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Titolo:
Dementia, depressive symptoms and activities of daily living as risk factors for falls among elderly
Autore:
Gostynski, M; Ajdacic-Gross, V; Heusser-Gretler, R; Gutzwiller, F; Michel, JP; Herrmann, F;
Indirizzi:
Univ Zurich, Inst Sozial & Pravent Med, CH-8006 Zurich, Switzerland Univ Zurich Zurich Switzerland CH-8006 Med, CH-8006 Zurich, Switzerland
Titolo Testata:
SOZIAL-UND PRAVENTIVMEDIZIN
fascicolo: 2, volume: 46, anno: 2001,
pagine: 123 - 130
SICI:
0303-8408(2001)46:2<123:DDSAAO>2.0.ZU;2-6
Fonte:
ISI
Lingua:
GER
Soggetto:
TRICYCLIC ANTI-DEPRESSANTS; NURSING-HOME RESIDENTS; PSYCHOTROPIC-DRUG USE; ALZHEIMERS-DISEASE; INJURIOUS FALLS; OLDER PERSONS; COMMUNITY; PEOPLE; FRACTURES; WOMEN;
Keywords:
accidental falls; aged; dementia; depression; activity of daily living; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Gostynski, M Univ Zurich, Inst Sozial & Pravent Med, Sumatrastr 30, CH-8006 Zurich, Switzerland Univ Zurich Sumatrastr 30 Zurich Switzerland CH-8006zerland
Citazione:
M. Gostynski et al., "Dementia, depressive symptoms and activities of daily living as risk factors for falls among elderly", SOZ PRAVENT, 46(2), 2001, pp. 123-130

Abstract

Objectives: Falls among elderly are a well-recognised public health problem. The purpose of the present study was to explore the relation between dementia, number of depressive symptoms, activities of daily living, setting, and risk of falling. Methods: Data for the analysis came from a cross-sectional study about: dementia, depression, and disabilities, carried out 1995/96 in Zurich and Geneva. The random sample stratified, by age and gender consisted of 921 subjects aged 65 and more. The interview was conducted by means of the Canberra Interview for the Elderly, extended by short questionnaire. The subject wasclassified as a faller if the subject and/or the informant had reported a fall within the last 12 months prior to the interview. Logistic-regression analysis was used to determine the independent impact of dementia, depressive symptoms, and ADL-score on risk of falling. Results: The stepwise logistic regression analysis has revealed a statistically significant association between dementia (OR 2.14, 95% Cl 1.15-3.96),two resp, three depressive symptoms (OR 1.64, 95% Cl 1.04-2.60) as well asfour or more depressive symptoms (OR 2.64, 95% Cl 1.39-5.02) and the risk of falling. There was no statistically significant relationship between studied risk factors and the risk of being one-time faller. However, we found a strong positive association between dementia (OR 3.92, 95% Cl 1.75-8.79),four or more depressive symptoms (OR 3.90, 35% Cl 1.55-9.83) and the risk of being recurrent faller. Moreover residents of nursing homes (OR 8.50, 95% Cl 2.18-33.22) and elderly aged 85 or more (OR 2.29, 95% Cl 1.08-4.87) were under statistically significant higher risk of sustaining recurrent falls. Conclusions: The results of the present study confirm that dementia and depression substantially increase the risk of falling.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/05/20 alle ore 13:20:12