Assessment of risk for falls in elderly

Abstract

Introduction: Elderly persons have higher risk for falls, compared to younger population. Although no single risk factor causes all falls, a great deal of risk factors to which an individual is exposed, i.e. osteoporosis, lack of physical activity, impaired vision, usage of drugs, living settings etc, can be treated.Objective: To investigate the risk for falls in elderly patients treated in Family medicine teaching center (ECPM), Primary Health Care Center Banja Luka.Method: This prospective study was conducted in June 2012. The study included 150 patients aged 65 years and older. Patients were chosen randomly. In study were included patients who have visited their family doctors on every of Mondays in June 2012. The Tinetti Gait and Balance Instrument was used to asses the risk for falls. Patients were examined to asses gait and balance according to Tinetti questionnaire, and supplementary questionnaire was created to record data about age, sex, chronic diseases and drugs that patients take.Results: The study included 91 (60.7%) female and 59 (39.3%) male patients. The average age of patients was 74.71 years. 77 (51.3%) were aged 65 to 75 years and 73 (48.7%) were more than 75 years old. Results of Tinetti Gait and Balance Instrument showed that the risk for falls was high in 55 (36.7%), moderate in 31 (20.7%) and low in 64 (42.7%) patients.Conclusion: Approximately, one third of investigated patients had high risk for falls, what indicates that family doctors should be more involved in fall prevention in elderly and in constant educating of older adults and their families.

Effects of depression and dementia on the risk of falls in the elderly treated at the Health Center Banja Luka

“…Stanetić et al [34] pointed out that the greatest risk of falls was associated with diuretics and NSAIDs that coincides with our results. Benzodiazepines were used by 50 (33.3%) patients, and it did not affect significantly the risk of falls, which is opposite to our results.…”

“…In their study, Stanetić et al [34] showed that hypertension and diabetes, as isolated diseases, have no significant effects on the risk of falls in the elderly, but considering that patients suffering from these diseases are mainly associated with comorbidity, the risk of falling increases with age. All patients suffering from diabetes mellitus also had hypertension.…”