Analysis of fall risk factors in elderly with neurological disease Nörolojik hastalığı bulunan yaşlılarda düşme riskinin analizi


Çirak M., Irmak H. S.

Turkiye Klinikleri Journal of Medical Sciences, cilt.40, sa.3, ss.297-305, 2020 (SCI Expanded İndekslerine Giren Dergi) identifier

  • Cilt numarası: 40 Konu: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.5336/medsci.2020-75946
  • Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
  • Sayfa Sayıları: ss.297-305

Özet

© 2020 by Türkiye Klinikleri.Objective: The aim of this study is to determine the factors that affect the risk of falls in elderly individuals aged 65 years and over with at least one neurological disease. Material and Meth-ods: In this study, 200 elderly individuals with at least one neurological disease (aged 65 and over) were evaluated for the risk of falling. Data were collected using sociodemographic data form and Itaki Fall Risk Scale. Linear regression analysis was performed to determine the factors affecting the fall risk score in elderly individuals with neurological disease. Age, gender, number of chronic diseases, dizziness, incontinence, orthostatic hypotension, risky drug use and disability status were included as independent variables, while the Falling Risk scores were included as dependent variables. Results: The mean age of the participants was 71.5±6.34 years; 70.5% of them are women and 29.5% are men. It was found that all elderly people had at least one chronic disease and the mean number of drugs used was 3.68±2.43. In addition, 67.3% of the elderly had risky drug use, 55.5% had incontinence, 81% had dizziness and 70.5% had orthostatic hy-potension. As a result of the linear regression analysis, the factors affecting the participants' incontinence status, dizziness status, orthostatic hypotension status, number of drugs and risky drug use status fall risk scores; age, sex, number of chronic diseases and disability status were found to be ineffective factors on fall scores. The risk of falls was found to be higher in the elderly with dizziness, in-continence, orthostatic hypotension and risky drug use. In addition, a strong positive correlation was found between the number of drugs used in the elderly and the fall risk score. As the number of drugs used increases, fall risk scores increase. Conclusion: As a result of this study which was conducted to determine the fall risk in elderly individuals with neurological disease, the most important factors affecting fall risk were found to be the presence of orthostatic hypotension and the presence of risky drug use.