。
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Geriatric portrait of patient with falls
Aim. To assess the geriatric and somatic status of older patients with falls.Materials and methods. The study included 655 patients (81% of them women) with the age of 75.1±8.2 years hospitalized in geriatric departments. Depending on whether they experienced falls, the patients were divided into two groups: group 1 (332 people, 50.7%) consisting of patients who experienced at least one fall in the current year and group 2 (323 people, 49.3%) consisting of patients who did not experience any falls. The patients underwent general clinical tests and comprehensive geriatric assessment.Results. Half of the hospitalized patients over the age of 60 experienced falls, and among patients without a fall experience 50.8% had a high risk of falls. As a result of falls 246 (74.1%) patients suffered from bruises and abrasions of soft tissues, 36 (10.8%) patients had fractures of various localizations, 6 (1.8%) patients had traumatic brain injury (TBI). Patients of both groups were diagnosed with an average of 5 diseases while there were no differences in the nosological structure among patients of both groups. As a result of the performed comprehensive geriatric assessment patients with falls were significantly more often diagnosed with frailty, dementia, depression, visual impairment, gait and balance disorders as well as orthostatic reactions.
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