Balance, risk of falls, risk factors and fall-related costs in individuals with diabetes

Autor: Manuel Castro Cabezas, Erwin Birnie, Shelly van Nieuwkasteele, Willem D. Rinkel, J. Henk Coert, Johan W. van Neck
Přispěvatelé: Plastic and Reconstructive Surgery and Hand Surgery, Health Psychology Research (HPR)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Endocrinology
Diabetes and Metabolism
Sensory loss
Poison control
Type 2 diabetes
0302 clinical medicine
Endocrinology
Diabetic Neuropathies
Risk Factors
030212 general & internal medicine
Postural Balance
POPULATION
education.field_of_study
COMPLICATIONS
Incidence (epidemiology)
Medical record
General Medicine
Middle Aged
Diabetes and Metabolism
Cohort
RELIABILITY
Female
Falls
NERVE DECOMPRESSION
Balance
medicine.medical_specialty
Population
030209 endocrinology & metabolism
IMPAIRMENTS
THRESHOLD
03 medical and health sciences
SDG 3 - Good Health and Well-being
PEOPLE
Internal medicine
Diabetes mellitus
Internal Medicine
medicine
Humans
education
OLDER-ADULTS
Aged
business.industry
NEUROPATHY
PEDAL SENSIBILITY
medicine.disease
Diabetic foot
Neuropathy
Costs
Diabetes Mellitus
Type 2
Accidental Falls
business
Zdroj: Diabetes Research and Clinical Practice, 158. Elsevier Ireland Ltd
Diabetes Research & Clinical Practice, 158:107930. Elsevier Ireland Ltd
Diabetes Research and Clinical Practice, 158:107930. ELSEVIER IRELAND LTD
ISSN: 0168-8227
Popis: Aims: Sensory loss and impaired balance are considered risk factors of incident falls. The aim of this study was to assess the relationship between degree of foot sensation and balance, risk of falls, incidence of fall-related injuries and costs in a cohort of patients with diabetes.Methods: (Non)-neuropathic subjects participating in the Rotterdam Diabetic Foot Study were followed prospectively. Subjects underwent sensory testing of the feet (39 item Rotterdam Diabetic Foot Study Test Battery (RDF-39)); balance was assessed at the second follow-up (Brief-BESTest) as were data on incident falls. Medical records and financial data were abstracted to estimate fall-related morbidity and in-hospital costs.Results: A higher RDF-39 score, cerebral artery disease, type 2 diabetes, height and age were predictors of the Brief-BESTest total score. 41/296 patients (13.9%) reported two or more falls during follow-up. Predictors for recurrent falls were a higher RDF-39 score (aOR: 1.124, p Conclusions: Degree of sensory loss correlates significantly with an increased imbalance and risk of falls. The RDF-39 may be used as stratification tool in medical decision-making and patient information. (C) 2019 The Authors. Published by Elsevier B.V.
Databáze: OpenAIRE
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