[Falls among hemodialysis patients: Incidence and risk factors].

Autor: Noto-Kadou-Kaza B; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc. Electronic address: bfanotokadoukaza@yahoo.fr., Teuwafeu DG; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Sabi KA; Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio de Lomé, Lomé, Togo., Zenasni N; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Amekoudi EY; Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio de Lomé, Lomé, Togo., Tsevi CM; Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio de Lomé, Lomé, Togo., Mahamat M; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Bikinga YA; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., El Khayat S; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Zamd M; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Medkouri G; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Benghanem MG; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc., Ramdani B; Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
Jazyk: francouzština
Zdroj: Nephrologie & therapeutique [Nephrol Ther] 2015 Jul; Vol. 11 (4), pp. 246-9. Date of Electronic Publication: 2015 Jun 17.
DOI: 10.1016/j.nephro.2015.03.004
Abstrakt: Falls and mineral and bones disorders are both implicated in the occurrence of pathological fractures in patients undergoing chronic dialysis. However, data on falls among this population are rare. We carried out a prospective study during four weeks and included 70 patients on chronic hemodialysis with the main objectives being to evaluate the incidence of falls and factors related to it. At the end of the four weeks, 16 patients (22.86%) fell at least once, with a total of 17 falls during 4 weeks, giving an incidence of 3.2 falls per patient/year. The mean age was 40 ± 16 years. Five patients (31.2%) had a past history of pathological fractures. Ten patients (62.5%) presented intra- and post-dialysis hypotension, six (37.5%) was diagnosed of gait disorders and two (12.5%) had sensory deficit of the lower limbs. Six patients (37.5%) presented frailty. Hypotension (P=0.004), frailty (P=0.047) and sensory deficit (P=0.049) were significantly associated with the occurrence of falls. The incidence of falls is relatively high in our hemodialysis patients and real risk factors exist. Hence, it is important to implement programs for falls prevention to reduce their incidence and impact.
(Copyright © 2015 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.)
Databáze: MEDLINE
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