Falls among older adults: An exploration of trends, clinical outcomes, predisposing risk factors, and intervention strategies

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-04-30 DOI:10.1016/j.amjsurg.2025.116385

Sanjan Kumar , Francis Cruz , Zackary Yates , Quratulain Amin , Muhammad Usman Awan , Philip Lee , Sarthak Kumar , Adel Elkbuli

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引用次数: 0

Abstract

Background

The aim of this study is to evaluate fall trends, risk factors, and interventions aimed at reducing falls in older adult trauma patients in the healthcare & community settings in the United States.

Methods

A review was conducted utilizing PubMed, ProQuest, Cochrane, and Google Scholar search databases to identify relevant articles published prior to July 7, 2024. Studies were included if they assessed falls among the older adult population aged 55 years and older.

Results

A total of 29 studies assessed met the inclusion criteria. Despite decreasing fall incidence in the community and hospital setting, fall-associated injuries, hospitalizations, and mortality in older adults have increased. Common predisposing factors for falls among older adults in the community and healthcare settings include advanced age, history of falls, recent hospitalization, and comorbid conditions affecting cognition, gait, and visual acuity. Interventions including strengthening exercise programs and individualized multifactorial plans reduced falls and fall-associated injuries in most studies.

Conclusion

Recent years demonstrated an increase in fall-associated injuries, hospitalizations, and mortality which underscores the urgent need for targeted multifactorial interventions.

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老年人跌倒：趋势、临床结果、易感危险因素和干预策略的探索

本研究的目的是评估跌倒趋势、危险因素和干预措施，旨在减少医疗保健中老年创伤患者的跌倒。美国的社区环境。方法利用PubMed、ProQuest、Cochrane和谷歌Scholar检索数据库，检索2024年7月7日前发表的相关文章。如果研究对象是年龄在55岁及以上的老年人，那么它们就会被纳入其中。结果共有29项研究符合纳入标准。尽管社区和医院环境中的跌倒发生率有所下降，但与跌倒相关的伤害、住院和死亡率在老年人中有所增加。社区和医疗机构中老年人跌倒的常见易感因素包括高龄、跌倒史、近期住院以及影响认知、步态和视力的合并症。在大多数研究中，包括加强锻炼计划和个性化多因素计划在内的干预措施减少了跌倒和跌倒相关的伤害。结论近年来，与跌倒相关的伤害、住院和死亡率有所增加，这表明迫切需要有针对性的多因素干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.