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01-08-2005 | Artikel

Voorkomen dat ouderen vallen

Een sleutelrol voor valklinieken

Auteur: M. H. Emmelot-Vonk

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 4/2005

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Samenvatting

Vallen is een belangrijk probleem onder ouderen, omdat het vaak voorkomt en tot ernstige gevolgen kan leiden. Toch worden vaak alleen de lichamelijke gevolgen van een val behandeld en wordt er nauwelijks gekeken naar de oorzaak van de val, de aanwezige risicofactoren voor een recidief val en de mogelijkheden voor preventie . De meeste valincidenten worden multifactorieel veroorzaakt. Een groot deel van deze risicofactoren zijn modificeerbaar. Het is daarom zinvol om aan de hand van de aanwezige risicofactoren een multifactorieel interventieprogramma samen te stellen, waarmee een significante reductie van het aantal valincidenten bewerkstelligd kan worden. Het Landelijk Netwerk Valklinieken Klinische Geriatrie heeft een protocol ontwikkeld waarbij op gestandaardiseerde en evidence based wijze de risicofactoren in kaart worden gebracht en een multifactorieel interventieprogramma wordt samengesteld. Dit protocol wordt in dit artikel besproken.
Literatuur
go back to reference Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Eng J Med 1988;319:1701-1707CrossRef Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Eng J Med 1988;319:1701-1707CrossRef
go back to reference Jensen J, Lundin-Olsson L, Nyberg L, Gustafson Y. Fall and injury prevention in older people living in residentantial care facilities. Ann Intern Med 2002;136:733-741PubMed Jensen J, Lundin-Olsson L, Nyberg L, Gustafson Y. Fall and injury prevention in older people living in residentantial care facilities. Ann Intern Med 2002;136:733-741PubMed
go back to reference Stel VS, Smit JH, Pluijm SMF, Lips P. Consequences of falling in older men and women and risk factors for health service use and funcional decline. Age Ageing 2004;33:58-65CrossRefPubMed Stel VS, Smit JH, Pluijm SMF, Lips P. Consequences of falling in older men and women and risk factors for health service use and funcional decline. Age Ageing 2004;33:58-65CrossRefPubMed
go back to reference Tinetti ME, Doucette J, Claus E, Marottoli R. Risk factors for serious injury during falls by older persons in het community. J Am Geriatr Soc 1995;43:1214-1221PubMed Tinetti ME, Doucette J, Claus E, Marottoli R. Risk factors for serious injury during falls by older persons in het community. J Am Geriatr Soc 1995;43:1214-1221PubMed
go back to reference Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of filling and restriction of mobility in elderly fallers. Age Ageing 1997;26:189-193CrossRefPubMed Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ. Fear of filling and restriction of mobility in elderly fallers. Age Ageing 1997;26:189-193CrossRefPubMed
go back to reference CBO richtlijn Preventie van valincidenten bij ouderen. Van Zuiden Communications BV; 2004 CBO richtlijn Preventie van valincidenten bij ouderen. Van Zuiden Communications BV; 2004
go back to reference Graafmans WC, Ooms HM, Hofstee HMA et al. Falls in the Elderly: A Prospective Study of Risk Factors and Risk Profiles. Am J Epidemiol 1996;143:1129-1136PubMed Graafmans WC, Ooms HM, Hofstee HMA et al. Falls in the Elderly: A Prospective Study of Risk Factors and Risk Profiles. Am J Epidemiol 1996;143:1129-1136PubMed
go back to reference CBO Osteoporose. Tweede herziene richtlijn. Van Zuiden Communications BV; 2002 CBO Osteoporose. Tweede herziene richtlijn. Van Zuiden Communications BV; 2002
go back to reference Lord SR, Dayhew J, Howland A. Multifocal glasses impair edge-contrast sensitivity and depth perception and increase the risk of falls in older persons. J Am Geriatr Soc 2002;50:1760-1766CrossRefPubMed Lord SR, Dayhew J, Howland A. Multifocal glasses impair edge-contrast sensitivity and depth perception and increase the risk of falls in older persons. J Am Geriatr Soc 2002;50:1760-1766CrossRefPubMed
go back to reference Whooley MA, Avins AL, Miranda J, Browner WS. Case-finding instrument for depression. Two questions are as good as many. J Gen Intern Med 1997;12:439-445CrossRefPubMed Whooley MA, Avins AL, Miranda J, Browner WS. Case-finding instrument for depression. Two questions are as good as many. J Gen Intern Med 1997;12:439-445CrossRefPubMed
go back to reference Yesavage JA. Geriatric Depression Scale. Psychopharmacol Bull. 1988;24:709-711PubMed Yesavage JA. Geriatric Depression Scale. Psychopharmacol Bull. 1988;24:709-711PubMed
go back to reference Sheikh JL, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986;5:165-173CrossRef Sheikh JL, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986;5:165-173CrossRef
go back to reference Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinican. J Psychiatr Res 1975;12:189-198CrossRefPubMed Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinican. J Psychiatr Res 1975;12:189-198CrossRefPubMed
go back to reference Weinberg M, Samsa GP, Schmader K, Greenberg SM, Carr DB, Wildman DS. Comparing proxy and patients’ perceptions of patients’ functional status: results from an outpatient geriatric clinic. J Am Geriatr Soc 1992;40:585-588 Weinberg M, Samsa GP, Schmader K, Greenberg SM, Carr DB, Wildman DS. Comparing proxy and patients’ perceptions of patients’ functional status: results from an outpatient geriatric clinic. J Am Geriatr Soc 1992;40:585-588
go back to reference Mathias CJ, Bannister R. Investigation of autonomic disorders. In Autonomic failure : a textbook of clinical disorders of the autonomic nervous system (ed R. Bannister and C.j. Mathias) 1992;pp 255-290. Oxford, University Press Mathias CJ, Bannister R. Investigation of autonomic disorders. In Autonomic failure : a textbook of clinical disorders of the autonomic nervous system (ed R. Bannister and C.j. Mathias) 1992;pp 255-290. Oxford, University Press
go back to reference Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisted. Arch Phys Med rehabil. 1996;77:1025-1029CrossRefPubMed Hill KD, Schwarz JA, Kalogeropoulos AJ, Gibson SJ. Fear of falling revisted. Arch Phys Med rehabil. 1996;77:1025-1029CrossRefPubMed
go back to reference Tinetti ME: Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119-126PubMed Tinetti ME: Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119-126PubMed
go back to reference Mecagni C, Smith JP, Roberts KE, O’Sullivan SB. Balance and ankle range of motion in community-dwelling women aged 64 to 87 years: a correlation study. Physical Therapy 2000;80:1004-1011PubMed Mecagni C, Smith JP, Roberts KE, O’Sullivan SB. Balance and ankle range of motion in community-dwelling women aged 64 to 87 years: a correlation study. Physical Therapy 2000;80:1004-1011PubMed
go back to reference Podsiadlo D, Richardson S. The timed Up and Go: A test of basic mobility for frail elderly persons. J Am Geriatr Soc 1991;41:142-148 Podsiadlo D, Richardson S. The timed Up and Go: A test of basic mobility for frail elderly persons. J Am Geriatr Soc 1991;41:142-148
go back to reference Duncan PW, Studenski S, Chandler J, et al. Functional reach: Predicitive validity in a sample of elderly male veterans. J Gerontol 1992;47:M93-M98PubMed Duncan PW, Studenski S, Chandler J, et al. Functional reach: Predicitive validity in a sample of elderly male veterans. J Gerontol 1992;47:M93-M98PubMed
go back to reference Lundin-Olsson L, Nyberg L, Gustafson Y. “Stops walking when talking” as a predictor of falls in elerly persons. Lancet 1997;349:617CrossRefPubMed Lundin-Olsson L, Nyberg L, Gustafson Y. “Stops walking when talking” as a predictor of falls in elerly persons. Lancet 1997;349:617CrossRefPubMed
go back to reference Hoon EW de, Allum JH, Carpenter MG et al. Quantitative Assessment of the Stops Walking While Talking Test in de Elderly Arch Phys Med Rehabil 2003;84;838-842CrossRefPubMed Hoon EW de, Allum JH, Carpenter MG et al. Quantitative Assessment of the Stops Walking While Talking Test in de Elderly Arch Phys Med Rehabil 2003;84;838-842CrossRefPubMed
go back to reference Lord SR, Bashford GM. Shoe characteristics and balance in older women. J Am Geriatr Soc 1996;44;439-433 Lord SR, Bashford GM. Shoe characteristics and balance in older women. J Am Geriatr Soc 1996;44;439-433
go back to reference Koepsell TD, Wolf ME, Buchner DM et al. Footwear style and risk of falls in older aldults. J Am Geriatr Soc 2004;52:1495-1501CrossRefPubMed Koepsell TD, Wolf ME, Buchner DM et al. Footwear style and risk of falls in older aldults. J Am Geriatr Soc 2004;52:1495-1501CrossRefPubMed
go back to reference Bateni H, Maki BE. Assistive devices for balance and mobility: benefits, demands, and adverse consequences. Arch Phys Med Rehabil 2005;86:134-145CrossRefPubMed Bateni H, Maki BE. Assistive devices for balance and mobility: benefits, demands, and adverse consequences. Arch Phys Med Rehabil 2005;86:134-145CrossRefPubMed
go back to reference Stel VS, Smit JH, Pluijm SMF, Lips P. Balance and mobility performance as treatable risk factors for recurrent falling in older person. J Clin Epidemiol 2003;56:659-668CrossRefPubMed Stel VS, Smit JH, Pluijm SMF, Lips P. Balance and mobility performance as treatable risk factors for recurrent falling in older person. J Clin Epidemiol 2003;56:659-668CrossRefPubMed
go back to reference Hyatt RH, Whitelaw MN, Bhat A et al. Association of muscle strength with functional status of elderly people. Age Ageing 1990;19:330-336CrossRefPubMed Hyatt RH, Whitelaw MN, Bhat A et al. Association of muscle strength with functional status of elderly people. Age Ageing 1990;19:330-336CrossRefPubMed
go back to reference Chang JT, Morton SC, Rubenstein LZ et al. Interventions for the prevention of falls in older aldults: systemic review and meta-analysis of randomised clinical trials. BMJ 2004;328:680-686CrossRefPubMed Chang JT, Morton SC, Rubenstein LZ et al. Interventions for the prevention of falls in older aldults: systemic review and meta-analysis of randomised clinical trials. BMJ 2004;328:680-686CrossRefPubMed
go back to reference Gillespie LD, Gillespie WJ, Roberson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 2003;4:CD000340PubMed Gillespie LD, Gillespie WJ, Roberson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev 2003;4:CD000340PubMed
go back to reference American Geriatrics Society, British Geriatrcs Society, and American Academy of Orthopedic Surgeons Panel of Falls Prevention. Guidelines for the prevention of falls in older persons. J Am Geriatr Soc 2001;49:664-672 American Geriatrics Society, British Geriatrcs Society, and American Academy of Orthopedic Surgeons Panel of Falls Prevention. Guidelines for the prevention of falls in older persons. J Am Geriatr Soc 2001;49:664-672
go back to reference Day L, Fildes B, Gordon I et al. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ 2002;325;128-131CrossRefPubMed Day L, Fildes B, Gordon I et al. Randomised factorial trial of falls prevention among older people living in their own homes. BMJ 2002;325;128-131CrossRefPubMed
go back to reference Robertson MC, Campbell AJ, Gardner MM, Devlin N. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatr Soc 2002;50:905-911CrossRefPubMed Robertson MC, Campbell AJ, Gardner MM, Devlin N. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatr Soc 2002;50:905-911CrossRefPubMed
go back to reference Reidy A, Minassian DC, Vafidis G et al. Prevalence of serious eye disease and visual impairment in a north London population: population based, cross sectional study. BMJ 1998;316:1643-1646PubMed Reidy A, Minassian DC, Vafidis G et al. Prevalence of serious eye disease and visual impairment in a north London population: population based, cross sectional study. BMJ 1998;316:1643-1646PubMed
go back to reference Campbell AJ, Robertson MC, Gradner MM et al. Psychotropic medication withdraval and home-based exercise program to prevent falls : a randomised, controlled trial. J Am Geriatr Soc 1999;47:850-853PubMed Campbell AJ, Robertson MC, Gradner MM et al. Psychotropic medication withdraval and home-based exercise program to prevent falls : a randomised, controlled trial. J Am Geriatr Soc 1999;47:850-853PubMed
go back to reference Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people: a systematic rewiew and meta-analysis: I. Psychotropic drugs. J Am Geriatr Soc 1999;47:30-39PubMed Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people: a systematic rewiew and meta-analysis: I. Psychotropic drugs. J Am Geriatr Soc 1999;47:30-39PubMed
go back to reference Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people: a systematic rewiew and meta-analysis: II. Cardiac and analgesic drugs. J Am Geriatr Soc 1999;47:40-50PubMed Leipzig RM, Cumming RG, Tinetti ME. Drugs and falls in older people: a systematic rewiew and meta-analysis: II. Cardiac and analgesic drugs. J Am Geriatr Soc 1999;47:40-50PubMed
go back to reference Cumming RG, Thomas G, Szonyi G et al. Home visits by an occupational therapist for the assessment and modification of environmental hazards: a randomized trial of falls prevention. JAGS 1999;47:1397-1402 Cumming RG, Thomas G, Szonyi G et al. Home visits by an occupational therapist for the assessment and modification of environmental hazards: a randomized trial of falls prevention. JAGS 1999;47:1397-1402
go back to reference Kaufmann H, Freeman R, Kaplan NM. Treatment of orthostatic and postprandial hypotension. UpToDate 2003 Kaufmann H, Freeman R, Kaplan NM. Treatment of orthostatic and postprandial hypotension. UpToDate 2003
go back to reference Tennstedt S, Howland J, Lachman M, et al. A Randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older aldults. J Gerontol Psy Sci 1998;53B;P384-P392 Tennstedt S, Howland J, Lachman M, et al. A Randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older aldults. J Gerontol Psy Sci 1998;53B;P384-P392
go back to reference Cummings SR, Black DM, Thompson DE, Applegate WB, Barrett-Connor E, Musliner TA et al. Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures: results from the Fracture Intervention Trial. Jama 1998;280:2077-2082.CrossRefPubMed Cummings SR, Black DM, Thompson DE, Applegate WB, Barrett-Connor E, Musliner TA et al. Effect of alendronate on risk of fracture in women with low bone density but without vertebral fractures: results from the Fracture Intervention Trial. Jama 1998;280:2077-2082.CrossRefPubMed
go back to reference McClung MR, Geusens P, Miller PD, Zippel H, Bensen WG, Roux CR et al. Effect of risedronate on the risk of hip fracture in elderly women. N Eng J Med 2001;344:333-340CrossRef McClung MR, Geusens P, Miller PD, Zippel H, Bensen WG, Roux CR et al. Effect of risedronate on the risk of hip fracture in elderly women. N Eng J Med 2001;344:333-340CrossRef
go back to reference Parker MJ, Gillespie LD, Gillepie WJ. Hip protectors for preventing hip fractures in the elderly (Cochrane review). In: The Cochrane Library, Issue 3, 2004. Chichester, UK: John Wiley & Sons, Ltd Parker MJ, Gillespie LD, Gillepie WJ. Hip protectors for preventing hip fractures in the elderly (Cochrane review). In: The Cochrane Library, Issue 3, 2004. Chichester, UK: John Wiley & Sons, Ltd
go back to reference Emmelot-Vonk MH, Verhaar HJJ. Fractuurpreventie en het gebruik van heupbeschermers bij ouderen: nog te vroeg voor aanbevelingen. Ned Tijdschr Geneeskd 2005;149:1038-1042PubMed Emmelot-Vonk MH, Verhaar HJJ. Fractuurpreventie en het gebruik van heupbeschermers bij ouderen: nog te vroeg voor aanbevelingen. Ned Tijdschr Geneeskd 2005;149:1038-1042PubMed
go back to reference McInees E, Askie L. Evidence review on older people’s views and experience of falls prevention strategies. Wordlviews on Evidence-Based Nursing 2004;1:20-37CrossRef McInees E, Askie L. Evidence review on older people’s views and experience of falls prevention strategies. Wordlviews on Evidence-Based Nursing 2004;1:20-37CrossRef
go back to reference Tinetti ME. Preventing falls in elderly persons. N Eng J Med 2003;348:42-49.CrossRef Tinetti ME. Preventing falls in elderly persons. N Eng J Med 2003;348:42-49.CrossRef
go back to reference Dautzenberg P, Wouters C. Valpolikliniek voor ouderen – De eerste ervaringen met het “Bossche model”. Medisch Contact 2003;58:1321-1323 Dautzenberg P, Wouters C. Valpolikliniek voor ouderen – De eerste ervaringen met het “Bossche model”. Medisch Contact 2003;58:1321-1323
go back to reference Close J, Ellis M, Hooper R, et al. Prevention of falls in the elderly trial (PROFET). A randomized controlled trial. Lancet 1999;353:93-97CrossRefPubMed Close J, Ellis M, Hooper R, et al. Prevention of falls in the elderly trial (PROFET). A randomized controlled trial. Lancet 1999;353:93-97CrossRefPubMed
Metagegevens
Titel
Voorkomen dat ouderen vallen
Een sleutelrol voor valklinieken
Auteur
M. H. Emmelot-Vonk
Publicatiedatum
01-08-2005
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 4/2005
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/BF03074730