Plusieurs centaines de milliers de chutes chez les personnes âgées chaque année en France

Ricard, C.; Thélot, B.

doi:10.1016/j.respe.2008.06.041

Cited by 10 publications

(8 citation statements)

References 4 publications

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“…Fall‐related visits to the ED are very common among the elderly. In France, approximately 500,000 falls occur each year among individuals over 65 years and it is estimated that 25% to 30% of this population living in the community will experience a fall within a year . With more than 9,000 deaths annually in France, falls are linked to a high mortality .…”

Section: Background and Importancementioning

confidence: 99%

Effectiveness of a Multimodal Intervention Program for Older Individuals Presenting to the Emergency Department After a Fall in the Northern French Alps Emergency Network

Ageron

Ricard

Perrin-Besson

et al. 2016

Academic Emergency Medicine

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Objective: Fall-related visits to emergency departments (EDs) are common among older individuals. We aimed to assess effectiveness of a healthcare intervention program for the management of elderly patients admitted to EDs after a fall.Methods: Using a before-after observation method, we investigated ED healthcare staff practices related to fall-related injuries in 2010 (period 1) and 2012 (period 2) in 13 centers participating in the Northern French Alps Emergency Network. Following the identification of initial weaknesses, several information and training tools were introduced between the two periods to improve patient management. All individuals aged 75 years or over who presented to an ED after a fall were included in the study. We reviewed the completeness and quality of medical records during both periods and compared the rate of clinical-paraclinical check-ups performed, geriatric evaluation/assessment in the ED, and the 1-month recurrence of visits to the ED for the same reason.Results: During period 1, a total of 2,425 falls were recorded, while 2,684 were reported in period 2. The 2012 medical charts contained significantly more information about risk factors than those of 2010. An electrocardiogram (64% vs. 53%; p < 0.001), biologic check-up (65% vs. 57%; p < 0.001), balance, orthostatic hypotension, and cognitive impairment tests were more often performed in 2012. There was no change in the hospitalization rate, although short-duration hospitalization in the ED was more frequent in 2012. Geriatrists were more often consulted by patients in 2012 (18% vs. 13%; p < 0.001) and more involved in ED evaluation and hospitalization. The intervention program had a beneficial impact on the fall recurrence rate (n = 29 [3.6%] in period 1 and n = 17 [2.0%] in period 2; odds ratio = 0.52; p = 0.037), which significantly decreased between 2010 and 2012. Conclusions:The intervention program was associated with a decrease of fall recurrence. Further efforts should be made in EDs to ensure a sustained level of satisfactory and long-lasting management of the elderly.

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Section: Background and Importancementioning

confidence: 99%

Effectiveness of a Multimodal Intervention Program for Older Individuals Presenting to the Emergency Department After a Fall in the Northern French Alps Emergency Network

Ageron

Ricard

Perrin-Besson

et al. 2016

Academic Emergency Medicine

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“…In France, about a quarter of people aged 65 to 85 declare falling every year [1], this rate being estimated at over 30% in industrialized countries [2]. Falls are also the direct cause of many complications, including fractures, functional decline, frailty, prolonged stays in hospital and institutionalization [3,4]. In addition, nearly 20% of people aged 55 to 85 declare a limitation of activity especially because of the fear of falling syndrome [5,6].…”

Section: Introductionmentioning

confidence: 99%

Impact of using immersive virtual reality over time and steps in the Timed Up and Go test in elderly people

et al. 2020

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Today, falls constitute a substantial health problem, especially in the elderly, and the diagnostic tests used by clinicians present often a low sensitivity and specificity. This is the case for the Timed Up and Go test which lacks contextualization with regard to everyday life limiting the relevance of its diagnosis. Virtual reality enables the creation of immersive, reproducible and secure environments, close to situations encountered in daily life, and as such could improve falling risk assessment. This study aims to evaluate the effect of immersive virtual reality by wearing a virtual reality headset with a non-disturbing virtual environment compared to real world on the Timed Up and Go test completion. Thirty-one elders (73.7 ± 9 years old) volunteered to participate in the study and the mean times and number of steps to complete a Timed Up and Go were compared in two conditions: actual-world clinical and virtual reality conditions. The results showed that the mean completion times and most of the mean number of steps of the Timed Up and Go in virtual reality condition were significantly different to those in clinical condition. These results suggest that there is a virtual reality effect and this effect is significantly correlated to the time taken to complete the Timed Up and Go. This information will be of interest to quantify the potential part of virtual reality effect on the motor control, measured in a virtual task using virtual controlled disturbances.

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“…Ainsi, l'expérience de la chute représente bien souvent, pour la personne âgée, les prémices d'une fragilisation avec l'apparition des premiers signes de dépendance [1,2]. D'où l'importance de mener des actions de prévention auprès des âgés, sachant par ailleurs que les chutes résultent généralement d'une combinaison de causes relevant de différents niveaux d'explication 1 .…”

Section: Elderly; Perceived Risk; Fall; Homeunclassified

“…Alors que le caractère multifactoriel des chutes accidentelles des âgés semble largement admis dans la littérature scientifique, le rôle effectif de l'environnement domiciliaire reste quant à lui davantage débattu [3][4][5][6][7]9]. Ce constat peut surprendre quand on sait que 78 % des chutes surviennent au domicile des personnes âgées [2] et que la grande majorité de ces logements présente des éléments de dangerosité particulièrement inadaptés à une locomotion sans risque [6][7][8][9][10]. Aussi, malgré l'absence de mise en accusation caté-gorique du champ scientifique, l'habitat et l'aménagement du logement des personnes âgées constituent des axes forts des politiques de prévention [4,5,11].…”

Section: Elderly; Perceived Risk; Fall; Homeunclassified

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La perception du risque d’accident et de chute par des personnes âgées vivant à domicile : un arbitrage complexe ?

Cayado¹,

Chahbi²

2015

NPG Neurologie - Psychiatrie - Gériatrie

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Plusieurs centaines de milliers de chutes chez les personnes âgées chaque année en France

Cited by 10 publications

References 4 publications

Effectiveness of a Multimodal Intervention Program for Older Individuals Presenting to the Emergency Department After a Fall in the Northern French Alps Emergency Network

Effectiveness of a Multimodal Intervention Program for Older Individuals Presenting to the Emergency Department After a Fall in the Northern French Alps Emergency Network

Impact of using immersive virtual reality over time and steps in the Timed Up and Go test in elderly people

La perception du risque d’accident et de chute par des personnes âgées vivant à domicile : un arbitrage complexe ?

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