认知障碍患者的跌倒 - - 跌倒者的发生率和特征
Per G Farup1,2, Knut Hestad1, Knut Engedal3,4
1Department of Research, Innlandet Hospital Trust, N-2381 Brumunddal, Norway.
Geriatrics (Basel, Switzerland)
|December 27, 2024
概括
在认知障碍的老年人中,跌倒很常见. 虚弱,而不是痴呆的类型或严重程度,独立预测的跌倒,表明体育训练和社交活动可能会降低风险.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 跌倒对认知障碍和痴呆症的老年人构成重大风险,导致残疾和医疗保健成本增加.
- 了解这一群体中跌倒发生率和特征对于有效的预防策略至关重要.
研究的目的:
- 调查一大群认知障碍患者中跌倒的发生率和特征.
- 为了确定这个人群中跌倒的独立预测因素.
主要方法:
- 使用了挪威认知症状评估人员登记册 (NorCog) 的数据.
- 包括9525名报告跌倒的参与者.
- 对失败者和非失败者的比较特征,分析人口统计学,临床和认知因素.
主要成果:
- 每年跌倒的发生率为39.6%.
- 跌倒发生率因痴呆症类型而异,从早期阿尔茨海默氏症的22.4%到血管痴呆症的55.3%.
- 年龄,日常生活的个人活动减少,步行速度减慢,记忆延迟,使用行走辅助工具,抑郁和虚弱与跌倒有关.
结论:
- 虚弱现象已成为认知障碍个体中跌倒的独立预测因素.
- 无论是痴呆的类型还是认知障碍的程度都不是跌倒的独立预测因素.
- 针对脆弱性的干预措施,如体育训练和社会参与,可能是减少这一群体中跌倒风险的关键.
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