Falls in hemodialysis patients: a 12 month prospective pilot study
DOI:
https://doi.org/10.34019/1982-8047.2021.v47.34069Keywords:
Accidental Falls, Renal Dialysis, Chronic Kidney FailureAbstract
Introduction: Complications caused by chronic kidney disease and hemodialysis (HD) increase the risk of falls. Objectives: The primary objective was to assess the incidence rate of falls over 12 months. The secondary objectives were to compare characteristics between patients with a history of falls and without a history of falls, and between fallers and recurrent fallers. Material and Methods: A 12 month longitudinal prospective pilot study was conducted with 43 patients on HD (54.9 ± 8.4 years; 58.1% male), assessed for physical function by the Mini Balance Evaluation Systems Test, Timed Up and Go, Gait Speed Measured over 4m (4-MGS) and 10-repetitions sit-to-stand test, and later, observed for 12 months. The incidence rate was provided in falls/person-year and comparisons between groups were performed by the Student's t-test, Mann-Whitney U test or Chi-square. Results: The incidence rate of falls was 0.27 (IC95%: 0.09–0.45) falls/person-year. Patients with a history of falls (n= 33) had a higher prevalence of hyperparathyroidism (p= 0.024) and lower gait speed compared to those without a history of falls (p= 0.007). Recurrent fallers patients (n= 5) were older (p = 0.043) and had a lower hemoglobin level (p= 0.032) compared to fallers. The 4-MGS had a sensitivity of 80% and specificity of 78.8% to discriminate patients with and without history of falls. Conclusion: The incidence rate of falls was 0.27 falls/person-year, and those with a history of falls have a higher prevalence of hyperparathyroidism and lower gait speed, and recurrent fallers are older and have a lower hemoglobin level. In addition, gait speed was able to discriminate patients with and without a history of falls.
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Copyright (c) 2021 Luciana Angélica da Silva de Jesus, Leda Marília Fonseca Lucinda, Rafael Ferreira Cobucci , Henrique Barreto de Oliveira , Pedro Roberto Bacelar Rangel, Bernardo Cardoso Batista de Oliveira, Gabriel Ribeiro Pereira , Maycon Moura Reboredo
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