Is Fall Risk Systematically Evaluated in Memory Clinics? A National Survey of Practice in France

Leroy, Victoire; Chen, Yaohua; Demnitz, Naiara; Pasquier, Florence; Krolak‐Salmon, Pierre; Fougère, Bertrand; Puisieux, F.

doi:10.3233/jad-201585

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…One study suggests that the unmet need for falls/rehabilitation assessment for OLWD is a common cause of falls that leads to adverse events [ 52 ]. Given the absence of validated tools and specific recommendations to assess fall risk for OLWD [ 4 , 53 ], this finding revealed opportunities to engage care partners to develop early fall risk detection and assessment for community-dwelling OLWD and to provide training and supervision for care partners to address modifiable predictors of falls in OLWD.…”

Section: Discussionmentioning

confidence: 99%

Development of a behavioural framework for dementia care partners’ fall risk management

et al. 2022

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Background Although older adults living with dementia (OLWD) are at high risk for falls, few strategies that effectively reduce falls among OLWD have been identified. Dementia care partners (hereinafter referred to as “care partners”) may have a critical role in fall risk management (FRM). However, little is known about the ways care partners behave that may be relevant to FRM and how to effectively engage them in FRM. Methods Semi-structured, in-depth interviews were conducted with 14 primary care partners (age: 48–87; 79% women; 50% spouses/partners; 64% completed college; 21% people of colour) of community-dwelling OLWD to examine their FRM behaviours, and their observations of behaviours adopted by other care partners who were secondary in the caring role. Results The analysis of interview data suggested a novel behavioural framework that consisted of eight domains of FRM behaviours adopted across four stages. The domains of FRM behaviours were 1. functional mobility assistance, 2. assessing and addressing health conditions, 3. health promotion support, 4. safety supervision, 5. modification of the physical environment, 6. receiving, seeking, and coordinating care, 7. learning, and 8. self-adjustment. Four stages of FRM included 1. supporting before dementia onset, 2. preventing falls, 3. preparing to respond to falls, and 4. responding to falls. FRM behaviours varied by the care partners’ caring responsibilities. Primary care partners engaged in behaviours from all eight behavioural domains; they often provided functional mobility assistance, safety supervision, and modification of the physical environment for managing fall risk. They also adopted behaviours of assessing and addressing health conditions, health promotion support, and receiving, seeking and coordinating care without realizing their relevance to FRM. Secondary care partners were reported to assist in health promotion support, safety supervision, modification of the physical environment, and receiving, seeking, and coordinating care. Conclusions The multi-domain and multi-stage framework derived from this study can inform the development of tools and interventions to effectively engage care partners in managing fall risk for community-dwelling OLWD.

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Section: Discussionmentioning

confidence: 99%

Development of a behavioural framework for dementia care partners’ fall risk management

et al. 2022

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“…Nevertheless, balance assessment is not routinely incorporated in the clinical examination of middle-aged and older individuals 17. This may be partly attributable to the poor standardisation of balance testing as well as to the relative paucity of data-relating balance results to clinical outcomes other than falls, such as mortality, when compared with, for example, aerobic fitness 16 18 19…”

Section: Introductionmentioning

confidence: 99%

Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals

Araújo¹,

Silva²,

Laukkanen

et al. 2022

Br J Sports Med

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ObjectivesBalance quickly diminishes after the mid-50s increasing the risk for falls and other adverse health outcomes. Our aim was to assess whether the ability to complete a 10- s one-legged stance (10-second OLS) is associated with all-cause mortality and whether it adds relevant prognostic information beyond ordinary demographic, anthropometric and clinical data.MethodsAnthropometric, clinical and vital status and 10-s OLS data were assessed in 1702 individuals (68% men) aged 51–75 years between 2008 and 2020. Log-rank and Cox modelling were used to compare survival curves and risk of death according to ability (YES) or inability (NO) to complete the 10-s OLS test.ResultsOverall, 20.4% of the individuals were classified as NO. During a median follow-up of 7 years, 7.2% died, with 4.6% (YES) and 17.5% (NO) on the 10-s OLS. Survival curves were worse for NO 10-s OLS (log-rank test=85.6; p<0.001). In an adjusted model incorporating age, sex, body mass index and comorbidities, the HR of all-cause mortality was higher (1.84 (95% CI: 1.23 to 2.78) (p<0.001)) for NO individuals. Adding 10-s OLS to a model containing established risk factors was associated with significantly improved mortality risk prediction as measured by differences in −2 log likelihood and integrated discrimination improvement.ConclusionsWithin the limitations of uncontrolled variables such as recent history of falls and physical activity, the ability to successfully complete the 10-s OLS is independently associated with all-cause mortality and adds relevant prognostic information beyond age, sex and several other anthropometric and clinical variables. There is potential benefit to including the 10-s OLS as part of routine physical examination in middle-aged and older adults.

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What Tools Can We Use to Screen for Fall Risk in Older Patients with Mild Cognitive Impairment? Findings from the MEMENTO Cohort

Leroy

Chen

Bouteloup

et al. 2023

Journal of the American Medical Directors Association

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Is Fall Risk Systematically Evaluated in Memory Clinics? A National Survey of Practice in France

Cited by 3 publications

References 33 publications

Development of a behavioural framework for dementia care partners’ fall risk management

Development of a behavioural framework for dementia care partners’ fall risk management

Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals

What Tools Can We Use to Screen for Fall Risk in Older Patients with Mild Cognitive Impairment? Findings from the MEMENTO Cohort

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