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DOI: 10.1055/s-2006-933492
© Georg Thieme Verlag Stuttgart · New York
Stürze im Alter: Prävalenz und Risikofaktoren
Falls in old age: Prevalence and risk factorsPublication History
Eingegangen: 10.03.06
Angenommen durch Review: 04.04.06
Publication Date:
04 August 2006 (online)
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Zusammenfassung
Ungefähr jeder dritte ältere Mensch stürzt mindestens einmal pro Jahr, viele stürzen sogar mehrmals. In diesem Artikel werden Auftretenshäufigkeiten von Stürzen und Risikofaktoren für deren Auftreten bei älteren Menschen angesprochen sowie die wichtigsten Verfahren zur Beurteilung eines Sturzrisikos vorgestellt.
Abstract
About one in three older persons falls at least once each year. Many of these persons do even experience multiple falls. In the age group of 80 years and older, 40 % report a minimum of one fall. Hip fractures are the most serious consequences of falls accounting for a rising burden of public health care. In the present paper, falls in older people will be addressed regarding prevalence and risk factors as well as the most common assessments.
Stichworte:
Ältere Menschen - Sturz
Key words:
Falls - elderly persons - review
Literatur
- 1 Bundesministerium für Familie, Senioren, Frauen und Jugend .Dritter Altenbericht zur Lage der älteren Generation in der Bundesrepublik Deutschland: Alter und Gesellschaft. Berlin: BMSFJF; 2001
- 2 Bundesministerium für Familie, Senioren, Frauen und Jugend .Vierter Altenbericht zur Lage der älteren Generation in der Bundesrepublik Deutschland: Risiken, Lebensqualität und Versorgung Hochaltriger - unter besonderer Berücksichtigung demenzieller Erkrankungen. Berlin: BMSFFJ; 2002
- 3 Kannus P, Sievanen H, Palvanen M, Jarvinen T, Parkkari J. Prevention of falls and consequent injuries in elderly people. Lancet. 2005; 366 1885-1893
- 4 Gibson M J, Andres R O, Isaacs B, Radebaugh T, Worm-Petersen J. The prevention of falls in later life. A report of the Kelloggs International Work Group. Danish Medical Bulletin. 1987; 34 (4) 1-24
- 5 Deutsche Gesellschaft für Allgemeinmedizin (DEGAM) .Ältere Sturzpatienten. Leitlinie Langfassung. Düsseldorf: Omikron Publishing; 2004
- 6 Tideiksaar R. Falls in older persons. 2. Aufl. Baltimore: Health Professional Press; 2001
- 7 Deutsches Netzwerk für Qualitätsentwicklung in der Pflege (DNQP) .Expertenstandard Sturzprophylaxe in der Pflege. Osnabrück: Fachhochschule Osnabrück; 2005 [Sonderdruck]
- 8 Lamb S E, Jorstad-Stein E C, Hauer K, Becker C. Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe. J American Geriatric Society. 2005; 53 (9) 1618-1622
- 9 Campbell A J, Reinken J, Allan B C, Martinez G B. Falls in old age: a study of frequency and related clinical factors. Age & Ageing. 1981; 10 (4) 264-270
- 10 Tinetti M E, Speechley M, Ginter S F. Risk factors for falls among elderly people living in the community. N Engl J Med. 1988; 319 (26) 1701-1707
- 11 Baker S B, Harvey A H. Falls injuries in the elderly. Clinics in Geriatric Medicine. 1985; 1 501-512
- 12 Stel V, Pluim S M, Deeg D J, Smit J H, Bouter L M, Lips P. A classification tree for predicting recurrent falling in community-dwelling older persons. J American Geriatric Society. 2003; 51 1356-1364
- 13 Tinetti M E. Preventing falls in elderly people. New Engl J Med. 2003; 348 42-49
- 14 Gillespie L. Editorial. Preventing falls in elderly people. Br Med J. 2004; 328 653-654
- 15 Lord S R, Ward J A, Williams P, Anstey K J. An epidemiological study of falls in older community-dwelling women: the Randwick Falls and Fracture Study. Australian j Public Health. 1993; 17 240-245
- 16 Becker C, Gebhard F, Muche R, Scheible S, Nikolaus T. Epidemiology of accidental falls in the elderly. Z Orthop Ihre Grenzgeb. 1999; 137 (6) 482-485
- 17 Lehtola S, Koistinen P, Luukinen H. Falls and injurious falls late in home-dwelling life. Arch Gerontol & Geriatr. 2006; 42 (2) 217-224
- 18 King M B, Tinetti M E. A multifactorial approach to reducing injurious falls. Clinics in Geriatric Medicine. 1996; 12 (4) 745-759
- 19 Herala M, Luukinen H, Honkanen R, Koski K, Laippala P, Kivelä S L. Soft tissue injury resulting from falling predicts a future major falling injury in the home dwelling elderly. J Epidemiology Community Health. 2000; 54 (7) 557-558
- 20 Hoidrup S, Sorensen T I, Gronbaek M, Scholl M. Incidence and characteristics of falls leading to hospital treatment: a one-year population surveillance study of Danish population aged 45 years and older. Scan J Public Health. 2003; 31 (1) 24-30
- 21 Campbell A J, Borrie M J, Spears G F. Risk factors for falls in a community-based prospective study of people 70 years and older. Journal of Gerontology: Medical Sciences. 1989; 44 (4) M112-M117
- 22 Lord S R, McLean D, Stathers G. Physical factors associated with injuries falls in older people living in the community. Gerontology. 1992; 38 338-346
- 23 Cummings S R, Nevitt M C, Browner W S. et al . Risk factors for hip fractures in white women. N Engl J Med. 1995; 332 (12) 767-773
- 24 Evans D, Hodgkinson B, Lambert L, Wood J. Fall risk factors in the hospital setting: A systematic review. Int J Nursing Practice. 2001; 7 38-45
- 25 Close J CT. et al . Predictors of falls in a high risk population - Results from the prevention of falls in the elderly trial (PROFET). Emergency medicine journal. 2003; 20 (5) 421-425
- 26 Lord S R, Menz H B, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Physical Therapy. 2003; 83 (3) 237-252
- 27 Vasallo M, Sharma J C, Briggs R SJ, Allen S C. Characteristics of early fallers on elderly patient rehabilitation ward. Age & Ageing. 2003; 32 (3) 338-342
- 28 Skelton D, Todd C. What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls?. HEN synthesis report, WHO Regional Office for Europe, Kopenhagen; 2003
- 29 American Geriatrics Society, British Geriatrics Society and American Academy of Orthopaedic Surgeons Panel on Falls Prevention . Guidelines for prevention of falls in older people. J American Geriatric Society. 2001; 49 (5) 664-672
- 30 Karlsson M. Has exercise an antifracture efficacy in women?. Scan J Med Sci Sports. 2004; 14 (1) 2-15
- 31 O'Loughlin J L, Robitaille Y, Boivin J F, Suissa S. Incidence and risk factors for falls and injurious falls among community-dwelling elderly. Am J Epidemiology. 1993; 137 342-354
- 32 Gregg E W, Peireira M A, Caspersen C J. Physical activity, falls, and fractures among old adults: A review of the epidemiologic evidence. J American Geriatric Society. 2000; 48 (8) 883-893
- 33 Legters K. Fear of falling. Physical Therapy. 2002; 82 (2) 264-272
- 34 Vellas B J, Wayne S J, Romero L J, Baumgartner R N, Garry P J. Fear of falling and restriction of mobility in elderly fallers. Age & Ageing. 1997; 26 189-193
- 35 Jorstad-Stein E C, Hauer K, Becker C, Lamb S E. On behalf of the ProFaNE Group . Measuring the psychological outcomes of falling: A systematic review. J American Geriatric Societ. 2005; 53 (3) 501-510
- 36 Berg K O, Wood-Dauphinee S L, Williams J I, Maki B. Measuring balance in the elderly: Validation of an instrument. Canadian Journal of Public Health. 1992; 83 S7-S11
- 37 Tinetti M. Performance oriented assessment of mobility problems in elderly patients. J American Geriatric Society. 1986; 34 119-126
- 38 Shumway-Cook A, Brauer S, Wollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical Therapy. 2000; 80 (9) 896-903
- 39 Podsiadlo D A, Richardson S. The timed up and go: a test of basic functional mobility for frail elder persons. J American Geriatric Society S. 1991; 39 142-148
- 40 Medell J L, Alexander N B. A clinical measure of maximal and rapid stepping in older women. Journal of Gerontology: Medical Sciences. 2000; 55A M429-M433
- 41 McClure R, Turner C, Peel N, Spinks A, Eakin E, Hughes K. Population-based intervention for the prevention of fall-related injuries in older people. The Cochrane Database of Systematic Reviews 2005, Issue 1.Art.No.: CD004441.pub2.DOI:10.1002/14651858.CD00442.pube
- 42 Runge M. Gehstörungen, Stürze, Hüftfrakturen. Darmstadt: Steinkopf; 1998
- 43 Bös (Hrsg.) K. Motorische Tests. Göttingen: Hogrefe; 2001
- 44 Starischka (Hrsg.) S. Altern und Sport. Erlensee: SFT Verlag; 1991
- 45 Seemann T E. et al . Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging. J Gerontology: Medical Scie. 1994; 49 (3) M97-M108
- 46 Rikli R E, Jones C J. Development and validation of a functional fitness test for community-residing older adults. J Aging Physical Activity. 1999; 7 (2) 129-161
- 47 Bischoff H A. et al . Identifying a cut-off point for normal mobility: a comparison of the timed “up and go” test in community-dwelling and institutionalised elderly women. Age & Ageing. 2003; 32 (3) 315-320
- 48 Medell J L, Alexander N B. A clinical measure of maximal and rapid stepping. J Gerontology: Med Scie. 2000; 55A (8) M429-M433
- 49 Duncan P W, Weiner D K, Chandler J, Studenski S. Functional reach: A new clinical measure of balance. J Gerontology: Med Scie. 1990; 45 M192-M197
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