Incidence, complications and risk factors for severe falls in patients on maintenance haemodialysis.

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Serval ID
serval:BIB_C2807B2CAE7C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Incidence, complications and risk factors for severe falls in patients on maintenance haemodialysis.
Journal
Nephrology, Dialysis, Transplantation
Author(s)
Rossier A., Pruijm M., Hannane D., Burnier M., Teta D.
ISSN
1460-2385 (Electronic)
ISSN-L
0931-0509
Publication state
Published
Issued date
2012
Volume
27
Number
1
Pages
352-357
Language
english
Notes
Publication types: Journal Article
Abstract
BACKGROUND: Falls have been insufficiently studied in patients on maintenance haemodialysis (MHD). This study assessed the incidence and complications of severe falls and the ability of risk factors, including the Performance-Oriented Mobility Assessment (POMA) test, to predict them in this population.
METHODS: All patients on MHD from our centre were asked to participate in this survey. POMA test and a record of risk factors for falls were obtained at baseline. Severe falls, as defined by an admission in an emergency ward, were documented prospectively.
RESULTS: Eighty-four patients (median age 69.5 years, minimum 26 years, maximum 85 years) were enrolled. Predialytic POMA scores were low (median 20, minimum 5, maximum 26). After a mean follow-up of 20.6 months (142.2 patient-years), 31 severe falls were recorded in 24 patients (28.6%; incidence 0.22 per patient-year) and complicated by fractures in 54.8% of severe falls. In univariate analysis, age, a past history of falls, malnutrition, depression, but not POMA score, were associated with severe falls. A POMA score of >21 had a negative predictive value of 82%.
CONCLUSIONS: Severe falls were common in MHD patients in this study and resulted in fractures in >50% of the cases. They were associated with ageing, a past history of falls, malnutrition and depression. Although there was a trend towards a lower POMA score in fallers as compared to non-fallers, the POMA score was not an independent predictor of severe falls in this study. These data may help to stratify the patient's risk of falling in order to target programmes to prevent falls in this population.
Pubmed
Web of science
Open Access
Yes
Create date
09/09/2011 18:57
Last modification date
25/09/2019 6:10
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