Ocorrência de quedas em idosos não institucionalizados: revisão sistemática da literatura

Sandoval, Renato Alves; Sá, Ana Claudia Antonio Maranhão; Menezes, Ruth Losada de; Nakatani, Adélia Yaeko Kyosen; Bachion, Maria Márcia

doi:10.1590/s1809-98232013000400019

Cited by 13 publications

(14 citation statements)

References 34 publications

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“…The incidence of falls observed was also high compared to that of noninstitutionalized elderly individuals, which ranges from 15.9 to 56.3% [2]. Although age is an important risk factor for falls, the association between falls and advanced age was not observed in this sample, which is in agreement with previous RA studies [4-6, 12, 15, 35].…”

Section: Discussionsupporting

confidence: 90%

Characterization of falls in adults with established rheumatoid arthritis and associated factors

2018

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Background: Rheumatoid arthritis patients may have an increased risk of falls due to changes caused by the disease such as muscle weakness, joint impairment, reduced mobility and postural instability. The aim of this study was to prospectively analyze the occurrence of falls in RA patients and its risk factors. Methods: A cohort of 86 RA patients were assessed over 1 year for disease activity using the Disease Activity Score (DAS-28), for functionality using the Health Assessment Questionnaire (HAQ), for the characterization of falls and for the use of medications, and they were subjected to the Berg Balance Scale (Berg), Timed Up and Go (TUG), 6-Minute Walk (6MWT) and Short Physical Performance Battery (SPPB) tests. The Kolmogorov-Smirnov, Spearman's correlation, Student's t, Mann-Whitney and chi-square tests were performed with a significance level of P ≤ 0.05. Results: A total of 86 patients were evaluated, of which 48.8% had at least one fall and 75.6% reported having a fear of falling. No association of falls with age, disease duration, functional capacity, disease activity or physical performance was found. Patients with poorer performance in the physical tests had more functional impairment, higher disease activity and more advanced age. No differences in physical or functional performance, disease activity, gender or fear of falling were found between fallers and non-fallers; only a greater amount of medications used was found in the group of fallers. Conclusions: The occurrence of falls was high and associated with a previous history of falls and polypharmacy, with no association with disease activity or duration, functional capacity, physical performance, age or gender.

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Section: Discussionsupporting

confidence: 90%

Characterization of falls in adults with established rheumatoid arthritis and associated factors

2018

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“…Although these elderly individuals performed physical activities on a regular basis, consisting of stretching, strengthening, balance training, gait, relaxation, and playful activities, 46.7% reported the occurrence of falls. This prevalence is consistent with a recent review that shows a prevalence of falls among non-institutionalized elderly individuals ranging between 15% and 56% (14). These data indicate that falls represent a serious problem that also affects active elderly with good functional levels, therefore requiring a more comprehensive assessment.…”

Section: Discussionsupporting

confidence: 91%

Prevalence of falls among elderly participants of a health promotion group and comparison of balance tests to detect risk of falls

Carvalho

Clementino²,

Magalhães³

et al. 2017

Fisioter. mov.

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Introduction: Falls of elderly people are common, representing a serious public health problem. The use of appropriate instruments in the assessment of elderly patients supports the early detection of individuals under risk of falls and its prevention. Objective: To verify the incidence of falls in a group of elderly patients and detect which balance test is the most appropriate for the studied sample. Methods: Quantitative, cross-sectional study with an observational approach. A total of 30 elderly patients aged over 60 years old participating in a health promotion group were included in the sample. The participants were initially interviewed and subsequently assessed by means of the following instruments: Berg Balance Scale (BBS), Timed Up and Go test (TUG), and the Dynamic Gait Index (DGI). Results: The mean age of the participants was 69.30 ± 7.47 years; 90% were women and 46.7% of the individuals reported falls. The participants obtained a mean value of 10.2 ± 2.5 seconds in the TUG, 51.4 ± 2.6 in the BBS, and 18.6 ± 4.2 in the DGI. The sensitivity of the scales was 0.71 in the TUG, 0.50 in the DGI, and 0.42 in the BBS; specificity was 0.44 in the TUG, 0.32 in the DGI and 0.63 in the BBS. Conclusion: A high prevalence of falls was observed in the sample. In addition, the TUG was the most sensitive test to assess balance in the assessed sample. However, its use alone requires caution in this sample.

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“…13,14 In a review of the topic, the authors observed studies where the prevalence ranged from 15.9% to 56.3%, although it should be noted that this broad range included samples limited to the institutionalized population and larger studies with a population-based analysis. 10 Among the sociodemographic variables, only the female gender was associated with falls. This result has been observed by other authors.…”

Section: Discussionmentioning

confidence: 99%

“…10 As cluster sampling was employed, the identified number was multiplied by a correction factor (deff) of two and 10% was added for possible losses. Thus, the minimum number of persons in the sample size calculation of the study was 682.…”

Section: Methodsmentioning

confidence: 99%

“…10 Adequate knowledge about the occurrence of falls in the elderly and devoting the necessary attention to the problem can guide more appropriate and effective preventive measures in health facilities. Some Brazilian studies have revealed that demographic variables may be associated with the problem, such as gender, [11][12][13] age, [10][11][12][13][14] the lack of a partner 15 and income, 14 as well as health-related variables such as the presence of comorbidities, [16][17][18] polypharmacy 15,19 and selfperception of health. [14][15][16] However, there are still variables that have been little explored in Brazilian literature, such as frailty 20 and other comorbidities.…”

Section: Introductionmentioning

confidence: 99%

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Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors

Carneiro

Ramos

Barbosa

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To identify the prevalence of falls and associated factors in non-institutionalized elderly persons. Methods: A cross-sectional study featuring a population-based sample of non-institutionalized elderly persons in a city in the north of Minas Gerais was performed. Interviews were conducted in households by trained staff using validated instruments. We investigated the associations between falls and demographic, socioeconomic and health-related factors. After bivariate analysis, the variables associated with falls to a level of 20% were analyzed together using logistic regression, assuming at this stage a significance level of 5%. Results: The studied population was predominantly female, married and with a low educational level. The prevalence of falls was 28.4%. The factors that were associated with falls were: female gender (OR=1.67; 95% CI:1.13 to 2.47); negative self-evaluation of health (OR=1.49; 95% CI: 1.02 to 2.20); impaired functional mobility (Timed Up and Go test >20 seconds) (OR=1.66; 95CI: 1.02-2.74); the occurrence of hospitalization in the previous 12 months (OR=1.82; 95% CI: 1.17 to 2.84); and frailty measured by the Edmonton Frail Scale (OR=1.73; 95% CI: 1.14 to 2.64). Conclusions: The prevalence of falls was high for the population studied and was related to the individual health conditions of the elderly.

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Ocorrência de quedas em idosos não institucionalizados: revisão sistemática da literatura

Cited by 13 publications

References 34 publications

Characterization of falls in adults with established rheumatoid arthritis and associated factors

Characterization of falls in adults with established rheumatoid arthritis and associated factors

Prevalence of falls among elderly participants of a health promotion group and comparison of balance tests to detect risk of falls

Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors

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