多发病率与老年人心脏病冠状动脉疾病中的意外跌倒之间的关联
Xuejie Qi1, Xue Yao2, Shanshan Liu3
1Key Laboratory of Medicine and Health of Shandong Province, School of Public Health, Department of Health Statistics, Shandong Second Medical University, Weifang, Shandong, China.
Frontiers in public health
|December 15, 2025
概括
患有冠心病 (CHD) 和复杂多病态模式的老年人面临更高的跌倒和骨折风险. 具体来说,脑血管-骨关节模式显著增加了跌倒和骨折的风险,特别是在女性和老年人中.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 在患有冠状动脉心脏病 (CHD) 的老年人中,多病症很常见.
- 跌倒和骨折的发病率增加是这一群体的一个重大问题.
- 了解多病症模式对于预防跌倒的策略至关重要.
研究的目的:
- 在患有心血管疾病的老年人中确定不同的多病态模式.
- 调查这些模式与跌倒和跌倒相关骨折的风险之间的关联.
- 在这个人口群体中为预防跌倒提供有针对性的干预信息.
主要方法:
- 隐性类分析 (LCA) 用于识别多病态模式.
- 精细和灰色的竞争风险回归模型评估了模式与跌倒/骨折风险之间的关联.
- 分析了189558名患有心脏病的老年人 (≥60岁) 的数据 (2015-2021年).
主要成果:
- 确定了四个多病症集群:胃肠主导,核心心血管,代谢心血管和脑血管骨关节.
- 脑血管 - 骨关节模式 (类4) 显示了跌倒的最高风险 (HR=1.68) 和跌倒与骨折.
- 在代谢-心血管模式 (第3类) 中也观察到增加的风险,在女性和80岁以上的个体中更为明显.
结论:
- 特定的多病症模式显著影响老年心血管疾病患者的跌倒和骨折风险.
- 脑血管-骨关节复杂模式具有最高的风险.
- 这些发现支持风险分层和精确的公共卫生方法来预防跌倒.
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