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Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 4/2009

01-08-2009 | Artikel

Vallen: Incidentie en risicofactoren bij patiënten met een beroerte

Een systematisch literatuuronderzoek

Auteurs: Drs. M. Rensink, M. Schuurmans, E. Lindeman, T. B. Hafsteinsdóttir

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 4/2009

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Samenvatting

Valincidenten komen veel voor bij patiënten na een beroerte. Deze literatuurstudie geeft een overzicht van de incidentie en de risicofactoren. Naast algemene valpreventie is het belangrijk rekening te houden met de specifieke problemen die gerelateerd zijn aan een hoger valrisico na een beroerte, zoals een depressie en cognitie stoornissen. Uit de geïncludeerde studies komt een aantal risicofactoren naar voren, zoals het zich verplaatsen van bed naar stoel, lopen naar badkamer en toilet, en de eerste dagen na het ontslag naar huis. Een keer gevallen zijn tijdens de ziekenhuisopname is een significante risicofactor voor latere valincidenten. Een meetinstrument om het risiconiveau betrouwbaar in te schatten is er (nog) niet. Scores op een aantal meetinstrumenten zoals de Barthel Index en de Timed-Up-and-Go test kunnen gebruikt worden als indicatoren voor een verhoogd risico. Na een val kan angst om te vallen ontstaan, waardoor het activiteitenniveau van patiënten vermindert. Het wordt aanbevolen om voor het ontslag naar huis patiënten een test af te nemen naar het vertrouwen in de balanshandhaving bij verschillende activiteiten. In de weinige studies waarin valincidenten een uitkomstmaat zijn, blijkt intensieve oefentherapie gericht op balansverbetering het aantal valincidenten te verminderen.
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Metagegevens
Titel
Vallen: Incidentie en risicofactoren bij patiënten met een beroerte
Een systematisch literatuuronderzoek
Auteurs
Drs. M. Rensink
M. Schuurmans
E. Lindeman
T. B. Hafsteinsdóttir
Publicatiedatum
01-08-2009
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 4/2009
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/BF03079581

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