Falls in ambulatory non-demented patients with Parkinson's disease.
Identifieur interne : 000636 ( Main/Curation ); précédent : 000635; suivant : 000637Falls in ambulatory non-demented patients with Parkinson's disease.
Auteurs : Olivier Rascol [France] ; Santiago Perez-Lloret [France] ; Philippe Damier [France] ; Arnaud Delval [France] ; Pascal Derkinderen [France] ; Alain Destée [France] ; Wassilios G. Meissner [France] ; Francois Tison [France] ; Laurence Negre-Pages [France]Source :
- Journal of neural transmission (Vienna, Austria : 1996) [ 1435-1463 ] ; 2015.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Accidental Falls (statistics & numerical data), Aged, Antiparkinson Agents (administration & dosage), Comorbidity, Female, France (epidemiology), Humans, Logistic Models, Male, Multivariate Analysis, Parkinson Disease (drug therapy), Parkinson Disease (epidemiology), Prevalence, Prospective Studies, Severity of Illness Index, Sex Factors.
- MESH :
- chemical , administration & dosage : Antiparkinson Agents.
- geographic , epidemiology : France.
- drug therapy : Parkinson Disease.
- epidemiology : Parkinson Disease.
- statistics & numerical data : Accidental Falls.
- Aged, Comorbidity, Female, Humans, Logistic Models, Male, Multivariate Analysis, Prevalence, Prospective Studies, Severity of Illness Index, Sex Factors.
Abstract
This study aimed at determining the prevalence of falling in PD patients, to assess generic and disease-specific clinical and pharmacological factors, relationship with health-related quality of life (HR-QoL) and changes in falls from OFF to ON in patients with motor fluctuations. Six-hundred and eighty-three PD patients of the COPARK survey were evaluated (11 had missing data and were excluded from the analysis). Patients with falls were identified as those with a UPDRS Item 13 ≥ 1 in the ON condition. All patients were assessed in a standardized manner [demographics, treatments, Unified PD Rating Scale (UPDRS), Hospital Anxiety and Depression Scale, Pittsburg questionnaire and HR-QoL scales (SF36, PDQ39)]. Falling was reported by 108/672 (16%) PD patients during the ON state and prevalence increased according to PD severity, from 5% in Hoehn and Yahr stage 1-60% in stage 4. Falling was significantly related to lower HR-QoL. Falling correlated with (1) generic factors such as female gender, age at the end of academic studies and diuretics consumption, (2) motor PD-specific factors including disease severity, frozen gait, difficulties when arising from a chair, dyskinesia and higher levodopa daily equivalent dose and (3) non-motor PD-specific factors such as orthostatic hypotension and hallucinations. Falling was more frequent in OFF than in ON in 48/74 (64%) patients with motor fluctuations and remained unchanged in 27 patients (36%). In summary, falling affected a significant proportion of PD patients, especially in advanced stages. It was associated with a variety of generic and PD-specific factors and was related to reduced HR-QoL.
DOI: 10.1007/s00702-015-1396-2
PubMed: 25845678
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pubmed:25845678Le document en format XML
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<term>Female</term>
<term>France (epidemiology)</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
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<term>Parkinson Disease (epidemiology)</term>
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<term>Severity of Illness Index</term>
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<front><div type="abstract" xml:lang="en">This study aimed at determining the prevalence of falling in PD patients, to assess generic and disease-specific clinical and pharmacological factors, relationship with health-related quality of life (HR-QoL) and changes in falls from OFF to ON in patients with motor fluctuations. Six-hundred and eighty-three PD patients of the COPARK survey were evaluated (11 had missing data and were excluded from the analysis). Patients with falls were identified as those with a UPDRS Item 13 ≥ 1 in the ON condition. All patients were assessed in a standardized manner [demographics, treatments, Unified PD Rating Scale (UPDRS), Hospital Anxiety and Depression Scale, Pittsburg questionnaire and HR-QoL scales (SF36, PDQ39)]. Falling was reported by 108/672 (16%) PD patients during the ON state and prevalence increased according to PD severity, from 5% in Hoehn and Yahr stage 1-60% in stage 4. Falling was significantly related to lower HR-QoL. Falling correlated with (1) generic factors such as female gender, age at the end of academic studies and diuretics consumption, (2) motor PD-specific factors including disease severity, frozen gait, difficulties when arising from a chair, dyskinesia and higher levodopa daily equivalent dose and (3) non-motor PD-specific factors such as orthostatic hypotension and hallucinations. Falling was more frequent in OFF than in ON in 48/74 (64%) patients with motor fluctuations and remained unchanged in 27 patients (36%). In summary, falling affected a significant proportion of PD patients, especially in advanced stages. It was associated with a variety of generic and PD-specific factors and was related to reduced HR-QoL.</div>
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