Características de la fractura de cadera y posterior recuperación en pacientes mayores de 65 años con historia de caídas recurrentes

Córcoles-Jiménez, María Pilar; Villada-Munera, Ascensión; Moreno-Moreno, Mónica; Jiménez-Sánchez, María Delirio; Candel-Parra, Eduardo; Fernández, María Angeles del Egido; Piña-Martínez, Antonio

doi:10.1016/j.regg.2011.05.008

Cited by 2 publications

(4 citation statements)

References 22 publications

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“…Falls in people aged over 65 with a history of falls range from 18.4% to 34.7% [ 4 , 9 , 10 ]. Furthermore, elderly people with recurrent falls have a greater percentage of falls involving injury (41% vs. 19%, p < 0.05) and greater subsequent disability in activities of daily living (ADL) in their physical, instrumental and social spheres [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis

Company-Sancho¹,

Alonso-Poncelas

Rich-Ruiz

et al. 2021

IJERPH

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Fall prevention is a key priority in healthcare policies. Multicomponent exercises reduce the risk of falls. The purpose of this study is to describe the relationship between functional performance and falls after following the Otago multicomponent exercise programme and previous falls. A prospective multi-centre intervention study was performed on 498 patients aged over 65 in primary care, with or without a history of previous falls. Sociodemographic, anthropometric and functionality data were collected. The primary outcome was the occurrence of falls; functional performance was measured using the Tinetti, Short Physical Performance Battery and Timed Up and Go tests. Among the patients, 29.7% referred to previous falls. There was a statistically significant (p < 0.001) increase in falls at 6 months (10.1%) and at 12 months (7.6%) among participants with previous falls in the baseline assessment compared to those without. In addition, the existence of previous falls could be considered a risk factor at 6 and 12 months (OR =2.37, p = 0.002, and OR = 1.76, p = 0.046, respectively). With regard to balance and gait, differences between the groups were observed at 6 months in the Tinetti score (p < 0.001) and in the baseline assessment Timed Up and Go score (p < 0.044). Multicomponent exercises improve the fall rate, balance and gait in older people, although this improvement is less in people with previous falls. Earlier intervention and tailoring of exercises in patients with previous falls could help improve outcomes.

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Section: Introductionmentioning

confidence: 99%

The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis

Company-Sancho¹,

Alonso-Poncelas

Rich-Ruiz

et al. 2021

IJERPH

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show abstract

“…Este síndrome de ansiedad posterior a la caída puede generar restricciones autoimpuestas de la actividad, tanto en las personas que viven en su domicilio como en las que lo hacen en residencias. La pérdida de confianza en la habilidad para deambular con seguridad puede producir mayor deterioro funcional, depresión, sentimientos de desamparo y aislamiento social; en definitiva provoca una disminución de la calidad de vida, más aún que la misma existencia de caídas o fracturas (135,139,146) .…”

Section: Epidemiología De Las Caídas En El Ancianounclassified

“…Son predictores de caídas recurrentes (la presencia de 2 o más caídas al año) la incontinencia urinaria, las dificultades para la movilización, el uso de analgésicos y neurolépticos, el estado nutricional, la presencia de cardiopatías o síncope, y el deterioro cognitivo (139,140) .…”

Section: Evaluación Del Paciente En Riesgo De Sufrir Caídasunclassified

“…El porcentaje de personas que vuelven a ser capaces de caminar de forma autónoma por casa y por la calle es menor en este último grupo. El riesgo relativo para quedar dependiente en las personas con antecedentes de caídas recurrentes es entre dos y tres veces superior al de aquellos que no han tenido caídas o sólo de forma ocasional (139) .…”

Section: Evaluación Del Paciente En Riesgo De Sufrir Caídasunclassified

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Índice tobillo-brazo, vitamina D y situación funcional de pacientes institucionalizados: su efecto sobre caídas, fracturas y mortalidad.

Peláez¹

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Características de la fractura de cadera y posterior recuperación en pacientes mayores de 65 años con historia de caídas recurrentes

Cited by 2 publications

References 22 publications

The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis

The Relation between Functional Performance, Falls and Previous Falls Among Participants in the Otago Programme: A Secondary Data Analysis

Índice tobillo-brazo, vitamina D y situación funcional de pacientes institucionalizados: su efecto sobre caídas, fracturas y mortalidad.

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