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Management of falls among older adults through a balance and falls prevention workshop in a geriatric day hospital: A prospective observational study

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2022. Ressources en ligne : Abrégé : Introduction. Falls are a major public health problem as a result of the high frequency of these events and morbidity/mortality among older persons. A prevention policy could offer a way to reduce the incidence of falls. This study aimed to assess the impact of a balance workshop in a geriatric day hospital (GDH) on the prevention of falls among older adults. Method. This was a prospective, single-center study conducted in the GDH of a general hospital. Motor tests and a psychological assessment were performed at 2 months (M2), 6 months (M6), and 1 year (M12). Results. Sixty-five patients were included, aged 82.0 ± 7.7 years. Fifty-eight were women (89.2%). The statistical analyses showed a significant improvement in all motor tests during follow-up at the defined intervals. The time taken in the Timed Up and Go test (s) significantly decreased between patients’ initial inclusion in the study, 19.1 ± 8.2, and M2, 15.8 ± 6.6 (P = 0.01 inclusion vs M2). It was then stable at M6, 16.4 ± 6.9 (P = 0.04 inclusion vs M6) and at M12, 16.3 ± 6.4 (P = 0.04 inclusion vs M12). There was also significant psychological improvement throughout follow-up. The score on the Falls Efficacy Scale International-I decreased from 11.6 ± 6.1 at the time of inclusion to 8.2 ± 5.5 at M2 (P = 0.001 inclusion vs M2), 9.2 ± 6.0 at M6 (P = 0.02 inclusion vs M6), and 9.0 ± 6.1 at M12 (P = 0.02 inclusion vs M12). Conclusion. This study highlights the value and the need for balancing workshops in primary care.
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Introduction. Falls are a major public health problem as a result of the high frequency of these events and morbidity/mortality among older persons. A prevention policy could offer a way to reduce the incidence of falls. This study aimed to assess the impact of a balance workshop in a geriatric day hospital (GDH) on the prevention of falls among older adults. Method. This was a prospective, single-center study conducted in the GDH of a general hospital. Motor tests and a psychological assessment were performed at 2 months (M2), 6 months (M6), and 1 year (M12). Results. Sixty-five patients were included, aged 82.0 ± 7.7 years. Fifty-eight were women (89.2%). The statistical analyses showed a significant improvement in all motor tests during follow-up at the defined intervals. The time taken in the Timed Up and Go test (s) significantly decreased between patients’ initial inclusion in the study, 19.1 ± 8.2, and M2, 15.8 ± 6.6 (P = 0.01 inclusion vs M2). It was then stable at M6, 16.4 ± 6.9 (P = 0.04 inclusion vs M6) and at M12, 16.3 ± 6.4 (P = 0.04 inclusion vs M12). There was also significant psychological improvement throughout follow-up. The score on the Falls Efficacy Scale International-I decreased from 11.6 ± 6.1 at the time of inclusion to 8.2 ± 5.5 at M2 (P = 0.001 inclusion vs M2), 9.2 ± 6.0 at M6 (P = 0.02 inclusion vs M6), and 9.0 ± 6.1 at M12 (P = 0.02 inclusion vs M12). Conclusion. This study highlights the value and the need for balancing workshops in primary care.

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