Fall risk factors in Parkinson's disease.
Identifieur interne : 001628 ( PubMed/Corpus ); précédent : 001627; suivant : 001629Fall risk factors in Parkinson's disease.
Auteurs : P. Gray ; K. HildebrandSource :
- The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses [ 0888-0395 ] ; 2000.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Accidental Falls (statistics & numerical data), Activities of Daily Living, Adult, Aged, Aged, 80 and over, Alcohol Drinking (adverse effects), Female, Geriatric Assessment, Humans, Hypotension, Orthostatic (complications), Longitudinal Studies, Male, Middle Aged, Nursing Assessment, Parkinson Disease (complications), Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Patient Education as Topic, Posture, Risk Factors, Severity of Illness Index, Surveys and Questionnaires, Wounds and Injuries (epidemiology), Wounds and Injuries (etiology), Wounds and Injuries (prevention & control).
- MESH :
- adverse effects : Alcohol Drinking.
- complications : Hypotension, Orthostatic, Parkinson Disease.
- diagnosis : Parkinson Disease.
- epidemiology : Wounds and Injuries.
- etiology : Wounds and Injuries.
- physiopathology : Parkinson Disease.
- prevention & control : Accidental Falls, Wounds and Injuries.
- psychology : Parkinson Disease.
- statistics & numerical data : Accidental Falls.
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Female, Geriatric Assessment, Humans, Longitudinal Studies, Male, Middle Aged, Nursing Assessment, Patient Education as Topic, Posture, Risk Factors, Severity of Illness Index, Surveys and Questionnaires.
Abstract
Parkinson's disease (PD) is a neurodegenerative disorder characterized by tremor, rigidity, bradykinesia, gait disturbance, and postural instability. Patients with PD suffer frequent falls, yet little research has been done to identify risks specific to PD patients. The objective of this study was to identify the risk factors associated with falls for PD patients through the collection of demographic, environmental, and medical information as well as fall diaries completed during a 3-month period. Patients with a diagnosis of idiopathic PD, with and without falls, were included in the study provided they could stand and walk and had no other condition that could predispose them to falls. Of the 118 participants, 59% reported one or more falls. A total of 237 falls were reported. Duration and severity of PD symptoms, particularly freezing, involuntary movements, and walking and postural difficulties, were significantly associated with an increased risk of falls. Other factors associated with falls were postural hypotension and daily intake of alcohol. Forty percent of falls resulted in injury, but serious injury was rare. The findings have implications for reducing the risk of falls through patient education.
PubMed: 10994536
Links to Exploration step
pubmed:10994536Le document en format XML
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<author><name sortKey="Gray, P" sort="Gray, P" uniqKey="Gray P" first="P" last="Gray">P. Gray</name>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alcohol Drinking (adverse effects)</term>
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<term>Geriatric Assessment</term>
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<term>Hypotension, Orthostatic (complications)</term>
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<term>Geriatric Assessment</term>
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<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nursing Assessment</term>
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<front><div type="abstract" xml:lang="en">Parkinson's disease (PD) is a neurodegenerative disorder characterized by tremor, rigidity, bradykinesia, gait disturbance, and postural instability. Patients with PD suffer frequent falls, yet little research has been done to identify risks specific to PD patients. The objective of this study was to identify the risk factors associated with falls for PD patients through the collection of demographic, environmental, and medical information as well as fall diaries completed during a 3-month period. Patients with a diagnosis of idiopathic PD, with and without falls, were included in the study provided they could stand and walk and had no other condition that could predispose them to falls. Of the 118 participants, 59% reported one or more falls. A total of 237 falls were reported. Duration and severity of PD symptoms, particularly freezing, involuntary movements, and walking and postural difficulties, were significantly associated with an increased risk of falls. Other factors associated with falls were postural hypotension and daily intake of alcohol. Forty percent of falls resulted in injury, but serious injury was rare. The findings have implications for reducing the risk of falls through patient education.</div>
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<Abstract><AbstractText>Parkinson's disease (PD) is a neurodegenerative disorder characterized by tremor, rigidity, bradykinesia, gait disturbance, and postural instability. Patients with PD suffer frequent falls, yet little research has been done to identify risks specific to PD patients. The objective of this study was to identify the risk factors associated with falls for PD patients through the collection of demographic, environmental, and medical information as well as fall diaries completed during a 3-month period. Patients with a diagnosis of idiopathic PD, with and without falls, were included in the study provided they could stand and walk and had no other condition that could predispose them to falls. Of the 118 participants, 59% reported one or more falls. A total of 237 falls were reported. Duration and severity of PD symptoms, particularly freezing, involuntary movements, and walking and postural difficulties, were significantly associated with an increased risk of falls. Other factors associated with falls were postural hypotension and daily intake of alcohol. Forty percent of falls resulted in injury, but serious injury was rare. The findings have implications for reducing the risk of falls through patient education.</AbstractText>
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