The clinical case of a patient with syndrome of the falls
https://doi.org/10.37586/2686-8636-4-2020-350-356
Abstract
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.
About the Authors
V. I. Moroz
Department of aging diseases of Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Age-related diseases Department
Moscow
A. V. Naumov
Department of aging diseases of Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
MD, PhD, Head of bone and muscular diseases laboratory
Moscow
N. O. Khovasova
Department of aging diseases of Pirogov Russian National Research Medical University of Ministry of Health of the Russian Federation, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
MD, PhD, associate professor, Age-related diseases Department
Moscow
References
1. Ткачева О.Н. Гериатрия/Ткачева О.Н., Фролова Е.В., Яхно Н.Н. — М.: ГЭОТАР — Медиа, 2018. — 608 с. (Серия «Национальные руководства»)
2. 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): 545–554
3. Nancy 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_3
4. Клинические рекомендации министерства здравоохранения Российской федерации «Старческая астения». 2018; 8–9
5. Nancy 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_3
6. 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]
7. 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): 299–303
8. Web-based Injury Statistics Queryand Reporting System (WISQARS) website. https://www.cdc.gov/injury/wisqars/.2016. Accessed November 8, 2017.
9. Fuller G.F. (2000). Falls in the elderly. Am Fam Physician, 61(7): 2159–68; 2173–4
10. Stenhagen 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/10.1186/1471-2318-13-81
11. Panel 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.x
12. 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): 299–303
13. Leipzig 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: 30–39
14. Baron 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.0000000000000753
15. Stephen 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
Review
For citations:
Moroz V.I., Naumov A.V., Khovasova N.O. The clinical case of a patient with syndrome of the falls. Russian Journal of Geriatric Medicine. 2020;(4):350-356. (In Russ.) https://doi.org/10.37586/2686-8636-4-2020-350-356
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