geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-4-2020-350-356geriatr-89Research ArticleКЛИНИЧЕСКИЕ РАЗБОРЫCLINICAL CASESКлинический случай пациента с синдромом паденийThe clinical case of a patient with syndrome of the fallshttps://orcid.org/0000-0001-6040-1090МорозВ. И.MorozV. I.

Мороз Виктория Ивановна, ассистент кафедры

Москва

Телефон: +7(985)516-09-51

Age-related diseases Department

Moscow

vikulya-moroz@yandex.ruhttps://orcid.org/0000-0002-6253-621XНаумовА. В.NaumovA. V.

Наумов Антон Вячеславович, д-р мед. наук, профессор кафедры

Москва

MD, PhD, Head of bone and muscular diseases laboratory

Moscow

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

Ховасова Наталья Олеговна, канд. мед. наук, доцент кафедры, старший научный сотрудник лаборатории заболеваний костно-мышечной системы

Москва

телефон: +7(915)004-43-00

MD, PhD, associate professor, Age-related diseases Department

Moscow

natashahov@mail.ruКафедра болезней старения ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияDepartment of aging diseases of Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical CentreRussian Federation20200301202104350356Copyright © Мороз В.И., Наумов А.В., Ховасова Н.О., 20212021Мороз В.И., Наумов А.В., Ховасова Н.О.Moroz V.I., Naumov A.V., Khovasova N.O.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/89

Данный клинический случай демонстрирует пациента с синдромом падений, тяжелым последствием которого стал перелом ребер. Пациент был всесторонне обследован с целью выявления вероятных причин и факторов риска падений. По результатам физикального осмотра, комплексной гериатрической оценки и дополнительных методов исследования были выявлены такие гериатрические синдромы, как старческая астения, синдром падений, дефицит витамина D, периферическая полинейропатия, а также гемодинамически значимый стеноз внутренней сонной артерии. Таким образом, в результате обследования у пациента были выявлены 7 факторов риска падений, которые оказались полностью или частично модифицируемыми.

This case shows a patient with a fall syndrome, which resulted in a severe rib fracture. The patient was thoroughly examined to identify the probable causes and risk factors for falls. The results of physical examination, comprehensive geriatric assessment and additional research methods revealed such geriatric syndromes as frailty, falls syndrome, vitamin D deficiency, peripheral polyneuropathy, and carotid artery stenosis. Thus, as a result of the examination, 7 risk factors for falls were identified in the patient, which turned out to be fully or partially modifiable.

гериатрический синдромпаденияхроническая больстарческая астенияфакторы риска паденийкомплексная гериатрическая оценкаgeriatric syndromefallschronic painfrailtyrisk factors for fallscomprehensive geriatric assessmentReferencesТкачева О.Н. Гериатрия/Ткачева О.Н., Фролова Е.В., Яхно Н.Н. — М.: ГЭОТАР — Медиа, 2018. — 608 с. (Серия «Национальные руководства»)Ткачева О.Н. Гериатрия/Ткачева О.Н., Фролова Е.В., Яхно Н.Н. — М.: ГЭОТАР — Медиа, 2018. — 608 с. (Серия «Национальные руководства»)Soriano T.A., DeCherrie L.V., Thomas D.C. Falls in the community-dwelling older adult: a review for primary-care providers. Clin Interv Aging. 2007; 2(4): 545–554Soriano T.A., DeCherrie L.V., Thomas D.C. Falls in the community-dwelling older adult: a review for primary-care providers. Clin Interv Aging. 2007; 2(4): 545–554Nancy E. Mayo, Sabrina M. Figueiredo. Falls Count and Counting Falls: Making Sense of Data About Falls. Medication-Related Falls in Older People. 2016; 13–38. DOI: 10.1007/978–3-319–32304–6_3Nancy E. Mayo, Sabrina M. Figueiredo. Falls Count and Counting Falls: Making Sense of Data About Falls. Medication-Related Falls in Older People. 2016; 13–38. DOI: 10.1007/978–3-319–32304–6_3Клинические рекомендации министерства здравоохранения Российской федерации «Старческая астения». 2018; 8–9Клинические рекомендации министерства здравоохранения Российской федерации «Старческая астения». 2018; 8–9Nancy E. Mayo, Sabrina M. Figueiredo. Falls Count and Counting Falls: Making Sense of Data About Falls. Medication-Related Falls in Older People. 2016;13–38. DOI: 10.1007/978–3-319–32304–6_3Nancy E. Mayo, Sabrina M. Figueiredo. Falls Count and Counting Falls: Making Sense of Data About Falls. Medication-Related Falls in Older People. 2016;13–38. DOI: 10.1007/978–3-319–32304–6_3Sarah D. Berry, Douglas P. Kiel. Falls as Risk Factors for Fracture. Osteoporosis. 2013; 803–815. DOI: 10.1016/b978–0-12–415853–5.00033–9]Sarah D. Berry, Douglas P. Kiel. Falls as Risk Factors for Fracture. Osteoporosis. 2013; 803–815. DOI: 10.1016/b978–0-12–415853–5.00033–9]Mizukami S., Arima K., Abe Y., Kanagae M., Kusano Y., Niino N., Aoyagi K. (2013). Falls are associated with stroke, arthritis and multiple medications among community-dwelling elderly persons in Japan. Tohoku J Exp Med, 231( 4): 299–303Mizukami S., Arima K., Abe Y., Kanagae M., Kusano Y., Niino N., Aoyagi K. (2013). Falls are associated with stroke, arthritis and multiple medications among community-dwelling elderly persons in Japan. Tohoku J Exp Med, 231( 4): 299–303Web-based Injury Statistics Queryand Reporting System (WISQARS) website. https://www.cdc.gov/injury/wisqars/.2016. Accessed November 8, 2017.Web-based Injury Statistics Queryand Reporting System (WISQARS) website. https://www.cdc.gov/injury/wisqars/.2016. Accessed November 8, 2017.Fuller G.F. (2000). Falls in the elderly. Am Fam Physician, 61(7): 2159–68; 2173–4Fuller G.F. (2000). Falls in the elderly. Am Fam Physician, 61(7): 2159–68; 2173–4Stenhagen M., Ekström H., Nordell E., Elmståhl S. Falls in the general elderly population: a 3-and 6- year prospective study of risk factors using data from the longitudinal population study «Good ageing in Skane» BMC Geriatrics. 2013; 13: 81. https://doi.org/10.1186/1471-2318-13-81Stenhagen M., Ekström H., Nordell E., Elmståhl S. Falls in the general elderly population: a 3-and 6- year prospective study of risk factors using data from the longitudinal population study «Good ageing in Skane» BMC Geriatrics. 2013; 13: 81. https://doi.org/10.1186/1471-2318-13-81Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society. 2011; 59(1): 148–157. https://doi.org/10.1111/j.1532-5415.2010.03234.xPanel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. Journal of the American Geriatrics Society. 2011; 59(1): 148–157. https://doi.org/10.1111/j.1532-5415.2010.03234.xMizukami S., Arima K., Abe Y., Kanagae M., Kusano Y., Niino N., Aoyagi K. (2013). Falls are associated with stroke, arthritis and multiple medications among community-dwelling elderly persons in Japan. Tohoku J Exp Med, 231( 4): 299–303Mizukami S., Arima K., Abe Y., Kanagae M., Kusano Y., Niino N., Aoyagi K. (2013). Falls are associated with stroke, arthritis and multiple medications among community-dwelling elderly persons in Japan. Tohoku J Exp Med, 231( 4): 299–303Leipzig R.M., Cumming R.G., Tinetti M.E. Drugs and falls in older people: A systematic review and meta-analysis: I. Psychotropic drugs. J Am Geriatr Soc 1999; 47: 30–39Leipzig R.M., Cumming R.G., Tinetti M.E. Drugs and falls in older people: A systematic review and meta-analysis: I. Psychotropic drugs. J Am Geriatr Soc 1999; 47: 30–39Baron R., Maier C., Attal N., Binder A., Bouhassira D., Cruccu G., Nanna B. Finnerup N.B., Haanpää M., Hansson P., Hüllemann P., Troels S. Jensen T.S., Freynhagen R., Jeffrey D. Kennedy J.D., Magerl W., Mainka T., Reimer M., Rice A.S.C., Segerdahl M., Serra J., Sindrup S., Sommer C., Tölle T., Vollert J., Treede R.-D. Peripheral neuropathic pain: a mechanism-related organizing principle based on sensory profiles. Pain. 2017; 158(2): 261–272. https://doi.org/10.1097/j.pain.0000000000000753Baron R., Maier C., Attal N., Binder A., Bouhassira D., Cruccu G., Nanna B. Finnerup N.B., Haanpää M., Hansson P., Hüllemann P., Troels S. Jensen T.S., Freynhagen R., Jeffrey D. Kennedy J.D., Magerl W., Mainka T., Reimer M., Rice A.S.C., Segerdahl M., Serra J., Sindrup S., Sommer C., Tölle T., Vollert J., Treede R.-D. Peripheral neuropathic pain: a mechanism-related organizing principle based on sensory profiles. Pain. 2017; 158(2): 261–272. https://doi.org/10.1097/j.pain.0000000000000753Stephen R. Lord, Catherine Sherrington, Hylton B. Menz, Jacqueline C.T. Close. Medical management of older people at risk of falls. Falls in Older People. 2007; 240–263. DOI:10.1017/cbo9780511722233.014Stephen R. Lord, Catherine Sherrington, Hylton B. Menz, Jacqueline C.T. Close. Medical management of older people at risk of falls. Falls in Older People. 2007; 240–263. DOI:10.1017/cbo9780511722233.014

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