高齢者の転倒予防のための介入の比較:体系的なレビューとメタ解析
Andrea C Tricco1,2, Sonia M Thomas1, Areti Angeliki Veroniki1
1Knowledge Translation Program, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
JAMA
|November 9, 2017
まとめ
高齢者の転倒を防ぐことは極めて重要です 運動,視力ケア,環境変化により 転倒のリスクを大幅に軽減し, 転倒防止のための効果的な戦略を提供できます.
科学分野:
- ゲロントロジー
- 公衆衛生
- 証拠 に 基づく 医学
背景:
- 滝は健康に重大な負担を 負わせています 特に高齢化が進む世界の人口にとってです
- 転倒の発生率は 世界中で増加しており 効果的な予防戦略が必要になっています
研究 の 目的:
- 65歳以上の人の転倒を防ぐための様々な介入の有効性を評価する.
主な方法:
- ランダム化臨床試験 (RCT) の体系的レビューとメタ解析が行われました.
- 15万9000人以上の参加者を含む283件のRCTのデータを分析した.
- ネットワークメタアナリシスは,複数の介入を通常のケアと比較するために使用されました.
主要な成果:
- 視覚と環境の評価と組み合わせた 運動介入で 転倒による怪我を 大幅に減少させました
- 運動,視力ケア,環境変更,品質改善戦略,サプリメントを含む併用した介入が最大のリスク低下を示しました.
- 転倒による入院の有意な減少は,特定の併用戦略では認められなかった.
結論:
- 運動とマルチモダルの介入は 高齢者の怪我による転倒のリスクを低減するのに有効です
- 落下防止の戦略の選択は,個々の患者と介護者の好みを考慮する必要があります.
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