{"title":"放弃行动辅助技术对居家老年人严重跌倒发生率的影响:ECOCAT研究结果。","authors":"Abdoul Razak Sawadogo, Jean-François Nys, Estelle Tran, Caroline Gayot, Sophie Boyer, Noëlle Cardinaud, Clémence Thebaut, Achille Tchalla","doi":"10.1177/20556683221110866","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.</p><p><strong>Materials and methods: </strong>A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.</p><p><strong>Results: </strong>In all, 102 OA participated in the study. Over the 6-months observation period, 17 (<i>n</i> = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (<i>n</i> = 21) were recorded (57.1%; <i>p</i> = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; <i>p</i> = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; <i>p</i> = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>Discontinuation of ATM device use was associated with an increased risk for serious falls.</p>","PeriodicalId":2,"journal":{"name":"ACS Applied Bio Materials","volume":" ","pages":"20556683221110866"},"PeriodicalIF":4.6000,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/75/10.1177_20556683221110866.PMC9234835.pdf","citationCount":"1","resultStr":"{\"title\":\"Impact of the abandonment of assistive technologies for mobility on the incidence of serious falls in older adults living at home: Results of the ECOCAT study.\",\"authors\":\"Abdoul Razak Sawadogo, Jean-François Nys, Estelle Tran, Caroline Gayot, Sophie Boyer, Noëlle Cardinaud, Clémence Thebaut, Achille Tchalla\",\"doi\":\"10.1177/20556683221110866\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.</p><p><strong>Materials and methods: </strong>A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.</p><p><strong>Results: </strong>In all, 102 OA participated in the study. Over the 6-months observation period, 17 (<i>n</i> = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (<i>n</i> = 21) were recorded (57.1%; <i>p</i> = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; <i>p</i> = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; <i>p</i> = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>Discontinuation of ATM device use was associated with an increased risk for serious falls.</p>\",\"PeriodicalId\":2,\"journal\":{\"name\":\"ACS Applied Bio Materials\",\"volume\":\" \",\"pages\":\"20556683221110866\"},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2022-06-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/75/10.1177_20556683221110866.PMC9234835.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACS Applied Bio Materials\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/20556683221110866\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MATERIALS SCIENCE, BIOMATERIALS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACS Applied Bio Materials","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/20556683221110866","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MATERIALS SCIENCE, BIOMATERIALS","Score":null,"Total":0}
Impact of the abandonment of assistive technologies for mobility on the incidence of serious falls in older adults living at home: Results of the ECOCAT study.
Purpose: To examine the impact of discontinuing the use of assistive technology for mobility (ATM) devices on the 6-months incidence of falls in older adults (OA) living at home.
Materials and methods: A medico-socioeconomic survey was performed to collect information on the quality of life and well-being of older adults, before and 6 months after being loaned an ATM device. Personal data (medical, social, and economic) were collected via a geriatric survey.
Results: In all, 102 OA participated in the study. Over the 6-months observation period, 17 (n = 81) serious falls were recorded among participants who were using their ATM device optimally; in those who discontinued device use, 12 falls (n = 21) were recorded (57.1%; p = 0.001). Factors significantly associated with falls at home were living in an urban area (odds ratio [OR]: 11.46; 95% confidence interval [CI]: 1.48; 88.98; p = 0.020), an Instrumental Activities of Daily Living Scale score > 4 (OR: 34.04; 95% CI: 1.59; 727.86; p = 0.024), and discontinuation of ATM device use (OR: 17.41; 95% CI: 2.59; 117.02; p = 0.003).
Conclusion: Discontinuation of ATM device use was associated with an increased risk for serious falls.
期刊介绍：
ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications.
The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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