Risk of falls in people with chronic kidney disease and related factors

Abstract

<jats:p> Objective: to identify the risk and prevalence of falls in the last year in chronic renal failure patients on hemodialysis; to associate the risk of falls with the fear of falling and socio-demographic-clinical variables. Method: association study. 131 individuals participated in the study. The Morse Falls Scale, the Fall Efficacy Scale and the Tilburg Frailty Indicator were used. The data were analyzed by linear regression, the level of significance adopted was 0.05. Results: 97.7% were at risk for falls and 37.4% had at least one fall per year, with a mean of 2.02. Extreme concern about falling was presented by women, patients with less education, amputees, and frail individuals. Diabetes, as a comorbidity, and people with difficulty or need for assistance for ambulance showed a significant increase in the occurrence of falls. Conclusion: high risk and high prevalence of falls were found in hemodialysis patients, greater in those with diabetes or mobility limitations. Fear of falling was identified especially in women and in people with less education. These findings challenge the role of preventing falls, both in hemodialysis sessions and in the adoption of strategies for activities of daily living that involve patients and their families.</jats:p>

Association between falls in elderly and the number of chronic diseases and health-related behaviors based on CHARLS 2018: health status as a mediating variable

“…Canadian scholars have studied the rate and risk factors of falls in people with neurological diseases (such as dementia and Parkinson’s disease) [ 17 , 18 ]. Chronic renal failure also increases the risk of falls [ 19 ]. Health-related behaviors are also risk or protective factors of falling, such as smoking, drinking, exercise [ 20 ], sleep [ 21 ].…”

Factors associated with falls in hemodialysis patients: a case-control study

“…Previous studies have related these events with falls, and this study directly demonstrated that intradialytic weight change is a factor related to the risk of falls. Falls are factors of poor prognosis in patients who receive dialysis ( 14 ) and after observing an incidence of falls of 32%, similar to the 37% described in a recent study ( 23 ) , it would be interesting to analyze the ability to prevent falls in patients whose intradialytic weight change is greater than 1.9 kg via prevention protocols.…”

Worsening Functional Status in Nephrogeriatrics Needs to Be Accounted for When Clinically Assessing CKD Advancement in Addition to GFR; Supporting Evidence Based on the Practical Application of Theoretical Modelling.

“…One can assume that the low scores obtained by patients aged over 80 years in the Tinetti test will lead to more frequent falls in these patients. Indeed, yearly falls are observed in around 30% of people aged over 75 years without CKD, in about 38% of people with CKD and about 50% of patients on haemodialysis (23), (24), (25). Disorders in gait arise from the following in these patients: weakening of muscle strength when suffering from the fragility syndrome, sensation impairment furing diabetic neuropathy, visual disturbances whilst suffering from cataracts, glaucoma, macular degeneration, diabetic and hypertensive retinopathy, disorders of the vestibular system (caused by hyper-and arterial hypotension), water and electrolyte disruption, polypragmasy and cerebral circulatory disorders.…”