Fall Risk Assessment Among Older Adults With Mild Alzheimer Disease

Ryan, John; McCloy, Constance; Rundquist, Peter J.; Srinivasan, Visalakshi; Laird, Rosemary D.

doi:10.1519/jpt.0b013e31820aa829

Cited by 27 publications

(15 citation statements)

References 72 publications

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“…This was followed by a group of neurological diseases with an almost four times higher likelihood (55–60%) of falls, consisting of dementia, epilepsy, other movement disorders, other vascular diseases and peripheral neuropathy. These diseases are also known to carry a high risk for falls, with an annual fall rate of 60–80%12 40 in patients with Alzheimer's disease and 55–65%41–43 in patients with peripheral neuropathy. The only study conducted on falls in elderly patients suffering from epilepsy is one on care facility residents, providing a 5-year fall incidence of 83% 44.…”

Section: Discussionmentioning

confidence: 99%

The impact of neurological disorders on the risk for falls in the community dwelling elderly: a case-controlled study

et al. 2013

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ObjectivesOwing to a lack of data, our aim was to evaluate and compare the impact of various common neurological diseases on the risk for falls in independent community dwelling senior citizens.DesignProspective case-controlled study.SettingGeneral hospital.ParticipantsOf 298 consecutive patients and 214 controls enrolled, 228 patients (aged 74.5±7.8; 61% women) and 193 controls (aged 71.4±6.8; 63% women) were included. The exclusion criteria were as follows: for patients, severe disability, disabling general condition or severe cognitive impairment; for controls, any history of neurological disorders or disabling medical conditions; and for both, age below 60 years. A matching process led to 171 age-matched and gender-matched pairs of neurological patients and healthy controls.Main outcome measuresA 1-year incidence of falls based on patients' 12-month recall; motor and non-motor function tests to detect additional risk factors.Results46% of patients and 16% of controls fell at least once a year. Patients with stroke (89%), Parkinson’s disease (77%), dementia (60%) or epilepsy (57%) had a particularly high proportion of fallers, but even subgroups of patients with the least fall-associated neurological diseases like tinnitus (30%) and headache (28%) had a higher proportion of fallers than the control group. Neuropathies, peripheral nerve lesions and Parkinson's disease were predisposing to recurrent falls. A higher number of neurological comorbidities (p<0.001), lower Barthel Index values (p<0.001), lower Activities-Specific Balance Confidence scores (p<0.001) and higher Center of Epidemiological Studies Depression scores (p<0.001) as well as higher age (p<0.001) and female gender (p=0.003) proved to further increase the risk of falls.ConclusionsMedical practitioners, allied health professionals and carers should be aware that all elderly neurological patients seen in outpatient settings are potentially at high risk for falls; they should query them routinely about previous falls and fall risks and advise them on preventive strategies.

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Section: Discussionmentioning

confidence: 99%

The impact of neurological disorders on the risk for falls in the community dwelling elderly: a case-controlled study

et al. 2013

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“…Ten studies explored the risk of falling in individuals with MCI and early-stage dementia. Ryan, McCloy, Rundquist, Srinivasan, and Laird (2011) found poor scores on the Physical Performance Test and use of a gait aid associated with a history of falls in individuals with mild Alzheimer's disease (N = 43). Gleason, Gangnon, Fischer, and Mahoney (2009) conducted a secondary analysis of falls in older adults from the control group of a RCT (N = 172), and reported increased falls over 1 year associated with each decrement in MMSE scores ranging from 22 to 29.…”

Section: Increased Risk Of Fallingmentioning

confidence: 97%

Falls and Fall Prevention in Older Adults With Early-Stage Dementia: An Integrative Review

Lach¹,

Harrison²,

Phongphanngam³

2017

Research in Gerontological Nursing

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Older adults with mild cognitive impairment (MCI) and early-stage dementia have an increased risk of falling, with risks to their health and quality of life. The purpose of the current integrative review was to evaluate evidence on fall risk and fall prevention in this population. Studies were included if they examined falls or fall risk factors in older adults with MCI or early-stage dementia, or reported interventions in this population; 40 studies met criteria. Evidence supports the increased risk of falls in individuals even in the early stages of dementia or MCI, and changes in gait, balance, and fear of falling that may be related to this increased fall risk. Interventions included exercise and multifactorial interventions that demonstrated some potential to reduce falls in this population. Few studies had strong designs to provide evidence for recommendations. Further study in this area is warranted. [Res Gerontol Nurs. 2017; 10(03):139-148.].

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“… 2 Together, these things can worsen preexisting conditions, complications, injuries, and social withdrawal, as well as generally decrease quality of life among older adults. 2 3 4 5 The most common cause for injuries among older adults is falls. In the United States, it is estimated that 30% of the older adult population aged 65 years and older are injured due to falling each year.…”

Section: Introductionmentioning

confidence: 99%

“…In the United States, it is estimated that 30% of the older adult population aged 65 years and older are injured due to falling each year. 3 A fall is defined as an unintentional change of body posture in unexpected situations, which causes individuals to trip or lay down on either the floor or somewhere of lower altitude than the current body position. 4 Falls can cause both mental and physical suffering, and it is reported that even individuals who experienced falls without any physical injury might have a fear of falling, which can limit their physical activities and eventually lead them to reside in long-term care facilities and institutions for older adults.…”

Section: Introductionmentioning

confidence: 99%

Association between Sleep Duration and Injury from Falling among Older Adults: A Cross-Sectional Analysis of Korean Community Health Survey Data

et al. 2017

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PurposeWhile sleeping problems increase with advancing age, there are inherent differences in sleep between males and females. Previous studies have shown inconsistent results of the relationship between sleep duration and risk of injury from falling. While controlling various sociodemographic and health-related factors, national representative data were used in order to analyze the association between sleep duration and injury from falling among older adults.Materials and MethodsThe data were obtained from the Korean Community Health Survey of 2011. A total of 55654 individuals aged 65 years and older participated in the study. Multivariable logistic regression analysis was conducted to identify the factors associated with injury from falling.ResultsAfter adjusting for covariates, such as age, sex, marital status, whether or not an individual is a recipient of benefits from the National Basic Livelihood Act, hypertension, diabetes mellitus, dyslipidemia, stress level, and self-rated health status, those who slept five hours or less per day [odds ratio (OR)=1.26; 95% confidence interval (CI)=1.18–1.34; p<0.001] or eight hours or more per day (OR=1.11; 95% CI=1.04–1.17; p=0.001) presented significantly higher ORs for injury from falling. A similar result was found when we conducted stratification by sex.ConclusionThe current study supports that there is a relationship between short sleep duration and injury from falling and also identified a marginal risk of long sleep in older adults. Therefore, sleep management in older adults with inadequate sleep duration may be necessary.

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Fall Risk Assessment Among Older Adults With Mild Alzheimer Disease

Cited by 27 publications

References 72 publications

The impact of neurological disorders on the risk for falls in the community dwelling elderly: a case-controlled study

The impact of neurological disorders on the risk for falls in the community dwelling elderly: a case-controlled study

Falls and Fall Prevention in Older Adults With Early-Stage Dementia: An Integrative Review

Association between Sleep Duration and Injury from Falling among Older Adults: A Cross-Sectional Analysis of Korean Community Health Survey Data

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