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Falls in Parkinson disease: analysis of a large cross-sectional cohort.

Identifieur interne : 000039 ( PubMed/Curation ); précédent : 000038; suivant : 000040

Falls in Parkinson disease: analysis of a large cross-sectional cohort.

Auteurs : Sotirios. Parashos [États-Unis] ; Catherine. Wielinski ; Nir Giladi ; Tanya Gurevich

Source :

RBID : pubmed:24113557

Descripteurs français

English descriptors

Abstract

Falls remain a significant cause of morbidity in PD. Risk factors are not well understood.

DOI: 10.3233/JPD-130249
PubMed: 24113557

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pubmed:24113557

Le document en format XML

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<title xml:lang="en">Falls in Parkinson disease: analysis of a large cross-sectional cohort.</title>
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<name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios" last="Parashos">Sotirios. Parashos</name>
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<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Struthers Parkinson's Center, Golden Valley, MN</wicri:regionArea>
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<name sortKey="Wielinski, Catherine L" sort="Wielinski, Catherine L" uniqKey="Wielinski C" first="Catherine" last="Wielinski">Catherine. Wielinski</name>
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<name sortKey="Giladi, Nir" sort="Giladi, Nir" uniqKey="Giladi N" first="Nir" last="Giladi">Nir Giladi</name>
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<name sortKey="Gurevich, Tanya" sort="Gurevich, Tanya" uniqKey="Gurevich T" first="Tanya" last="Gurevich">Tanya Gurevich</name>
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<name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios" last="Parashos">Sotirios. Parashos</name>
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<nlm:affiliation>Struthers Parkinson's Center, Golden Valley, MN, USA.</nlm:affiliation>
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<name sortKey="Wielinski, Catherine L" sort="Wielinski, Catherine L" uniqKey="Wielinski C" first="Catherine" last="Wielinski">Catherine. Wielinski</name>
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<name sortKey="Giladi, Nir" sort="Giladi, Nir" uniqKey="Giladi N" first="Nir" last="Giladi">Nir Giladi</name>
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<title level="j">Journal of Parkinson's disease</title>
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<term>Accidental Falls (statistics & numerical data)</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Prospective Studies</term>
<term>Risk Factors</term>
<term>United States (epidemiology)</term>
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<term>United States</term>
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<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Accidental Falls</term>
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<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
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<div type="abstract" xml:lang="en">Falls remain a significant cause of morbidity in PD. Risk factors are not well understood.</div>
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<Volume>3</Volume>
<Issue>4</Issue>
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<Title>Journal of Parkinson's disease</Title>
<ISOAbbreviation>J Parkinsons Dis</ISOAbbreviation>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Falls remain a significant cause of morbidity in PD. Risk factors are not well understood.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">In this study we explore risk factors for falls in PD utilizing the cross-sectional, baseline data in the National Parkinson Foundation Quality Improvement Initiative (NPF-QII) database. Subjects are being followed prospectively, and this study will provide the basis for subsequent longitudinal analyses.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional analysis of data from 2,876 ambulatory patients with Parkinson disease enrolled in the NPF-QII at 18 sites. Main outcome measure was falling history in the 3 months preceding assessment. The following were considered as possible predictor variables: age, sex, height, weight, body mass index, disease duration, age at disease onset, investigator's confidence in the diagnosis, Hoehn and Yahr stage, rest tremor, ability to stand unassisted, coexistent pathologies (cardiovascular, respiratory, diabetes, cancer, neurological, osteoarthritis, and "other" comorbidities), anticholinergics, antidepressants, antipsychotics, cognitive enhancers, deep brain stimulation surgery, timed-up-and-go, semantic fluency, and 5 word recall. Variables with associations to the outcome measure in univariate analyses were analyzed in multivariable models using logistic regression.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">37.2% of subjects experienced falls. In the multivariable regression model the following variables were found to be independently associated with falls: disease duration; Hoehn and Yahr stage; absence of rest tremor; cardiovascular, arthritis, or "other" comorbidity; antidepressants; deep brain stimulation surgery; timed-up-and-go; and, semantic fluency.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Disease duration but not age is independently associated with falls in Parkinson disease. Timed-up-and-go accurately reflects falls risk. Impaired semantic fluency is independently associated with falls, while verbal memory is not. Comorbidities, antidepressants, and deep brain stimulation also contribute to falls risk.</AbstractText>
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