geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-2-2021-148-174geriatr-173Research ArticleГЛАВНАЯ ТЕМАMAIN TOPICПадения у пациентов пожилого и старческого возраста. Клинические рекомендацииFalls in older and senile patients. Clinical giudelineshttps://orcid.org/0000-0002-4193-688XТкачеваО. Н.TkachevaO. N.

Ткачева Ольга Николаевна - доктор медицинских наук, профессор, директор Российского геронтологического научно-клинического центра, РНИМУ им. Н.И. Пирогова Минздрава России.

Москва.

Тел.: +7(499) 187-64-67

Tkacheva Olga N. - MD, PhD, professor, Director, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(499) 187-64-67

tkacheva@rgnkc.ruhttps://orcid.org/0000-0002-1628-5093КотовскаяЮ. В.KotovskayaYu. V.

Котовская Юлия Викторовна - доктор медицинских наук, профессор, заместитель директора по научной работе, РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(499)187-78-09

Kotovskaya Yulia V. - MD, PhD, professor, Deputy Director, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(499)187-78-09

kotovskaya_yv@rgnkc.ruhttps://orcid.org/0000-0003-3367-467XМильтоА. С.Mil'toA. S.

Мильто Анна Сергеевна - доктор медицинских наук, главный врач МОНИКИ им. М.Ф. Владимирского.

Москва.

Тел.: +7(903)201-70-06

Milto Anna S.- MD, chief Physician, Vladimirsky Moscow Regional Research and Clinical Institute.

Moscow.

Tel.: +7(903)201-70-06

a.milto@monikiweb.ruhttps://orcid.org/0000-0001-5272-0454РунихинаН. К.RunihinaN. K.

Рунихина Надежда Константиновна - доктор медицинских наук, заместитель директора по гериатрической работе, РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(499)187-78-09

Runikhina Nadezhda K. - MD, PhD, Deputy Director, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(499)187-78-09

nkrunihina@rgnkc.ruhttps://orcid.org/0000-0002-5569-5175ФроловаЕ. В.FrolovaE. V.

Фролова Елена Владимировна - доктор медицинских наук, профессор кафедры семейной медицины СЗГМУ им. И.И. Мечникова Минздрава России.

Санкт-Петербург.

Тел.: +7(812)598-93-20

Frolova Elena V. - MD, PhD, professor of Department of Family Medicine The North-Western State Medical University named after I.I. Mechnikov.

Sankt-Peterburg.

Tel.: +7(812)598-93-20

elena.frolova@szgmu.ruhttps://orcid.org/0000-0002-6253-621XНаумовА. В.NaumovA. V.

Наумов Антон Вячеславович - доктор медицинских наук, профессор кафедры болезней старения ФДПО РНИМУ им. Н.И. Пирогова Минздрава России, заведующий лабораторией заболеваний костно-мышечной системы РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Naumov Anton V. - MD, PhD, Head of bone and muscular diseases laboratory, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

naumov_av@rgnkc.ruhttps://orcid.org/0000-0001-7891-6850ДудинскаяЕ. Н.DudinskayaE. N.

Дудинская Екатерина Наильевна - доктор медицинских наук, заведующая лабораторией возрастных метаболических эндокринных нарушений РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(903)191-46-90

Dudinskaya Ekaterina N. - MD, PhD, Head of age-related endocrine and metabolic disorders laboratory, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(903)191-46-90

katharina.gin@gmail.comhttps://orcid.org/0000-0002-2028-3939МачехинаЛ. В.MatchekhinaL. V.

Мачехина Любовь Викторовна - доктор медицинских наук, научный сотрудник лаборатории возрастных и метаболических эндокринных нарушений РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

eLibrary SPIN: 6453-5835

Matchekhina Lubov V. - MD, PhD, research fellow, laboratory of age-related endocrine and metabolic disorders, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

eLibrary SPIN: 6453-5835

mlv66@list.ruhttps://orcid.org/0000-0002-6021-7864ВоробьеваН. М.VorobyevaN. M.

Воробьева Наталья Михайловна - доктор медицинских наук, заведующая лабораторией сердечно-сосудистого старения РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Vorobyeva Natalia M. - MD, PhD, Head of Laboratory of Cardiovascular Aging, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

vorobyeva_nm@rgnkc.ruhttps://orcid.org/0000-0002-5313-2715РозановА. В.RozanovA. V.

Розанов Александр Владимирович - доктор медицинских наук, помощник директора по региональному развитию и федеральным проектам РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(985)991-75-47

Rozanov Alexander V. - MD, PhD, Assistant Director for Regional Development and Federal Projects Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(985)991-75-47

rozanov_av@rgnkc.ruhttps://orcid.org/0000-0003-1222-3351ОстапенкоВ. С.OstapenkoV. S.

Остапенко Валентина Сергеевна - доктор медицинских наук, врач-гериатр, заведующая отделением гериатрической терапии, РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(916)244-59-24

Ostapenko Valentina S. - MD, PhD, Head of geriatrics department, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Тел.: +7(916)244-59-24

ostapenkovalent@yandex.ruhttps://orcid.org/0000-0003-2597-981XМхитарянЭ. А.MkhitaryanE. A.

Мхитарян Элен Араиковна - доктор медицинских наук, доцент кафедры болезней старения ФДПО РНИМУ им. Н.И. Пирогова Минздрава России, старший научный сотрудник лаборатории общей гериатрии РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(916)653-36-78

Mkhitaryan Elen A. - MD, PhD, Age-related diseases department, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(916)653-36-78

melen99@mail.ruhttps://orcid.org/0000-0002-6465-4842ШарашкинаН. В.SharashkinaN. V.

Шарашкина Наталья Викторовна - доктор медицинских наук, старший научный сотрудник лаборатории общей гериатрии и нейрогериатрии РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(903)244-27-50

Sharashkina Natalia V. - MD, PhD, head of Geriatricas and neurogeriatrics laboratory, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(903)244-27-50

sharashkina_nv@rgnkc.ruhttps://orcid.org/0000-0002-3066-4866ХовасоваН. О.KhovasovaN. O.

Ховасова Наталья Олеговна - доктор медицинских наук, доцент кафедры болезней старения ФДПО РНИМУ им. Н.И. Пирогова Минздрава России; старший научный сотрудник лаборатории заболеваний костно-мышечной системы РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центр.

Москва.

Тел.: +7(915)004-43-00

Khovasova Natalia O. - MD, PhD, associate professor, Age-related diseases Department, Pirogov National Research Medical University, senior research fellow, Laboratory of musculoskeletal diseases, Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre.

Moscow.

Tel.: +7(915)004-43-00

natashahov@mail.ruhttps://orcid.org/0000-0003-4934-5846ТюхменевЕ. А.TyukhmenevE. A.

Тюхменев Евгений Александрович - доктор медицинских наук, заместитель главного врача по медицинской части Государственного бюджетного учреждения здравоохранения Московской области МОНИКИ им. М.Ф. Владимирского.

Москва.

Тел.: +7(916)597-74-06

eLibrary SPIN: 7746-8110

Researcher ID Web of Science: S-1048-2016

Tyukhmenev Evgeniy A. - MD, PhD, Depute Chief Physician, Vladimirsky Moscow Regional Research and Clinical Institute.

Moscow.

Tel.: +7(916)597-74-06

eLibrary SPIN: 7746-8110

Researcher ID Web of Science: S-1048-2016

e.tyukhmenev@monikiweb.ruБабенкоИ. В,BabenkoI. V.

Бабенко Илья Владимирович - доктор медицинских наук, руководитель Федерального центра координации деятельности субъектов Российской Федерации по развитию организации оказания медицинской помощи по профилю «гериатрия» Минздрава России.

Москва.

Babenko Ilya V. - PhD, Head of the Federal Center for Coordination of the Activities of the Subjects of the Russian Federation on the Development of the Organization of Medical Care in the Geriatrics Profile of the Ministry of Health of Russia.

Moscow.

https://orcid.org/0000-0002-0143-0614ЛеснякО. М.LesnyakO. M.

Лесняк Ольга Михайловна - доктор медицинских наук, профессор, профессор кафедры семейной медицины СЗГМУ им. И.И. Мечникова Минздрава России; заведующая консультативно-диагностическим центром профилактики остеопороза, Клиническая ревматологическая больница № 25.

Санкт-Петербург.

Тел.: +7(965)814-07-01

Lesnyak Olga M. - MD, PhD, Professor, Professor of the Department of Family Medicine North-Western State Medical University named after I.I. Mechnikov of the Russian Federation Ministry of Healthcare; Head of the Consultative and Diagnostic Center for the Prevention of Osteoporosis of the Clinical Rheumatology Hospital № 25.

Sankt-Peterburg.

Tel.: +7(965)814-07-01

olga.m.lesnyak@yandex.ruhttps://orcid.org/0000-0002-7856-1567БеловаК. Ю.BelovaK. Yu.

Белова Ксения Юрьевна - доктор медицинских наук, заведующая областным лечебно-диагностическим центром остеопороза, Клиническая больница скорой медицинской помощи имени Н.В. Соловьева; доцент кафедры терапии имени профессора Е.Н. Дормидонтова ЯГМУ Минздрава России.

Ярославль.

Тел.: +7(905)633-21-35

Belova Ksenia Yu. - MD, PhD, Head of Regional diagnostics and Treatment Osteoporosis Centre, Soloviev A&E Clinical Hospital; assistant professor, Internal Diseases Department, named after prof. Dormidontov, Yaroslavl State Medical University.

Yaroslavl.

Tel.: +7(905)633-21-35

ksbelova@mail.ruhttps://orcid.org/0000-0003-4010-1888ЕвстигнееваЛ. П.EvstigneevaL. P.

Евстигнеева Людмила Петровна - доктор медицинских наук, профессор, УГМУ Минздрава России.

Екатеринбург.

Тел.: +7(922)204-97-85

Evstigneeva Ludmila P. - MD, PhD, professor, Federal State Budget Educational Institution of Higher Education «Ural State Medical University» of the Ministry of Health of the Russian Federation.

Yekaterinburg.

Tel.: +7(922)204-97-85

https://orcid.org/0000-0001-7167-2187ЕршоваО. Б.ErshovaO. B.

Ершова Ольга Борисовна - доктор медицинских наук, профессор, профессор кафедры терапии имени профессора Е.Н. Дормидонтова ЯГМУ Минздрава России.

Ярославль.

Тел.: +7(915)960-42-46

Ershova Olga B. - MD, PhD, professor, Internal Diseases Department, named after prof. Dormidontov, Yaroslavl State Medical University.

Yaroslavl.

Tel.: +7(915)960-42-46

РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov Russian National Research Medical University, Russian Gerontology Research and Clinical CentreRussian FederationМосковский областной научно-исследовательский клинический институт им. М.Ф. ВладимирскогоРоссияPhysician, Moscow Regional Research and Clinical Institute (MONIKI)Russian FederationСеверо-западный государственный медицинский университет имени И.И. Мечникова Минздрава РоссииРоссияThe North-Western State Medical University named after I.I. MechnikovRussian FederationЯрославский государственный медицинский университетРоссияYaroslavl State Medical UniversityRussian FederationУральский государственный медицинский университетРоссияUral State Medical UniversityRussian Federation20210108202102153185Copyright © Ткачева О.Н., Котовская Ю.В., Мильто А.С., Рунихина Н.К., Фролова Е.В., Наумов А.В., Дудинская Е.Н., Мачехина Л.В., Воробьева Н.М., Розанов А.В., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Ховасова Н.О., Тюхменев Е.А., Бабенко И.В., Лесняк О.М., Белова К.Ю., Евстигнеева Л.П., Ершова О.Б., 20212021Ткачева О.Н., Котовская Ю.В., Мильто А.С., Рунихина Н.К., Фролова Е.В., Наумов А.В., Дудинская Е.Н., Мачехина Л.В., Воробьева Н.М., Розанов А.В., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Ховасова Н.О., Тюхменев Е.А., Бабенко И.В., Лесняк О.М., Белова К.Ю., Евстигнеева Л.П., Ершова О.Б.Tkacheva O.N., Kotovskaya Y.V., Mil'to A.S., Runihina N.K., Frolova E.V., Naumov A.V., Dudinskaya E.N., Matchekhina L.V., Vorobyeva N.M., Rozanov A.V., Ostapenko V.S., Mkhitaryan E.A., Sharashkina N.V., Khovasova N.O., Tyukhmenev E.A., Babenko I.V., Lesnyak O.M., Belova K.Y., Evstigneeva L.P., Ershova O.B.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/173

Падения в пожилом и старческом возрасте являются одним из главных гериатрических синдромов (ГС), определяющих прогноз жизни и автономности пациента независимо от последствий. По оценкам экспертов 33% лиц 65 лет и старше имеют анамнез падений, при этом 50% из них падают более одного раза в год. Распространенность падений зависит от условий пребывания пожилого человека: она выше более, чем в 10 раз, у находящихся в домах престарелых и больницах, чем у проживающих дома. У лиц 65 лет и старше падения являются наиболее частой причиной травм и ведущей причиной смерти вследствие травматических повреждений. Падения тесно связанны с другими гериатрическими синдромами. Важно понимать, что падения предотвратимы. Профилактика падений является неотъемлемой частью ведения пациента пожилого и старческого возраста.

Falls in old and senile age is one of the main geriatric syndromes that determine the prognosis of a patient's life and autonomy, regardless of the consequences. According to experts, 33% of people 65 years of age and older have a history of falls, with 50% of them falling more than once a year. The prevalence of falls depends on the environment of older person: falls rate is more than 10 times higher for older people in nursing homes and hospitals than in those living at home. For people 65 years of age and older, falls is the most common cause of injury and the leading cause of death due to traumatic injury. Falls are closely related to other geriatric syndromes. It is important to understand that falls are preventable. Falls prevention is an integral part management of older and senile patients management.

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The authors declare that there are no conflicts of interest present.