UNIT 20 - Common-sense actions cut falls in elderly : study

[sue h.]

UNIT 20 - Common-sense actions cut falls in elderly : study

summary 노인들의 낙상을 감소시킬 수 있는 방안들이 연구되고 있다는 소식이다. 노인들의 낙상은 그 의료비용도 만만치 않을 뿐만 아니라 둔부 골절 환자의 경우 다음해에 24퍼센트가 사망할 정도로 심각한 질병이라는 점이 흔히 간과되고 있다는 것이다. 이러한 노인 낙상의 예방을 위해서는 예비 환자의 물리 치료, 약물 감시, 선 채로 혈압 재기 등 의료인들이 사전예방 조치를 취하는 것이 필요하다고 이 연구는 강조하고 있다.

   BOSTON - Falls by elderly people are cut significantly when health care providers take basic steps such as prescribing physical therapy, monitoring medications and checking standing blood pressure, researchers said on Wednesday.

  Such a program in Connecticut reduced the number of falls among people age 70 and older by 9 percent, Dr. Mary Tinetti of the Yale School of Medicine and colleagues reported.

  Their program resulted in about 1,800 fewer hospitalizations or trips to the emergency room and an 11-percent reduction in fall-related medical services.

  "In addition to discomfort and disability averted, this decrease represents a potential savings of more than $ 21 million in health care costs on the basis of an average acute care cost of $ 12,000 per event," they wrote in their report, published in the New England Journal of Medicine.

  In 2005, nearly 300,000 Ameicans had hip fractures associated with a fall, and an average of 24 percent of hip fracture patients aged 50 and over died in the next year, according to the National Osteoporosis Foundation.

  Among people over 65, fall-related injuries account for 10 percent of the cases that show up in an emergency department and 6 percent of hospitalizations.

  LOWER PRIORITY

  There is also evidence that doctors don't do enough to prevent them.

  "If you ask most old people and clinicians, they will say falls are common, but it's not considered a disease or health condition on par with strokes or heart attacks. It hasn't sunk in that it's the responsibility of clinicians to recognize and prevent them," Tinetti said in a telephone interview.

  Her team spent four years encouraging doctors and other health care providers to reduce, if possible, the doses of medicines that might increase the risk of falling.

  They were also urged to measure blood pressures while standing, as well as lying down, because older people can lose consciousness when their blood pressure drops suddenly as they stand.

  And the health care workers were encouraged to send older patients to physical or accupational therapists if they needed to improve their balance and strength.

  At the end of the study, the researchers, using data maintained by the Connecticut Hospital Association, found that the annual risk of serious fall-related injuries had gone from 3.19 per 100 people to 2.86. In another area of the state where the interventions were not done, the risk went from 3.12 to 3.14.

  "That's a similar magnitude to what you see for a lot of heart attack prevention and stroke prevention," said Tinetti.

  Another team, at Harvard University and the Massachusetts Institute of Technology in Cambridge, took a more high-tech approach with shoe insole technology that could help doctors detect balance problems.

  The device, developed by government-funded research, is based on technology used by NASA to help monitor balance problems in astronauts returning from space, MIT said in a statement on Wednesday.

  It analyzes the pressure distribution of the foot and transmits the information to a computer that analyzes the data. The plans are to equip the insoles with an alarm to alert family members of any falls. 

[이종운]

대단해, 정말 대단해요. 내가 할말이 없어졌어요. 나는 부지런히 내 작업해야겠네요. 정말 정말 고맙습니다.

[sue h.]

저희들 위해서 선배님께서 보여주시는 열정에 저희야말로 늘 감사하는 마음뿐이예요~!.

[happy]

tears......