作者: Emma K. Stanmore , Jackie Oldham , Dawn A. Skelton , Terence O'Neill , Mark Pilling
DOI: 10.1002/ACR.21892
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摘要: OBJECTIVES: To determine the incidence of falls and to investigate consequences in adults with rheumatoid arthritis. METHODS: 559 community dwelling RA, aged 18 88 years (mean age 62; 69% female) participated this prospective cohort study. Patients were followed for 1 year after a detailed clinical assessment, using monthly calendars follow-up telephone calls. Follow-up took place participants' usual residence Northwest England. Outcome measures included fall occurrence, reason fall, type severity injuries, fractures, location, lie-times, use health services functional ability. RESULTS: 535 participants had total 598 falls. 36.4% (95% CI 32% 41%) reported falling during an rate 1313/1000 person-years at risk or 1.11 per person. Age gender not associated Over one third reportedly caused by hips, knees ankle joints giving way. half all resulted moderate including head injuries (n=27) fractures (n=26). Treatment general practitioners other professionals was required 15.0% emergency 8.8% CONCLUSIONS: These results indicate that RA are high fall-related injuries. Strategies prevent must be prioritised reduce fractures. � 2012 American College Rheumatology.