Identifying Fallers among Home Care Clients with Dementia and Parkinson's Disease.
Identifieur interne : 000325 ( Main/Exploration ); précédent : 000324; suivant : 000326Identifying Fallers among Home Care Clients with Dementia and Parkinson's Disease.
Auteurs : Symron Bansal ; John P. Hirdes ; Colleen J. Maxwell ; Alexandra Papaioannou [Canada] ; Lora M. GiangregorioSource :
- Canadian journal on aging = La revue canadienne du vieillissement [ 1710-1107 ] ; 2016.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Accidental Falls (statistics & numerical data), Aged, Aged, 80 and over, Arthritis (epidemiology), Cardiovascular Diseases (epidemiology), Case-Control Studies, Cognitive Dysfunction (epidemiology), Cohort Studies, Dementia (epidemiology), Depression (epidemiology), Dizziness (epidemiology), Female, Home Care Services, Humans, Male, Middle Aged, Odds Ratio, Ontario (epidemiology), Parkinson Disease (epidemiology), Polypharmacy, Retrospective Studies, Risk Assessment, Vision Disorders (epidemiology).
- MESH :
- epidemiology : Arthritis, Cardiovascular Diseases, Cognitive Dysfunction, Dementia, Depression, Dizziness, Ontario, Parkinson Disease, Vision Disorders.
- prevention & control : Accidental Falls.
- statistics & numerical data : Accidental Falls.
- Aged, Aged, 80 and over, Case-Control Studies, Cohort Studies, Female, Home Care Services, Humans, Male, Middle Aged, Odds Ratio, Polypharmacy, Retrospective Studies, Risk Assessment.
Abstract
Few studies have focused on falls among home care (HC) clients with neurological conditions. This study identified factors that increase risk of falling among HC clients with no recent history of falls, and explored whether risk profiles varied among those with dementia or parkinsonism compared to those without selected neurological conditions. A retrospective cohort design was used and analysis of data from community-based HC clients across Ontario was conducted on a sample of ambulatory clients with dementia, parkinsonism, or none of the selected neurological conditions. Data were obtained from the Resident Assessment Instrument for HC (RAI-HC) assessment. The outcome used in multivariable analyses was whether clients fell during follow-up. Unsteady gait was a strong predictor of falls across all three groups. Co-morbid parkinsonism most strongly predicted falls in the dementia group. Clients with borderline intact to mild cognitive impairment had higher odds of falling within the parkinsonism and comparison groups.
DOI: 10.1017/S0714980816000325
PubMed: 27426223
Affiliations:
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Hirdes</name><affiliation><nlm:affiliation>School of Public Health and Health Systems,University of Waterloo.</nlm:affiliation><wicri:noCountry code="subField">University of Waterloo</wicri:noCountry></affiliation></author><author><name sortKey="Maxwell, Colleen J" sort="Maxwell, Colleen J" uniqKey="Maxwell C" first="Colleen J" last="Maxwell">Colleen J. Maxwell</name><affiliation><nlm:affiliation>School of Pharmacy,University of Waterloo.</nlm:affiliation><wicri:noCountry code="subField">University of Waterloo</wicri:noCountry></affiliation></author><author><name sortKey="Papaioannou, Alexandra" sort="Papaioannou, Alexandra" uniqKey="Papaioannou A" first="Alexandra" last="Papaioannou">Alexandra Papaioannou</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine,McMaster University.</nlm:affiliation><country>Canada</country><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université McMaster</orgName></affiliation></author><author><name sortKey="Giangregorio, Lora M" sort="Giangregorio, Lora M" uniqKey="Giangregorio L" first="Lora M" last="Giangregorio">Lora M. Giangregorio</name><affiliation><nlm:affiliation>Department of Kinesiology,University of Waterloo.</nlm:affiliation><wicri:noCountry code="subField">University of Waterloo</wicri:noCountry></affiliation></author></analytic><series><title level="j">Canadian journal on aging = La revue canadienne du vieillissement</title><idno type="eISSN">1710-1107</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Accidental Falls (statistics & numerical data)</term><term>Aged</term><term>Aged, 80 and over</term><term>Arthritis (epidemiology)</term><term>Cardiovascular Diseases (epidemiology)</term><term>Case-Control Studies</term><term>Cognitive Dysfunction (epidemiology)</term><term>Cohort Studies</term><term>Dementia (epidemiology)</term><term>Depression (epidemiology)</term><term>Dizziness (epidemiology)</term><term>Female</term><term>Home Care Services</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Ontario (epidemiology)</term><term>Parkinson Disease (epidemiology)</term><term>Polypharmacy</term><term>Retrospective Studies</term><term>Risk Assessment</term><term>Vision Disorders (epidemiology)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Arthritis</term><term>Cardiovascular Diseases</term><term>Cognitive Dysfunction</term><term>Dementia</term><term>Depression</term><term>Dizziness</term><term>Ontario</term><term>Parkinson Disease</term><term>Vision Disorders</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Cohort Studies</term><term>Female</term><term>Home Care Services</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Odds Ratio</term><term>Polypharmacy</term><term>Retrospective Studies</term><term>Risk Assessment</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Few studies have focused on falls among home care (HC) clients with neurological conditions. This study identified factors that increase risk of falling among HC clients with no recent history of falls, and explored whether risk profiles varied among those with dementia or parkinsonism compared to those without selected neurological conditions. A retrospective cohort design was used and analysis of data from community-based HC clients across Ontario was conducted on a sample of ambulatory clients with dementia, parkinsonism, or none of the selected neurological conditions. Data were obtained from the Resident Assessment Instrument for HC (RAI-HC) assessment. The outcome used in multivariable analyses was whether clients fell during follow-up. Unsteady gait was a strong predictor of falls across all three groups. Co-morbid parkinsonism most strongly predicted falls in the dementia group. Clients with borderline intact to mild cognitive impairment had higher odds of falling within the parkinsonism and comparison groups.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Hamilton (Ontario)</li></settlement><orgName><li>Université McMaster</li></orgName></list><tree><noCountry><name sortKey="Bansal, Symron" sort="Bansal, Symron" uniqKey="Bansal S" first="Symron" last="Bansal">Symron Bansal</name><name sortKey="Giangregorio, Lora M" sort="Giangregorio, Lora M" uniqKey="Giangregorio L" first="Lora M" last="Giangregorio">Lora M. Giangregorio</name><name sortKey="Hirdes, John P" sort="Hirdes, John P" uniqKey="Hirdes J" first="John P" last="Hirdes">John P. Hirdes</name><name sortKey="Maxwell, Colleen J" sort="Maxwell, Colleen J" uniqKey="Maxwell C" first="Colleen J" last="Maxwell">Colleen J. Maxwell</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Papaioannou, Alexandra" sort="Papaioannou, Alexandra" uniqKey="Papaioannou A" first="Alexandra" last="Papaioannou">Alexandra Papaioannou</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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