Stürze im Alter

Anders, Jennifer; Behmann, Mareike; Dapp, Ulrike; Walter, Ulla

doi:10.1007/978-3-540-77274-3_9

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…Possible considerations include, in addition to more frequent falls with age, also increased elective interventions, especially in orthopedics, for example, due to progressive arthrosis in old age with the need for a new joint. 26,27 When considering the respective concomitant diseases, it was noticeable that diabetics at both time points delayed recanalization compared to non-diabetics. These results of the present random sample agree with the current literature, where diabetes mellitus is ascribed to a 2-fold increase in the risk of thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome of Deep Vein Thrombosis Is Related to Thrombophilic Risk Factors

Simon

Klaeffling

Ward

et al. 2023

Clin Appl Thromb Hemost

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Deep vein thrombosis (DVT) and the associated possible complication of pulmonary artery embolism (LAE) represent a recognized reason for significant perioperative morbidity and mortality. There is a risk of pulmonary artery embolism through embolization. The aim of the study was to investigate the influence of various risk factors on the clinical outcome of the therapy, particularly regarding whether maintenance therapy offers a benefit in terms of the frequency of bleeding and thrombotic events. 80 patients were included, some of them retrospectively from July 2018. The observational period was set to 12 months after the DVT event. In the present sample with n = 80, with 57.5% men and 42.5% women (after 12 months of observation: n = 78), a success rate of the therapies administered of 89.7% was recorded. Only 8.9% showed partial recanalization. 3.8% of the patients had a relapse (also beyond the localization of the leg and pelvic veins) and 8.8% had a residual thrombus during the first 12 months of observation. In this study, BARC (Bleeding Academic Research Consortium) and HAS-BLED (Hypertension, Abnormal renal and liver function, Stroke, Bleeding, Labile INR, Elderly, Drugs or alcohol) scores for identifying the risk of bleeding and Wells scores for assessing the risk of having a thrombosis were used. The Villalta score tested in this study showed significant correlations with residual thrombus ( P < .001), recurrence within 12 months ( P < .001), and the risk of bleeding ( P < .001) and is capable to provide an assessment of the variables mentioned not only at the possible end of therapy but also at the start of anticoagulant therapy.

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Section: Discussionmentioning

confidence: 99%

Clinical Outcome of Deep Vein Thrombosis Is Related to Thrombophilic Risk Factors

Simon

Klaeffling

Ward

et al. 2023

Clin Appl Thromb Hemost

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“…Körperliche Sturzfolgen (Gschwind, Bridenbaugh, & Kressig, 2013) können sich negativ auf innen,0.78 RaR,) und Frakturen (6 Studien,0.34 RaR, (Rubenstein, & Josephson, 2002;DEGAM, 2004;Anders, Behmann, Dapp, & Walter, 2008;Granacher, Muehlbauer, Gollhofer, Kressig, & Zahner, 2011). Annähernd einer von zehn Stürzen verursacht schwere Verletzungen, wobei es in 5 % aller Sturzunfälle zu Hüft-, Becken-, Handgelenks-, Vorderarm-oder Schlüsselbeinfrakturen kommt (Rubenstein, 2006;Nikolaus, 2005), aber auch zu anderen Frakturarten, subduralen Hämatomen sowie schwerwiegenden Weichteil-oder Kopfverletzungen (Nikolaus, 2013).…”

Section: Einleitung Zum Format Der Potenzialanalyseunclassified

Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

Müller

Lautenschläger

Voigt-Radloff

2016

International Journal of Health Professions

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Background:In Germany, four to five million community-dwelling people aged 65 years or older fall every year. The presented potential analysis evaluates the potential of occupational therapy-led physical exercise programs and home environment adaptations to reduce the frequency of falling and as well as intrinsic and extrinsic risk factors for falling of older people living at home. Methods: The potential analysis was compiled according to a method guideline (p.11-22) available as follows: http://www.cochrane. de/news/leitfaden-f%C3%BCr-gesundheitsfachberufe-mai-2013. The research question of fall prevention was considered as very relevant for health care and specified according to the PICOS-system. A Cochrane review was systematically searched and the body of evidence was assessed using the GRADE-system. In addition, studies after the search period of the Cochrane review were identified using the search strategy of this review. Both the studies within and after the review were assessed regarding their transferability to the German health care context. . However, direct implementation into the German healthcare context is not recommendable. Implication for research: It is recommended (1) to manualise identified home environment adaptation programmes for the German healthcare context and (2) to pilot-test the physical exercise programmes `LiFE` with regard to theoretical framework, acceptance, applicability and feasibility and to examine both interventions as part of a feasibility study. If this trial results in a feasible treatment programme well accepted by patients and their treating occupational therapists, a large-scaled randomized clinical trial in terms of comparative effectiveness research may follow. Abstract

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Prävention und Gesundheitsförderung in der Geriatrie

Anders¹

2015

DGIM Innere Medizin

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Stürze im Alter

Cited by 5 publications

References 32 publications

Clinical Outcome of Deep Vein Thrombosis Is Related to Thrombophilic Risk Factors

Clinical Outcome of Deep Vein Thrombosis Is Related to Thrombophilic Risk Factors

Prävention und Gesundheitsförderung in der Geriatrie

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