Epidemiologie von Stürzen Älterer

Becker, Clemens; Gebhard, Florian; Muche, Rainer; Scheible, S.; Nikolaus, Th.

doi:10.1055/s-2008-1039375

Cited by 18 publications

(10 citation statements)

References 3 publications

(3 reference statements)

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“…For example the association of falls and disability in the context of PA is largely unknown [77] although the incidence of falls among community-dwelling older people aged 65 years or older is approximately 30% per year [28] and the individual (fractures/immobility) [29] and economical costs are substantial: therapy-costs of the proximal hip fractures in Germany run up to € 500 million per year [78]. Therefore, there is a need for strategies to prevent falls and fall-related injuries in older people on the individual and the community level.…”

Section: Discussionmentioning

confidence: 99%

Accelerometer-based physical activity in a large observational cohort - study protocol and design of the activity and function of the elderly in Ulm (ActiFE Ulm) study

Denkinger¹,

Franke²,

Rapp³

et al. 2010

BMC Geriatr

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BackgroundA large number of studies have demonstrated a positive effect of increased physical activity (PA) on various health outcomes. In all large geriatric studies, however, PA has only been assessed by interview-based instruments which are all subject to substantial bias. This may represent one reason why associations of PA with geriatric syndromes such as falls show controversial results. The general aim of the Active-Ulm study was to determine the association of accelerometer-based physical activity with different health-related parameters, and to study the influence of this standardized objective measure of physical activity on health- and disability-related parameters in a longitudinal setting.MethodsWe have set up an observational cohort study in 1500 community dwelling older persons (65 to 90 years) stratified by age and sex. Addresses have been obtained from the local residents registration offices. The study is carried out jointly with the IMCA - Respiratory Health Survey in the Elderly implemented in the context of the European project IMCA II. The study has a cross-sectional part (1) which focuses on PA and disability and two longitudinal parts (2) and (3). The primary information for part (2) is a prospective 1 year falls calendar including assessment of medication change. Part (3) will be performed about 36 months following baseline. Primary variables of interest include disability, PA, falls and cognitive function. Baseline recruitment has started in March 2009 and will be finished in April 2010.All participants are visited three times within one week, either at home or in the study center. Assessments included interviews on quality of life, diagnosed diseases, common risk factors as well as novel cognitive tests and established tests of physical functioning. PA is measured using an accelerometer-based sensor device, carried continuously over a one week period and accompanied by a prospective activity diary.DiscussionThe assessment of PA using a high standard accelerometer-based device is feasible in a large population-based study. The results obtained from cross-sectional and longitudinal analyses will shed light on important associations between PA and various outcomes and may provide information for specific interventions in older people.

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Section: Discussionmentioning

confidence: 99%

Accelerometer-based physical activity in a large observational cohort - study protocol and design of the activity and function of the elderly in Ulm (ActiFE Ulm) study

Denkinger¹,

Franke²,

Rapp³

et al. 2010

BMC Geriatr

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“…Estes dados contradizem o estudo de Kannus et al (1999), realizada na Finlândia, sobre conseqüências de quedas em pessoas com idade acima de 50 anos, entre os anos de 1970 e 1995, em que encontraram que a fratura foi conseqüência da queda em 68% dos casos, sendo as de fêmur e rádio as mais freqüentes. Becker et al (1999), em um estudo de análise de publicações alemãs sobre o assunto, ressaltam que o protótipo das lesões traumatológicas em idosos é a fratura de fêmur, porém também outros tipos de fraturas e contusões são encontradas.…”

Section: Caracterização Das Quedasunclassified

“…O medo de voltar a cair também esteve presente no estudo de Vellas et al (1997), que nos Estados Unidos acompanharam durante dois anos, 219 idosos com idade de 60 anos ou mais, que haviam caído e, 32% destes idosos relataram medo de voltar a cair. Esta conseqüência é citada em vários estudos como os de Rocha e Cunha, (1994), Vellas et al, (1997), Becker et al, (1999) e Ribeiro et al (2008). No estudo de Kong et al (2002) Além disso, Kuikka et al (2008) referem que mais da metade dos idosos negam ter medo de cair e que este está associado marginalmente com as atividades básicas de vida diária e atividades instrumentais da vida diária.…”

Section: Caracterização Das Quedasunclassified

Avaliação do risco de quedas em idosos na comunidade

Schiaveto¹

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Em primeiro lugar, agradeço a Deus, por ter me dado a vida, saúde e condições para enfrentar e superar todos os obstáculos encontrados em meu caminho. Às minhas avós, aos meus pais, a minha esposa e a minha filha que foram o alicerce desta conquista, apoiando-me integralmente e incondicionalmente com muito amor e carinho, suportando por muitas vezes os momentos de ausência, cansaço, impaciência e falta de dedicação ao longo desta trajetória de estudo. Aos idosos que me receberam em suas casas se dispondo a colaborar com esta pesquisa. À professora Rosalina Aparecida Partezani Rodrigues por ter acreditado em meu potencial e aceitado ensinar-me e orientar-me. Terei sempre a lembrança de sua responsabilidade, competência e profissionalismo. À Enfermeira Izilda e o administrador Marcos Lopes, pela compreensão, pelo incentivo para que eu pudesse dar prosseguimento aos meus estudos. Ao professor Vanderlei José Haas pela sua competência, profissionalismo, atenção e paciência no tratamento dos dados. À Edma pelo carinho, compreensão, pela disponibilidade em sempre querer ajudar. Às pessoas que colaboraram, cada um a sua maneira, para realização deste trabalho, nas sugestões, coleta dos dados, na digitação do banco de dados,

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“…Dabei ist insbesondere die Region um das proximale Femur, d. h. der hüftgelenksnahe Bereich, besonders gefährdet. Bei einem Sturzereignis mit Frakturfolge kommt es bei älteren Patienten in etwa 90 % zu Frakturen im Femurbereich, in 50 % zu Wirbelkörperfrakturen [2,3,7,10,12,15]. Weitere bei Älteren häufiger auftretende Frakturen sind im Bereich des proximalen Humerus und des distalen Radius lokalisiert.…”

Section: Sturzhäufigkeitunclassified

Reha in der Alterstraumatologie

Greitemann¹

2017

OP-JOURNAL

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ZusammenfassungDas steigende Lebensalter der Bevölkerung und der damit verbundene hohe Anteil älterer Menschen führen zwangsläufig auch zu einer erhöhten Anzahl von Traumata im höheren Alter. Bedingt ist dies durch ein Zusammenwirken von nachlassender Kraft und Koordination, begleitet von Störungen des Gleichgewichtssinns, der Sehfähigkeit und einer in aller Regel vorhandenen Multimorbidität, die zum sog. Frailty-Syndrom führt, d. h. allen Zeichen der Gebrechlichkeit. Auch die bei älteren Patienten oft anzutreffende Multimedikation mit fatalen Nebenwirkungen auf Koordination und Gleichgewicht sowie Kreislauf verstärken dies mit daraus resultierender deutlich erhöhter Sturzgefahr. Klassische im Alter vorkommende Frakturen sind insbesondere hüftgelenksnahe Frakturen (im Speziellen Azetabulum- und Femurfrakturen, Frakturen am Humerus bzw. Handgelenk, aber auch scheinbar banale Umknicktraumata mit schweren Luxationsfrakturen im Bereich des Sprunggelenks). Nicht unerwähnt bleiben soll der hohe Anteil von Betroffenen von Insuffizienzfrakturen bei vorbestehender Osteoporose, dann meist im Bereich der Wirbelsäule bzw. des Beckens. All diese Patienten bedürfen einer speziellen multi- und interdisziplinären rehabilitativen Fürsorge. Es ist eine intensive Kooperation zwischen Operateur und orthopädisch-traumatologisch sowie geriatrisch erfahrenem Rehabilitationsspezialisten erforderlich, um diese Patienten suffizient betreuen zu können.

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Epidemiologie von Stürzen Älterer

Abstract: Facing, the demographic transgression the prevention of falls and fall-related injuries gains a high priority. Operative management and rehabilitation procedures for elderly trauma patients should be further evaluated and improved.

Cited by 18 publications

References 3 publications

Accelerometer-based physical activity in a large observational cohort - study protocol and design of the activity and function of the elderly in Ulm (ActiFE Ulm) study

Accelerometer-based physical activity in a large observational cohort - study protocol and design of the activity and function of the elderly in Ulm (ActiFE Ulm) study

Avaliação do risco de quedas em idosos na comunidade

Reha in der Alterstraumatologie

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