预防老年人跌倒的干预措施的比较:系统性审查和元分析
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
概括
预防老年人的伤害性跌倒至关重要. 运动,视力护理和环境修改显著降低了跌倒风险,为预防跌倒提供了有效的策略.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 基于证据的医学 基于证据的医学
背景情况:
- 布对健康造成重大负担,尤其对全球人口老龄化.
- 跌倒的发生率在全球范围内不断增加,需要有效的预防策略.
研究的目的:
- 评估各种干预措施在预防65岁及以上人群中跌倒的有效性.
主要方法:
- 进行了随机临床试验 (RCT) 的系统审查和元分析.
- 分析了涉及超过159,000名参与者的283个RCT的数据.
- 网络元分析被用来比较多种干预措施与常规护理.
主要成果:
- 运动干预,单独或与视力和环境评估相结合,显著减少伤害性跌倒.
- 包括运动,视力护理,环境修改,质量改善策略和补充剂在内的综合干预措施显示了最大的风险降低.
- 对于某些联合策略,没有发现与跌倒相关的住院病例有显著的减少.
结论:
- 运动和多模式干预措施有效降低老年人受伤跌倒的风险.
- 在选择防摔策略时,应考虑个体患者和护理人员的偏好.
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