Added value of a triaxial accelerometer assessing gait parameters to predict falls and mortality among nursing home residents: A two-year prospective study

被引:7
作者
Buckinx, F. [1 ,2 ]
Beaudart, C. [1 ,2 ]
Slomian, J. [1 ,2 ]
Maquet, D. [3 ]
Demonceau, M. [3 ]
Gillain, S. [4 ]
Petermans, J. [4 ]
Reginster, J. Y. [1 ,2 ]
Bruyere, O. [1 ,2 ]
机构
[1] Univ Liege, Dept Publ Hlth Epidemiol & Hlth Econ, B-4000 Liege, Belgium
[2] Univ Liege, Support Unit Epidemiol & Biostat, B-4000 Liege, Belgium
[3] Univ Liege, Rehabil & Movement Sci, B-4000 Liege, Belgium
[4] CHU Liege, Dept Geriatr, Liege, Belgium
关键词
Mortality; falls; risk factors; nursing home; BODY-MASS INDEX; OLDER-ADULTS; RISK-FACTORS; 1-YEAR MORTALITY; PROGNOSTIC INDEX; PEOPLE; VARIABILITY; VALIDATION; INDICATORS; DEATH;
D O I
10.3233/THC-140883
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BACKGROUND: Gait impairment seems to be a risk factor for falls and mortality. Because gait change cannot be determined easily with classical clinical tests, some authors have suggested that it might be useful to use a gait-analysis system among elderly community-dwelling people. OBJECTIVE: The main objective of the present study was to determine the predictive value of a quantitative evaluation of the gait characteristics in nursing home residents for the occurrence of falls and death performed using a tri-axial accelerometer (Locometrix (R)). MATERIAL AND METHODS: One hundred elderly nursing home residents (80 women and 20 men, mean age 86.4 +/- 6.04 years) were included in this study with the aim to follow them for 2 years. Deaths and falls were systematically recorded. A quantitative evaluation of a 10-second walk was performed with a tri-axial accelerometer (Locometrix (R)). Demographic data (i.e. age, sex, body mass index) and clinical data (i.e. fall risk evaluated by the Tinetti test) were also recorded. RESULTS: During the two years of follow-up, 27 patients died. After adjustment on all potential confounding variables, only body mass index was significantly associated with the risk of mortality with an odds ratio of 0.86 (95% CI: 0.77-0.96, p = 0.04). At the end of the study period, 440 falls had occurred (mean: 4.44 +/- 6.79 falls per patient) but no single factors were independently associated with fall incidence. CONCLUSION: Our results show that a quantitative gait analysis performed using a tri-axial accelerometer is not predictive of long-term falls and mortality among nursing home residents.
引用
收藏
页码:195 / 203
页数:9
相关论文
共 37 条
[1]  
Association W. H., 2011, AG LIF COURS
[2]   Gait abnormalities in elderly fallers [J].
Auvinet, B ;
Berrut, G ;
Touzard, C ;
Moutel, L ;
Collet, N ;
Chaleil, D ;
Barrey, E .
JOURNAL OF AGING AND PHYSICAL ACTIVITY, 2003, 11 (01) :40-52
[3]   Reference data for normal subjects obtained with an accelerometric device [J].
Auvinet, B ;
Berrut, G ;
Touzard, C ;
Moutel, L ;
Collet, N ;
Chaleil, D ;
Barrey, E .
GAIT & POSTURE, 2002, 16 (02) :124-134
[4]  
Auvinet B, 2006, LETT OBSERVATOIRE MO, V19, P5
[5]   Recurrent falls and dual task-related decrease in walking speed: Is there a relationship? [J].
Beauchet, Olivier ;
Annweiler, Cedric ;
Allali, Gilles ;
Berrut, Gilles ;
Herrmann, Francois R. ;
Dubost, Veronique .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2008, 56 (07) :1265-1269
[6]   Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial [J].
Bogaerts, An ;
Delecluse, Christophe ;
Boonen, Steven ;
Claessens, Albrecht L. ;
Milisen, Koen ;
Verschueren, Sabine M. P. .
GAIT & POSTURE, 2011, 33 (03) :466-472
[7]   Highest prevalence of vitamin D inadequacy in institutionalized women compared with noninstitutionalized women: a case-control study [J].
Bruyere, Olivier ;
Decock, Caroline ;
Delhez, Melanie ;
Collette, Julien ;
Reginster, Jean-Yves .
WOMENS HEALTH, 2009, 5 (01) :49-54
[8]   Prediction of mortality in community-living frail elderly people with long-term care needs [J].
Carey, Elise C. ;
Covinsky, Kenneth E. ;
Lui, Li-Yung ;
Eng, Catherine ;
Sands, Laura P. ;
Walter, Louise C. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2008, 56 (01) :68-75
[9]  
da Costa EM, 2012, ARCH PUBLIC HEALTH, V70, DOI 10.1186/0778-7367-70-1
[10]   Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis [J].
Deandrea, Silvia ;
Bravi, Francesca ;
Turati, Federica ;
Lucenteforte, Ersilia ;
La Vecchia, Carlo ;
Negri, Eva .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2013, 56 (03) :407-415