Falls and injuries resulting from falls among patients with Parkinson's disease and other parkinsonian syndromes
Identifieur interne : 003920 ( Main/Exploration ); précédent : 003919; suivant : 003921Falls and injuries resulting from falls among patients with Parkinson's disease and other parkinsonian syndromes
Auteurs : Catherine L. Wielinski [États-Unis] ; Cordelia Erickson-Davis [États-Unis] ; Rose Wichmann [États-Unis] ; Maria Walde-Douglas [États-Unis] ; Sotirios A. Parashos [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-04.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Accidental Falls (statistics & numerical data), Aged, Aged, 80 and over, Female, Follow-Up Studies, Fracture, Human, Humans, Male, Nervous system diseases, Parkinson Disease (epidemiology), Parkinson disease, Parkinson's disease, Parkinsonian Disorders (epidemiology), Parkinsonism, Questionnaires, Wounds and Injuries (classification), Wounds and Injuries (epidemiology), falls, fractures, parkinsonism.
- MESH :
- classification : Wounds and Injuries.
- epidemiology : Parkinson Disease, Parkinsonian Disorders, Wounds and Injuries.
- statistics & numerical data : Accidental Falls.
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Questionnaires.
Abstract
We sought to ascertain frequency, type, risk factors of falling, and resulting injuries among parkinsonian patients. A survey was mailed to all patients treated at our center between 1/1/2000 and 4/30/2002 (N = 1,417). Information was collected on falls within the past 2 years, related injuries, and use of health care services. A total of 1,131 responses (response rate, 79.8%) were received. After the exclusion of nonparkinsonian disorders, statistics for the remaining group (n = 1,092) and predictive statistics for those diagnosed before 1/1/2000 (n = 1,013) were calculated. Outcomes included falls, fractures, injuries, surgery, and related use of health care services. Explanatory variables included sex, age, age at diagnosis, disease duration, atypical parkinsonism, and dementia. Most patients (55.9%) were men; 12.2% had atypical parkinsonism; 12.5% had dementia; median age was 74.7 years; median disease duration was 7 years; 55.9% had at least one fall in the past 2 years; 65.0% of them sustained an injury; 33.0% sustained a fracture; 75.5% of injuries required health care services; 40.6% of fractures required surgery. Older age, atypical parkinsonism, longer disease duration, and dementia were risk factors for falling; female sex and older age were predictors of fractures. Need for health care services after an injury was higher among older patients. Further prospective studies will be necessary to elucidate the specific prognostic outcomes of injuries due to falls among parkinsonian patients, and the impact of these injuries on disease progression and quality of life. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20347
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2005-04">2005-04</date><biblScope unit="vol">20</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="410">410</biblScope><biblScope unit="page" to="415">415</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">0E68BF9B291B70D5DBFF01C359D47503CD5F5821</idno><idno type="DOI">10.1002/mds.20347</idno><idno type="ArticleID">MDS20347</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (statistics & numerical data)</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Fracture</term><term>Human</term><term>Humans</term><term>Male</term><term>Nervous system diseases</term><term>Parkinson Disease (epidemiology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Parkinsonian Disorders (epidemiology)</term><term>Parkinsonism</term><term>Questionnaires</term><term>Wounds and Injuries (classification)</term><term>Wounds and Injuries (epidemiology)</term><term>falls</term><term>fractures</term><term>parkinsonism</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term><term>Parkinsonian Disorders</term><term>Wounds and Injuries</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>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Questionnaires</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Fracture</term><term>Homme</term><term>Parkinson maladie</term><term>Parkinsonisme</term><term>Système nerveux pathologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We sought to ascertain frequency, type, risk factors of falling, and resulting injuries among parkinsonian patients. A survey was mailed to all patients treated at our center between 1/1/2000 and 4/30/2002 (N = 1,417). Information was collected on falls within the past 2 years, related injuries, and use of health care services. A total of 1,131 responses (response rate, 79.8%) were received. After the exclusion of nonparkinsonian disorders, statistics for the remaining group (n = 1,092) and predictive statistics for those diagnosed before 1/1/2000 (n = 1,013) were calculated. Outcomes included falls, fractures, injuries, surgery, and related use of health care services. Explanatory variables included sex, age, age at diagnosis, disease duration, atypical parkinsonism, and dementia. Most patients (55.9%) were men; 12.2% had atypical parkinsonism; 12.5% had dementia; median age was 74.7 years; median disease duration was 7 years; 55.9% had at least one fall in the past 2 years; 65.0% of them sustained an injury; 33.0% sustained a fracture; 75.5% of injuries required health care services; 40.6% of fractures required surgery. Older age, atypical parkinsonism, longer disease duration, and dementia were risk factors for falling; female sex and older age were predictors of fractures. Need for health care services after an injury was higher among older patients. Further prospective studies will be necessary to elucidate the specific prognostic outcomes of injuries due to falls among parkinsonian patients, and the impact of these injuries on disease progression and quality of life. © 2004 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Wielinski, Catherine L" sort="Wielinski, Catherine L" uniqKey="Wielinski C" first="Catherine L." last="Wielinski">Catherine L. Wielinski</name></region><name sortKey="Erickson Avis, Cordelia" sort="Erickson Avis, Cordelia" uniqKey="Erickson Avis C" first="Cordelia" last="Erickson-Davis">Cordelia Erickson-Davis</name><name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios A." last="Parashos">Sotirios A. Parashos</name><name sortKey="Parashos, Sotirios A" sort="Parashos, Sotirios A" uniqKey="Parashos S" first="Sotirios A." last="Parashos">Sotirios A. Parashos</name><name sortKey="Walde Ouglas, Maria" sort="Walde Ouglas, Maria" uniqKey="Walde Ouglas M" first="Maria" last="Walde-Douglas">Maria Walde-Douglas</name><name sortKey="Wichmann, Rose" sort="Wichmann, Rose" uniqKey="Wichmann R" first="Rose" last="Wichmann">Rose Wichmann</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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