Clinical analysis of risk factors for falls in patients with dementia

VernacularTitle:老年痴呆患者跌倒危险因素的临床分析
Author: Shouzi ZHANG ; Jing LI ; Dongmei MAN ; Wenjie LI ; Li ZHANG ; Weishan WANG
Publication Type:Journal Article
Keywords: Dementia; Falls; Risk factors
From: Chinese Journal of Geriatrics 2009;28(6):466-468
CountryChina
Language:Chinese
Abstract: Objective To explore the risk factors for falls in patients with dementia. Methods Totally 118 patients diagnosed with dementia were divided into fails group and no fails group. The scores of mini-mental state examination (MMSE), clinical dementia rating (CDR) , activity of daily living scale (ADL), neuropsychiatric inventory (NPI) and unified Parkinson's disease rating scale (UPDRS) were compared between the two groups. The relationship between falls and their risk factors were analyzed by logistic regression model. Results The NPI and UPDRS scores were higher in falls group than in no falls group(t=2. 237,2. 213; both P<0.05). Multivariate analysis showed that dyskinesia and behavior disorders were significantly associated with an increased risk of falls (β=0.77 and 0.86, both P<0.05). Conclusions Dyskinesia and behavior disorders may be related to fails in patients with dementia and intervention measures of these risk factors are very essential.