在老年人中,FAB测试是否与跌倒发生有关? 对门诊病人的跌倒风险评估进行了回顾性分析
Victoire Leroy1,2,3, Yaohua Chen4,5, Elisabeth Brocquet6
1Division of Geriatric Medicine, Tours University Hospital, 2 Bvd Tonnellé, 37000, Tours, France. victoire.leroy@univ-tours.fr.
European geriatric medicine
|January 27, 2025
方法:
我们开展了一项单中心、回顾性队列研究，研究对象为法国老年人。参与者来自老年科跌倒门诊，其简易精神状态检查（MMSE）得分≥24。我们记录了参与者在入组前6个月内的跌倒史，以及基线、6个月和12个月随访时的起立-行走计时测试和活动能力评估。
结果:
基线时共纳入199名参与者（平均年龄83.1岁；女性占70.3%），其中50.8%（101人）FAB评分异常（提示存在执行功能障碍）。具有执行功能障碍的参与者更有可能有跌倒史。分别有125名和96名参与者完成了6个月和12个月的随访。基线FAB评分异常与任何类型跌倒或严重跌倒之间无显著关联。在调整年龄、教育程度和多重用药后，基线FAB评分异常仅与6个月时重复跌倒（≥ 2次）相关（OR = 3.1，95% CI [1.0, 9.9]）。此外，FAB评分异常的参与者在计时起立行走测试中的得分显著较低。
结论:
异常的FAB评分与随访6个月时的反复跌倒相关，但与随访期间总的首次跌倒事件无关。我们的结果强调了FAB在跌倒风险评估中的潜在应用价值，尤其是对于反复跌倒的预测，但仍需进一步研究以明确这一关联。
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