[article]
| Titre : |
Predicting falls with the cognitive timed up-and-go dual task in frail older patients |
| Type de document : |
texte imprimé |
| Auteurs : |
Charlotte Cardon-Verbecq, Auteur ; Marine Loustau, Auteur ; Emilie Guitard, Auteur |
| Année de publication : |
2017 |
| Article en page(s) : |
p. 83-86 |
| Langues : |
Anglais (eng) Français (fre) |
| Mots-clés : |
Chute Personne âgée Test Malnutrition Fonction cognitive TUG,Dual task TUG,Falls,Older age,Malnutrition,Handgrip strength,Frailty |
| Résumé : |
Background: The cognitive timed up-and-go dual task (CogTUG) has been proposed to improve the performance of the timed up-and-go (TUG) test for predicting falls in older patients and as a screening tool for early detection of frailty. We aimed to determine whether the CogTUG score is associated with a history of falls in frail older outpatients with gait disorders.
Methods: This retrospective study involved outpatients >75 years old with or without previous falls who were admitted from 2012 to 2014 to a geriatric day hospital for gait disorders. Patients took the TUG and CogTUG tests on the day of comprehensive geriatric assessment.
Results: Among the 161 patients included (157 analyzed; mean age 84.4+6.2 years; 72% women), 84 (53.5%) had fallen in the previous year: 105 (66.9%) were considered pre-frail and 52 (33.1%) frail. As compared with non-fallers, fallers had lower Tinetti balance scores (P= 0.0004) and handgrip strength (P= 0.03), more lost weight (P= 0.04), and they took longer to perform the TUG test (P= 0.04). Fallers and non-fallers did not differ in time taken to perform the CogTUG test (30.7+11.2 vs. 28.5+10.2s, P= 0.20). History of falls was associated with only weight loss (odds ratio 3.43; 95% CI 1.13–11.30, P= 0.03) and handgrip strength (0.88; 0.78–0.97, P= 0.02) on multivariate analysis.
Conclusion: Unlike TUG scores, the CogTUG score was not associated a history of falls in frail older outpatients with gait disorders. Our results underline that weight loss and low muscle strength are related to falls. |
| Permalink : |
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in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 83-86
[article] Predicting falls with the cognitive timed up-and-go dual task in frail older patients [texte imprimé] / Charlotte Cardon-Verbecq, Auteur ; Marine Loustau, Auteur ; Emilie Guitard, Auteur . - 2017 . - p. 83-86. Langues : Anglais ( eng) Français ( fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 83-86
| Mots-clés : |
Chute Personne âgée Test Malnutrition Fonction cognitive TUG,Dual task TUG,Falls,Older age,Malnutrition,Handgrip strength,Frailty |
| Résumé : |
Background: The cognitive timed up-and-go dual task (CogTUG) has been proposed to improve the performance of the timed up-and-go (TUG) test for predicting falls in older patients and as a screening tool for early detection of frailty. We aimed to determine whether the CogTUG score is associated with a history of falls in frail older outpatients with gait disorders.
Methods: This retrospective study involved outpatients >75 years old with or without previous falls who were admitted from 2012 to 2014 to a geriatric day hospital for gait disorders. Patients took the TUG and CogTUG tests on the day of comprehensive geriatric assessment.
Results: Among the 161 patients included (157 analyzed; mean age 84.4+6.2 years; 72% women), 84 (53.5%) had fallen in the previous year: 105 (66.9%) were considered pre-frail and 52 (33.1%) frail. As compared with non-fallers, fallers had lower Tinetti balance scores (P= 0.0004) and handgrip strength (P= 0.03), more lost weight (P= 0.04), and they took longer to perform the TUG test (P= 0.04). Fallers and non-fallers did not differ in time taken to perform the CogTUG test (30.7+11.2 vs. 28.5+10.2s, P= 0.20). History of falls was associated with only weight loss (odds ratio 3.43; 95% CI 1.13–11.30, P= 0.03) and handgrip strength (0.88; 0.78–0.97, P= 0.02) on multivariate analysis.
Conclusion: Unlike TUG scores, the CogTUG score was not associated a history of falls in frail older outpatients with gait disorders. Our results underline that weight loss and low muscle strength are related to falls. |
| Permalink : |
./index.php?lvl=notice_display&id=51686 |
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