Thực trạng ngã ở người cao tuổi có thoái hóa khớp gối nguyên phát

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Tác giả: Ngọc Tâm Nguyễn, Trung Thái Nguyễn, Viết Lực Trần, Thị Thanh Huyền Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 611.983 Human anatomy, cytology, histology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 213-217

Bộ sưu tập: Metadata

ID: 502525

Thêm vào giỏ

Describe the fall status and some factors related to the risk of falls in older patients with primary knee osteoarthritis. Subjects and methods: A cross-sectional descriptive study on 189 patients aged - 60 years old diagnosed with primary knee osteoarthritis according to the criteria of ACR 1991 who were being treated at the National Geriatric Hospital from August 2022 to June 2023. Results: Average age was 75.3±7.0, females accounted for 84.7%
86.6% of patients had degeneration on both sides of the knee joint. 17.5% of elderly knee OA patients fell at least once in the past 12 months. 10.1% of patients had a fall and 7.4% of patients with knee OA had 2 or more falls. 61.4% of patients were at high risk of falling as assessed by the Timed Up and Go test. Multivariate regression analysis showed that age (OR=1,1), female (OR=2.5), and living in rural areas (OR=2.3) had a statistically significant association with the risk of falls. Conclusion: The rate of older knee osteoarthritis patients who had fall risk was high (61.4%) and was related to old age, female gender and living in rural areas.Mô tả thực trạng ngã và một số yếu tố liên quan với nguy cơ ngã ở người bệnh cao tuổi có thoái hóa khớp gối nguyên phát. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 189 bệnh nhân ³ 60 tuổi được chẩn đoán thoái hóa khớp gối nguyên phát theo tiêu chuẩn của ACR 1991 đang điều trị tại Bệnh viện Lão Khoa Trung ương từ tháng 08/2022-06/2023. Kết quả: Tuổi trung bình là 75,3±7,0, nữ giới chiếm 84,7%
86,6% bệnh nhân có thoái hóa cả 2 bên khớp gối. 17,5% người bệnh THK gối cao tuổi có ngã ít nhất một lần trong 12 tháng qua. 10,1% người bệnh có ngã 1 lần và 7,4% người bệnh THK gối có ngã từ 2 lần trở lên. 61,4% người bệnh có nguy cơ ngã cao đánh giá theo test đứng lên và đi (TUG). Phân tích hồi quy đa biến cho thấy tuổi (OR=1,1), giới nữ (OR=2,5) và sống ở nông thôn (OR=2,3) có mối liên quan có ý nghĩa thống kê với nguy cơ ngã cao. Kết luận: Tỉ lệ người bệnh thoái hóa khớp gối cao tuổi có nguy cơ ngã khá cao (61,4%) và có liên quan với tuổi cao, giới nữ và nơi sống tại nông thôn.

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