Chinese General Practice ›› 2024, Vol. 27 ›› Issue (18): 2192-2197.DOI: 10.12114/j.issn.1007-9572.2023.0757
• Article • Previous Articles Next Articles
Received:
2023-10-30
Revised:
2023-12-25
Published:
2024-06-20
Online:
2024-03-22
Contact:
WU Hengjing
通讯作者:
吴恒璟
作者简介:
作者贡献:
徐云佳负责论文数据分析和初稿撰写;舒碧芸负责上海部分的数据收集整理、绘制图表并协助设计研究思路;郑永韬负责论文数据整理清洗和数据分析,协助初稿撰写;陈挺、来芬华负责杭州部分数据的收集整理;倪梦姣、罗秀兰负责数据整合录入,协助参与论文内容格式修改;吴恒璟提出研究思路、提供研究资源和经费支持、完善论文最终内容并对论文负责。
基金资助:
CLC Number:
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2023.0757
变量 | 跌倒致长期卧床(n=165) | 竞争事件(n=134) | 检验统计量值 | P值 | 变量 | 跌倒致长期卧床(n=165) | 竞争事件(n=134) | 检验统计量值 | P值 |
---|---|---|---|---|---|---|---|---|---|
肌力( | 23.56±7.20 | 17.54±7.80 | 10.901 | <0.001 | 居住情况[名(%)] | 7.821 | 0.005 | ||
性别[名(%)] | 1.819 | 0.177 | 非独居 | 130(78.8) | 107(79.9) | ||||
男 | 101(61.2) | 75(56.0) | 独居 | 35(21.2) | 27(20.1) | ||||
女 | 64(38.8) | 59(44.0) | 白内障[名(%)] | 8.897 | 0.003 | ||||
年龄[名(%)] | 11.648 | <0.001 | 无 | 25(15.2) | 35(26.1) | ||||
≤85岁 | 23(13.9) | 42(31.3) | 有 | 140(84.8) | 99(73.9) | ||||
>85岁 | 142(86.1) | 92(68.7) | 听力障碍[名(%)] | 5.421 | 0.020 | ||||
BMI[名(%)] | 7.161 | 0.028 | 无 | 34(20.6) | 28(20.9) | ||||
<18.5 kg/m2 | 40(24.2) | 40(29.9) | 有 | 131(79.4) | 106(79.1) | ||||
18.5~23.9 kg/m2 | 87(52.7) | 57(42.5) | 高血压[名(%)] | 1.192 | 0.275 | ||||
>23.9 kg/m2 | 38(23.1) | 37(27.6) | 无 | 47(28.5) | 40(29.9) | ||||
居住地[名(%)] | 35.331 | <0.001 | 有 | 118(71.5) | 94(70.1) | ||||
城市 | 40(24.2) | 51(38.1) | 糖尿病[名(%)] | 35.688 | <0.001 | ||||
农村 | 125(75.8) | 83(61.9) | 无 | 62(37.6) | 69(51.5) | ||||
文化程度[名(%)] | 1.823 | 0.402 | 有 | 103(62.4) | 65(48.5) | ||||
小学及以下 | 121(73.4) | 98(73.1) | 高血脂[名(%)] | 2.101 | 0.147 | ||||
中学 | 22(13.3) | 22(16.4) | 无 | 77(46.7) | 69(51.5) | ||||
大专及以上 | 22(13.3) | 14(10.5) | 有 | 88(53.3) | 65(48.5) | ||||
睡眠时长[名(%)] | 0.318 | 0.853 | 吸烟[名(%)] | 0.533 | 0.766 | ||||
<6 h/d | 55(33.3) | 52(38.8) | 从未 | 92(55.8) | 78(58.2) | ||||
6~9 h/d | 53(32.1) | 44(32.8) | 戒烟 | 36(21.8) | 34(25.4) | ||||
>9 h/d | 57(34.6) | 38(28.4) | 在吸 | 37(22.4) | 22(16.4) | ||||
睡眠质量[名(%)] | 216.695 | <0.001 | 饮酒[名(%)] | 0.577 | 0.749 | ||||
正常 | 41(24.8) | 48(35.8) | 不饮酒 | 101(61.2) | 86(64.2) | ||||
较差 | 124(75.2) | 86(64.2) | ≤4次/月 | 9(5.5) | 9(6.7) | ||||
跌倒史[名(%)] | 15.141 | <0.001 | >4次/月 | 55(33.3) | 39(29.1) | ||||
无 | 95(57.6) | 87(64.9) | 认知功能[名(%)] | 19.086 | <0.001 | ||||
有 | 70(42.4) | 47(35.1) | 正常 | 99(60.0) | 99(73.9) | ||||
损害 | 66(40.0) | 35(26.1) |
Table 1 Univariate analysis results of long-term bedridden risk of falls in super-aged population
变量 | 跌倒致长期卧床(n=165) | 竞争事件(n=134) | 检验统计量值 | P值 | 变量 | 跌倒致长期卧床(n=165) | 竞争事件(n=134) | 检验统计量值 | P值 |
---|---|---|---|---|---|---|---|---|---|
肌力( | 23.56±7.20 | 17.54±7.80 | 10.901 | <0.001 | 居住情况[名(%)] | 7.821 | 0.005 | ||
性别[名(%)] | 1.819 | 0.177 | 非独居 | 130(78.8) | 107(79.9) | ||||
男 | 101(61.2) | 75(56.0) | 独居 | 35(21.2) | 27(20.1) | ||||
女 | 64(38.8) | 59(44.0) | 白内障[名(%)] | 8.897 | 0.003 | ||||
年龄[名(%)] | 11.648 | <0.001 | 无 | 25(15.2) | 35(26.1) | ||||
≤85岁 | 23(13.9) | 42(31.3) | 有 | 140(84.8) | 99(73.9) | ||||
>85岁 | 142(86.1) | 92(68.7) | 听力障碍[名(%)] | 5.421 | 0.020 | ||||
BMI[名(%)] | 7.161 | 0.028 | 无 | 34(20.6) | 28(20.9) | ||||
<18.5 kg/m2 | 40(24.2) | 40(29.9) | 有 | 131(79.4) | 106(79.1) | ||||
18.5~23.9 kg/m2 | 87(52.7) | 57(42.5) | 高血压[名(%)] | 1.192 | 0.275 | ||||
>23.9 kg/m2 | 38(23.1) | 37(27.6) | 无 | 47(28.5) | 40(29.9) | ||||
居住地[名(%)] | 35.331 | <0.001 | 有 | 118(71.5) | 94(70.1) | ||||
城市 | 40(24.2) | 51(38.1) | 糖尿病[名(%)] | 35.688 | <0.001 | ||||
农村 | 125(75.8) | 83(61.9) | 无 | 62(37.6) | 69(51.5) | ||||
文化程度[名(%)] | 1.823 | 0.402 | 有 | 103(62.4) | 65(48.5) | ||||
小学及以下 | 121(73.4) | 98(73.1) | 高血脂[名(%)] | 2.101 | 0.147 | ||||
中学 | 22(13.3) | 22(16.4) | 无 | 77(46.7) | 69(51.5) | ||||
大专及以上 | 22(13.3) | 14(10.5) | 有 | 88(53.3) | 65(48.5) | ||||
睡眠时长[名(%)] | 0.318 | 0.853 | 吸烟[名(%)] | 0.533 | 0.766 | ||||
<6 h/d | 55(33.3) | 52(38.8) | 从未 | 92(55.8) | 78(58.2) | ||||
6~9 h/d | 53(32.1) | 44(32.8) | 戒烟 | 36(21.8) | 34(25.4) | ||||
>9 h/d | 57(34.6) | 38(28.4) | 在吸 | 37(22.4) | 22(16.4) | ||||
睡眠质量[名(%)] | 216.695 | <0.001 | 饮酒[名(%)] | 0.577 | 0.749 | ||||
正常 | 41(24.8) | 48(35.8) | 不饮酒 | 101(61.2) | 86(64.2) | ||||
较差 | 124(75.2) | 86(64.2) | ≤4次/月 | 9(5.5) | 9(6.7) | ||||
跌倒史[名(%)] | 15.141 | <0.001 | >4次/月 | 55(33.3) | 39(29.1) | ||||
无 | 95(57.6) | 87(64.9) | 认知功能[名(%)] | 19.086 | <0.001 | ||||
有 | 70(42.4) | 47(35.1) | 正常 | 99(60.0) | 99(73.9) | ||||
损害 | 66(40.0) | 35(26.1) |
变量 | 赋值 |
---|---|
随访结局 | 删失=0,跌倒致长期卧床=1,竞争事件=2 |
年龄 | ≤85岁=0,>85岁=1 |
居住地 | 城市=0,农村=1 |
BMI | 18.5~23.9 kg/m2=0,<18.5 kg/m2=1,>23.9 kg/m2=2 |
睡眠质量 | 正常=0,较差=1 |
跌倒史 | 无=0,有=1 |
居住情况 | 非独居=0,独居=1 |
白内障 | 无=0,有=1 |
听力障碍 | 无=0,有=1 |
糖尿病 | 否=0,是=1 |
认知功能 | 正常=0,损害=1 |
Table 2 Assignment of variables in the competing risk model analysis
变量 | 赋值 |
---|---|
随访结局 | 删失=0,跌倒致长期卧床=1,竞争事件=2 |
年龄 | ≤85岁=0,>85岁=1 |
居住地 | 城市=0,农村=1 |
BMI | 18.5~23.9 kg/m2=0,<18.5 kg/m2=1,>23.9 kg/m2=2 |
睡眠质量 | 正常=0,较差=1 |
跌倒史 | 无=0,有=1 |
居住情况 | 非独居=0,独居=1 |
白内障 | 无=0,有=1 |
听力障碍 | 无=0,有=1 |
糖尿病 | 否=0,是=1 |
认知功能 | 正常=0,损害=1 |
变量 | β | z值 | P值 | HR值 | 95%CI |
---|---|---|---|---|---|
肌力 | 0.068 | 6.862 | <0.001 | 1.071 | 1.049~1.091 |
年龄>85岁 | 0.670 | 2.966 | 0.003 | 1.954 | 1.255~3.042 |
居住地为农村 | 0.666 | 3.837 | <0.001 | 1.946 | 1.385~2.731 |
BMI(以18.5~23.9 kg/m2为参考) | |||||
<18.5 kg/m2 | -0.163 | -0.859 | 0.390 | 0.849 | 0.585~1.230 |
>23.9 kg/m2 | -0.310 | -1.675 | 0.094 | 0.733 | 0.513~1.054 |
睡眠质量较差 | 1.750 | 8.833 | <0.001 | 5.756 | 3.904~8.491 |
跌倒史 | 0.253 | 1.618 | 0.110 | 1.288 | 0.948~1.752 |
独居 | 0.119 | 0.656 | 0.510 | 1.126 | 0.789~1.612 |
白内障 | 0.605 | 2.810 | 0.005 | 1.832 | 1.201~2.794 |
听力障碍 | 0.177 | 0.977 | 0.330 | 1.193 | 0.837~1.701 |
糖尿病 | 0.438 | 2.649 | 0.008 | 1.549 | 1.121~2.143 |
认知功能损害 | 0.541 | 3.409 | 0.001 | 1.717 | 1.258~2.344 |
Table 3 Competing risk model analysis of long-term bedridden risk of falls in super-aged population
变量 | β | z值 | P值 | HR值 | 95%CI |
---|---|---|---|---|---|
肌力 | 0.068 | 6.862 | <0.001 | 1.071 | 1.049~1.091 |
年龄>85岁 | 0.670 | 2.966 | 0.003 | 1.954 | 1.255~3.042 |
居住地为农村 | 0.666 | 3.837 | <0.001 | 1.946 | 1.385~2.731 |
BMI(以18.5~23.9 kg/m2为参考) | |||||
<18.5 kg/m2 | -0.163 | -0.859 | 0.390 | 0.849 | 0.585~1.230 |
>23.9 kg/m2 | -0.310 | -1.675 | 0.094 | 0.733 | 0.513~1.054 |
睡眠质量较差 | 1.750 | 8.833 | <0.001 | 5.756 | 3.904~8.491 |
跌倒史 | 0.253 | 1.618 | 0.110 | 1.288 | 0.948~1.752 |
独居 | 0.119 | 0.656 | 0.510 | 1.126 | 0.789~1.612 |
白内障 | 0.605 | 2.810 | 0.005 | 1.832 | 1.201~2.794 |
听力障碍 | 0.177 | 0.977 | 0.330 | 1.193 | 0.837~1.701 |
糖尿病 | 0.438 | 2.649 | 0.008 | 1.549 | 1.121~2.143 |
认知功能损害 | 0.541 | 3.409 | 0.001 | 1.717 | 1.258~2.344 |
[1] |
国家统计局,国务院第七次全国人口普查领导小组办公室. 第七次全国人口普查公报[R]. 2021.
|
[2] |
王宇. 全国疾病监测系统死因监测数据集2009[M]. 北京:军事医学科学出版社,2012.
|
[3] |
|
[4] |
China Health and Retirement Longitudinal Study(CHARLS). China Health and Retirement Longitudinal Study:2011 CHARLS Wave1(Baseline)[EB/OL]. (2013-01-01)[2023-07-25].
|
[5] |
|
[6] |
Independent Hospital Pricing Authority(IHPA). Standardised Mini-Mental State Examination(SMMSE)-Guidelines for administration and scoring instructions (text version)[J]. Australian Government Department of Health. [2023-07-25].
|
[7] |
|
[8] |
|
[9] |
|
[10] |
胡依,郭芮绮,闵淑慧,等. 1990—2019年中国老年人群跌倒疾病负担分析[J]. 现代预防医学,2021,48(9):1542-1545,1630.
|
[11] |
路俊英,郭冬霞,李芳伟,等. 中国老年人跌倒发生现状及影响因素[J]. 郑州大学学报(医学版),2020,55(5):662-667. DOI:10.13705/j.issn.1671-6825.2020.07.052.
|
[12] |
桂慧雯,刘军. 步态障碍的分类与诊断治疗[J]. 中国现代神经疾病杂志,2011,11(1):18-21.
|
[13] |
康宁,于海军,陆晓敏,等. 中国老年人跌倒发生率的Meta分析[J]. 中国循证医学杂志,2022,22(10):1142-1148.
|
[14] |
|
[15] |
|
[16] |
|
[17] |
姜宜君,郑乔木,邹敏,等. 跌倒损伤入院老年人单次与多次跌倒特征及危险因素的比较研究[J]. 中国护理管理,2021,21(6):861-865. DOI:10.3969/j.issn.1672-1756.2021.06.013.
|
[18] |
齐士格,王志会,王丽敏,等. 2013年中国老年居民跌倒伤害流行状况分析[J]. 中华流行病学杂志,2018,39(4):439-442. DOI:10.3760/cma.j.issn.0254-6450.2018.04.010.
|
[19] |
廖婷婷,林立丰,林夏子,等. 广东省老年人跌倒及其影响因素和平衡能力受损现况[J]. 中华疾病控制杂志,2022,26(7):851-856. DOI:10.16462/j.cnki.zhjbkz.2022.07.018.
|
[20] |
邴婧莹,李熹,李桐瑶,等. 居家养老老年人跌倒现状及影响因素研究[J]. 现代预防医学,2022,49(1):110-114,151.
|
[21] |
郭雁飞,马文军,张庆军,等. 中国8个省份50岁及以上人群跌倒伤害及其危险因素横断面研究[J]. 中华流行病学杂志,2018,39(3):258-263. DOI:10.3760/cma.j.issn.0254-6450.2018.03.002.
|
[22] |
|
[23] | |
[24] |
林进龙,魏玥,陈功,等. 中国老年人不同严重程度跌倒风险与慢性病和睡眠的关联研究[J]. 中华疾病控制杂志,2021,25(1):25-31. DOI:10.16462/j.cnki.zhjbkz.2021.01.006.
|
[25] |
刘苗雨,张建,林剑浩,等. 老年人视功能损害与跌倒相关性的研究进展[J]. 中华眼科医学杂志(电子版),2019,9(3):177-181. DOI:10.3877/cma.j.issn.2095-2007.2019.03.009.
|
[26] |
谢志权. 老年2型糖尿病患者合并肌少症与肌功能减退的相关因素及跌倒风险分析[D]. 广州:南方医科大学,2019.
|
[27] |
马雅军,李晓东,胡志灏,等. 老年人认知功能和跌倒的关系研究[J]. 中国全科医学,2019,22(15):1784-1788. DOI:10.12114/j.issn.1007-9572.2019.00.118.
|
[28] |
|
[29] |
|
[1] | LI Hongji, ZHAO Xiaolong, HU Wei, HAN Donghui, WANG Anhui, QIN Weijun. Development and Validation of a Prediction Model for Prostate Cancer Early Screening [J]. Chinese General Practice, 2024, 27(20): 2483-2490. |
[2] | ZENG Fanyan, YANG Xuezhi, LIU Xingyu, MO Jiali, LIU Zuting, LU Yi, YI Yingping, KUANG Jie. Association between Rainfall and Stroke Admissions: Based on Distributional Lag Nonlinear Modeling [J]. Chinese General Practice, 2024, 27(20): 2458-2465. |
[3] | YANG Xu, YAO Mi. Interpretation of the U.S. Preventive Clinical Services Guidelines Workgroup's Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults without Cardiovascular Disease Risk Factors: Behavioral Counseling Interventions [J]. Chinese General Practice, 2024, 27(17): 2064-2069. |
[4] | PEI Xuejing, SHEN Huaiyun, XU Qianqian, LIU Binbin, WANG Huihui. Risk Factors and Short-term Prognosis of Severe Neonatal Asphyxia Complicated with Acute Kidney Injury [J]. Chinese General Practice, 2024, 27(15): 1861-1866. |
[5] | LI Zidong, ZHU Lin. Clinical Characteristics and Risk Factors of Fatigue in COVID-19 during Recovery Period [J]. Chinese General Practice, 2024, 27(15): 1849-1854. |
[6] | HONG Ling, LU Liping, CHENG Ning, SUN Qin, JIANG Jianhong, ZHU Liangfeng. Prevalence and Epidemiological Characteristics of Venous Thromboembolism in Jiaxing City [J]. Chinese General Practice, 2024, 27(15): 1837-1842. |
[7] | ZHANG Guoli, ZHAO Rongrong, PENG Guotian, SUN Ruiyi, QIAO Pengyu, YAN Fanghong, HAN Lin. Risk Factors and Predictive Value of Risk Scoring Systems for Long-term Major Adverse Cardiovascular Events in Patients with ST-segment Elevation Myocardial Infarction Following Percutaneous Coronary Intervention [J]. Chinese General Practice, 2024, 27(15): 1802-1810. |
[8] | YANG Shuo, LIU Xinying, WANG Huizhe, LI Huanmin, LI Xinmin. Risk Factors for Severe Mycoplasma Pneumoniae Pneumonia in Children: a Meta-analysis [J]. Chinese General Practice, 2024, 27(14): 1750-1760. |
[9] | ZHANG Chunyue, FANG Liqun. Clinical Characteristics and Related Factors of Patients with Cerebral Infarction in Acute Vestibular Syndrome [J]. Chinese General Practice, 2024, 27(14): 1678-1684. |
[10] | QU Yuanyuan, CAO Miao, WANG Jing, CHENG Li, HE Xiaoshuang. Trends in Prevalence and Burden of Asthma and Its Risk Factors in China, 1990-2019 [J]. Chinese General Practice, 2024, 27(13): 1594-1600. |
[11] | LI Xingjun, LI Shuangrong, WANG Nan, WANG Xiangyu, CUI Ruomei, XU Jian, GUO Yulong, LIU Shuang. Clinical Characteristics of Patients with Idiopathic Inflammatory Myopathy and Risk Factors for the Development of Interstitial Lung Disease [J]. Chinese General Practice, 2024, 27(13): 1623-1629. |
[12] | WANG Xueting, JIANG Yi. Disease Burden of Chronic Obstructive Pulmonary Disease in the BRICS Countries from 1990 to 2019 [J]. Chinese General Practice, 2024, 27(09): 1118-1125. |
[13] | HAN Junjie, WU Di, CHEN Zhisheng, XIAO Yang, SEN Gan. A Nomogram Prediction Model and Validation Study on the Risk of Complicated Diabetic Nephropathy in Type 2 Diabetes Patients [J]. Chinese General Practice, 2024, 27(09): 1054-1061. |
[14] | WANG Kai, XU Baichao, WANG Zhaoxin, SU Jianjiao. Effects of Combined Motion Intervention on Body Composition, Cardiovascular Risk Factors and Cardiopulmonary Fitness of Obese Female Adolescents [J]. Chinese General Practice, 2024, 27(09): 1109-1117. |
[15] | WU Shuqin, WANG Yuanhan, ZHENG Kaiyuan, HAN Hongjuan, KANG Jinxiu, YU Hongmei. Prognosis and Influencing Factors of Patients with Malignant Melanoma [J]. Chinese General Practice, 2024, 27(08): 942-947. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||