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Российский журнал гериатрической медицины

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Падения у пациентов пожилого и старческого возраста. Клинические рекомендации

https://doi.org/10.37586/2686-8636-2-2021-148-174

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Аннотация

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.

Об авторах

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

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Россия

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

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

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

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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.

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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.

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

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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.

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

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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.

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Северо-западный государственный медицинский университет имени И.И. Мечникова Минздрава России
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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. Падения у пациентов пожилого и старческого возраста. Клинические рекомендации. Российский журнал гериатрической медицины. 2021;(2):153-185. https://doi.org/10.37586/2686-8636-2-2021-148-174

For citation:


Tkacheva O.N., Kotovskaya Yu.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.Yu., Evstigneeva L.P., Ershova O.B. Falls in older and senile patients. Clinical giudelines. Russian Journal of Geriatric Medicine. 2021;(2):153-185. (In Russ.) https://doi.org/10.37586/2686-8636-2-2021-148-174

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