常見老年症候群―跌倒 - doctor.org.tw

1 236 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2010. , 81 65 65 (Aging Country) (Aged Country) 106 /

2 237 65 1/3 1/4 6% ( 1) 2001 238 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2010.

3 , ( 2) SPLATT (Symptoms) (Prior Falls) (Location of the falls) (Activity during falls) (Time of day the falls occurred) (Trauma or Injury resulted from the falls) Rubenstein From : Why old people fall (and how to stop them).

4 Practical Neurology 2007;7;158-171 239 (Mini-mental state examination) (Geriatric Depression Scale) (Mini-nutritional assessment) (Times up and go test) 20 10 10-20 1a From American Geriatrics Society, British Geriatrics Society and American Academy of Orthopedic Surgeons Panel on Falls Prevention, Guideline for the prevention of falls in older persons.

5 JAGS 49;664-672,2001. 240 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2010. , 30% 2004 NICE Guideline Falls: the assessment and prevention of falls in older people 1. / 2. 3. i. ii. iii. iv. / 4.

6 5. ( ) Reference:1. 2004, , No4., 259-2712. Voermans NC, Snijders AH, Schoon Y, Bloem BR. (2007) Why old people fall (and how to stop them). Pract Neurol. 2007 Jun;7(3) Rubenstein LZ, Josephson KR: The epidemiology of falls and Syncope. Clin Geriatr Med 2002;181:141-58. 4. NHS National Institute for Clinical Excellence. Falls: the assessment and prevention of falls in older people. Clinical Guideline 21, November 2004.

7 CG021 NICE guideline (accessed May 2005).241 : :12 (%) 311-53 174-39 130-30 Drop Attack90-52 50-14 30-24 20-5 152-39 50-211. 3628 2. (Range):12 3. From Med Clin N Am 90 (2006) 807-824 : :16 a. 10 12 10 8 8 6 3 8 3 4 >80 5 / From Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med 2002;18:141-58