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Khovasova N.O.

Pirogov Russian National Research Medical University

Naumov A.V.

Pirogov Russian National Research Medical University

Tkacheva O.N.

Pirogov Russian National Research Medical University

Moroz V.I.

Pirogov Russian National Research Medical University

Comprehensive personalized protocol for the prevention of repeated falls in elderly and senile patients

Authors:

Khovasova N.O., Naumov A.V., Tkacheva O.N., Moroz V.I.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(4): 67‑74

DOI: 10.17116/jnevro202212204167

Read: 2028 times

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Table of contents

COMPREHENSIVE PERSONALIZED PROTOCOL FOR THE PREVENTION OF REPEATED FALLS IN ELDERLY AND SENILE PATIENTS
COMPREHENSIVE PERSONALIZED PROTOCOL FOR THE PREVENTION OF REPEATED FALLS IN ELDERLY AND SENILE PATIENTS

To cite this article:

Khovasova NO, Naumov AV, Tkacheva ON, Moroz VI. Comprehensive personalized protocol for the prevention of repeated falls in elderly and senile patients. S.S. Korsakov Journal of Neurology and Psychiatry. 2022;122(4):67‑74. (In Russ.)
https://doi.org/10.17116/jnevro202212204167

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study evaluation of the effectiveness of a comprehensive personalized protocol for the prevention of repeated falls in elderly and senile patients.

MATERIAL AND METHODS

Over the course of one year, 300 patients aged 60 and older who suffered two or more falls during the year were observed. Patients of group 1 (n=100) were recommended a comprehensive personalized protocol for the prevention of repeated falls, the observance of which was regularly monitored; patients of group 2 (n=100) received standard recommendations for the prevention of falls upon discharge from the hospital, the observance of which was not actively monitored; patients of group 3 (n=100) were observed by a therapist on an outpatient basis. Primary endpoints: frequency of falls, death from any cause; secondary endpoints: the frequency of fractures, the frequency of hospitalizations for any reason.

RESULTS

In group 1, after a year, the frequency of falls decreased by 5 times (100% vs. 21%, p<0.0001), in groups 2 and 3 — by 38% (p=0.013) and 81% (p<0.001). There was no significant decrease in the number of all fractures in any group, but in group 3, the frequency of vertebral fractures increased during the year (p=0.029). Statistically significant positive dynamics of indicators characterizing the geriatric status has been established: walking speed, values on the basic activity scale, a short nutrition assessment scale, the results of the drawing hours test have increased, the intensity of pain has decreased. No one died in group 1, unlike 5 patients in group 2 and 8 in group 3 (p=0.011).

CONCLUSION

The use of a comprehensive personalized protocol for the prevention of repeated falls can reduce the number of complications in elderly and senile patients.

Keywords:

falls
fractures
fall prevention
comprehensive geriatric assessment
polypragmasia
osteoporosis
osteoarthritis
chronic pain

Authors:

Khovasova N.O.

Pirogov Russian National Research Medical University

Naumov A.V.

Pirogov Russian National Research Medical University

Tkacheva O.N.

Pirogov Russian National Research Medical University

Moroz V.I.

Pirogov Russian National Research Medical University

Received:

18.02.2021

Accepted:

15.03.2021

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References:

  1. Sharif SI, Al-Harbi AB, Al-Shihabi AM, et al. Falls in the elderly: assessment of prevalence and risk factors. Pharm Pract (Granada). 2018;16(3):1206-1208. https://doi.org/10.18549/PharmPract.2018.03.1206
  2. Umegaki H, Makino T, Uemura K, et al. Falls in community-dwelling prefrail older adults. Health Soc Care Community. 2020;28(1):110-115.  https://doi.org/10.1111/hsc.12845
  3. Rivan N, Singh D, Shahar S, et al. Cognitive frailty is a robust predictor of falls, injuries, and disability among community-dwelling older adults. BMC Geriatr. 2021;21:593-599.  https://doi.org/10.1186/s12877-021-02525-y
  4. Bartosch PS, Kristensson J, McGuigan FE, Akesson KE. Frailty and prediction of recurrent falls over 10 years in a community cohort of 75-year-old women. Aging Clin Exp Res. 2020;32(11):2241-2250. https://doi.org/10.1007/s40520-019-01467-1
  5. Burns ER, Stevens JA, Lee R. The direct costs of fatal and non-fatal falls among older adults — United States. J Safety Res. 2016;58:99-103.  https://doi.org/10.1016/j.jsr.2016.05.001
  6. Dhalwani NN, Fahami R, Sathanapally H, et al. Association between polypharmacy and falls in older adults: a longitudinal study from England. BMJ Open. 2017;7(10):e016358. https://doi.org/10.1136/bmjopen-2017-016358
  7. Park H, Satoh H, Miki A, et al. Medications associated with falls in older people: systematic review of publications from a recent 5-year period. Eur J Clin Pharmacol. 2015;71(12):1429-1440. https://doi.org/10.1007/s00228-015-1955-3
  8. Woolcott JC, Richardson KJ, Wiens MO, et al. Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med. 2009;169(21):1952-1960. https://doi.org/10.1001/archinternmed.2009.357
  9. Musich S, Wang SS, Ruiz J, et al. Falls-Related Drug Use and Risk of Falls Among Older Adults: A Study in a US Medicare Population. Drugs Aging. 2017;34(7):555-565.  https://doi.org/10.1007/s40266-017-0470-x
  10. Fernandes V, Ribeiro D, Fernandes L, de Menezes R. Postural changes versus balance control and falls in community-living older adults: A systematic review. Fisioter Mov. 2018;31:1-15.  https://doi.org/10.1590/1980-5918.031.ao25
  11. Labra C, Guimaraes-Pinheiro C, Maseda A, et al. Effects of physical exercise interventions in frail older adults: A systematic review of randomized controlled trials. BMC Geriatr. 2015;15:154-160.  https://doi.org/10.1186/s12877-015-0155-4
  12. Zhao R, Bu W, Chen X. The efficacy and safety of exercise for prevention of fall-related injuries in older people with different health conditions, and differing intervention protocols: a meta-analysis of randomized controlled trials. BMC Geriatr. 2019;19(1):341.  https://doi.org/10.1186/s12877-019-1359-9
  13. Gulka HJ, Patel V, Arora T, et al. Efficacy and Generalizability of Falls Prevention Interventions in Nursing Homes: A Systematic Review and Meta-analysis. J Am Med Dir Assoc. 2020;21(8):1024-1035.e4.  https://doi.org/10.1016/j.jamda.2019.11.012
  14. Stevens JA, Smith ML, Parker EM, et al. Implementing a Clinically Based Fall Prevention Program. Am J Lifestyle Med. 2017;14(1):71-77.  https://doi.org/10.1177/1559827617716085
  15. Lee SH, Yu S. Effectiveness of multifactorial interventions in preventing falls among older adults in the community: A systematic review and meta-analysis. Int J Nurs Stud. 2020;106:103564. https://doi.org/10.1016/j.ijnurstu.2020.103564
  16. Hopewell S, Adedire O, Copsey BJ, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018;7(7):CD012221. https://doi.org/10.1002/14651858.CD012221.pub2
  17. Hopewell S, Copsey B, Nicolson P, et al. Multifactorial interventions for preventing falls in older people living in the community: a systematic review and meta-analysis of 41 trials and almost 20 000 participants. Br J Sports Med. 2020;54(22):1340-1350. https://doi.org/10.1136/bjsports-2019-100732
  18. Chittrakul J, Siviroj P, Sungkarat S, Sapbamrer R. Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020;17(9):3102. https://doi.org/10.3390/ijerph17093102
  19. Dautzenberg L, Beglinger S, Tsokani S, et al. Interventions for preventing falls and fall-related fractures in community-dwelling older adults: A systematic review and network meta-analysis. J Am Geriatr Soc. 2021;69(10):2973-2984. https://doi.org/10.1111/jgs.17375
  20. Caristia S, Campani D, Cannici C, et al. Physical exercise and fall prevention: A systematic review and meta-analysis of experimental studies included in Cochrane reviews. Geriatr Nurs. 2021;42(6):1275-1286. https://doi.org/10.1016/j.gerinurse.2021.06.001
  21. Lamb SE, Bruce J, Hossain A, et al. Prevention of Fall Injury Trial Study Group. Screening and Intervention to Prevent Falls and Fractures in Older People. N Engl J Med. 2020;383(19):1848-1859. https://doi.org/10.1056/NEJMoa2001500
  22. Caristia S, Campani D, Cannici C, et al. Physical exercise and fall prevention: A systematic review and meta-analysis of experimental studies included in Cochrane reviews. Geriatr Nurs. 2021;42(6):1275-1286. https://doi.org/10.1016/j.gerinurse.2021.06.001
  23. Midão L, Giardini A, Menditto E, et al. Polypharmacy prevalence among older adults based on the survey of health, ageing and retirement in Europe. Arch Gerontol Geriatr. 2018;78:213-220.  https://doi.org/10.1016/j.archger.2018.06.018
  24. Morin L, Calderon Larrañaga A, Welmer AK, et al. Polypharmacy and injurious falls in older adults: a nationwide case-control study. Clin Epidemiol. 2019;11:483-493.  https://doi.org/10.2147/CLEP.S201614
  25. Kyrdalen IL, Thingstad P, Sandvik L, Ormstad H. Associations between gait speed and well-known fall risk factors among community-dwelling older adults. Physiother Res Int. 2019;24(1):e1743. https://doi.org/10.1002/pri.1743
  26. Phu S, Vogrin S, Al Saedi A, Duque G. Balance training using virtual reality improves balance and physical performance in older adults at high risk of falls. Clin Interv Aging. 2019;14:1567-1577. https://doi.org/10.2147/CIA.S220890
  27. Sadeghi H, Jehu DA, Daneshjoo A, et al. Effects of 8 Weeks of Balance Training, Virtual Reality Training, and Combined Exercise on Lower Limb Muscle Strength, Balance, and Functional Mobility Among Older Men: A Randomized Controlled Trial. Sports Health. 2021;13(6):606-612.  https://doi.org/10.1177/1941738120986803
  28. Vorobyeva NM, Khovasova NO, Tkacheva ON, et al. Falls and fractures in persons over 65 years of age and their associations with geriatric syndromes: data from the Russian epidemiological study of EUCALYPTUS. Rus J Geriatric Med. 2021;(2):219-229. (In Russ.). https://doi.org/10.37586/2686-8636-2-2021-209-219
  29. Torshin IYu, Lila AM, Naumov AV, et al. Meta-analysis of clinical studies of the effectiveness of osteoarthritis treatment with Chondrogard. Pharmacoeconomics. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(4):388-399. (In Russ.). https://doi.org/10.17749/2070-4909/farmakoekonomika.2020.066
  30. Stabler TV, Huang Z, Montell E, et al. Chondroitin sulphate inhibits NF-κB activity induced by interaction of pathogenic and damage associated molecules. Osteoarth Cartilage. 2017;25(1):166-174.  https://doi.org/10.1016/j.joca.2016.08.012
  31. Le NH, Kim CS, Park T, et al. Quercetin protects against obesity-induced skeletal muscle inflammation and atrophy. Mediat Inflamm. 2014;2014:1-10.  https://doi.org/10.1155/2014/834294
  32. Lila AM, Tkacheva ON, Naumov AV, et al. The place and role of the parenteral form of chondroitin sulfate in the treatment of osteoarthritis: multidisciplinary consensus. RMZh. 2021;6:68-74. (In Russ.).
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