与社区老年人倒相关的因素:来自远程紧急服务的小组分析
Elena Casabona1, Federica Riva-Rovedda1, Angela Castello1
1Department of Public Health and Pediatrics, University of Torino, 10100 Torino, Italy.
Geriatrics (Basel, Switzerland)
|June 26, 2024
概括
在远程紧急服务中使用个人应急响应系统 (PERS) 可以帮助识别老年人中跌倒风险因素. 这项技术可能会降低跌倒的风险,特别是当用于医疗问题或支持电话时.
科学领域:
- 老年学是一门学科.
- 生物医学工程 生物医学工程
- 公共卫生 公共卫生
背景情况:
- 跌倒是社区生活中老年人的一个重要问题,导致失去独立和脆弱.
- 跌倒被分为单次 (一次跌倒) 或反复 (两次或更多次跌倒),每个都有不同的风险概况.
- 像个人应急响应系统 (PERS) 这样的可穿戴式摔倒检测设备在识别不同类型摔倒的风险因素方面的作用仍然不清楚.
研究的目的:
- 评估如何在远程紧急服务中使用PERS有助于识别社区老年人的风险概况.
- 通过PERS数据,评估非堕落者和堕落者 (一次性和反复性) 之间的风险因素差异.
- 为了确定PERS的使用是否与降低跌倒风险有关.
主要方法:
- 对配备PERS.的远程紧急服务用户进行了子组分析.
- 参与者被分为没有失败者 (n=226),失败者 (n=89),一次失败者 (n=66) 和反复失败者 (n=23).
- 统计分析,包括调整的赔率比率 (OR),用于评估PERS使用与跌倒风险之间的关联.
主要成果:
- 跌倒者平均年龄 (87.7岁) 与没有跌倒者 (86岁) 相比较高.
- 经常性摔倒者表现出较低的独立性,较少的并发病,以及更多的下肢残疾.
- 使用PERS用于医疗问题 (OR=0.31),支持电话 (OR=0.26) 和一般服务需求 (OR=0.30) 与降低跌倒风险有显著关联.
结论:
- 将PERS集成到远程紧急服务中可以帮助识别老年人中不同的风险概况.
- 由于与跌倒无关的原因,使用PERS似乎与降低整体跌倒风险有关.
- 结合PERS的远程紧急服务可以提供一种有价值的工具,以减轻社区居住的老年人群中与跌倒相关的风险.
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