Literature DB >> 15817660

Occurrence and risk factors for falls in rheumatoid arthritis.

C Armstrong1, C M Swarbrick, S R Pye, T W O'Neill.   

Abstract

OBJECTIVES: To determine the one year period prevalence of falls by age and sex in patients with rheumatoid arthritis and the influence of concurrent medical treatment and disability on the occurrence of falls in this group.
METHODS: A consecutive series of rheumatoid patients aged 35 years and over, attending hospital outpatient clinics at Hope hospital, Salford, were asked to complete an interview assisted questionnaire which asked about the occurrence and number of falls in the previous 12 months.
SUBJECTS: who took part were asked about current treatment with antihypertensive agents, diuretics, sedatives or hypnotics, antidepressants, and a history of previous hip/knee surgery. They also completed the health assessment questionnaire (HAQ). Logistic regression was used to determine the association between these variables and falls in the previous 12 months.
RESULTS: 253 men and women, mean age 62 years, were studied, and 84 (33%) reported falling in the previous year (36% of women and 26% of men). Of these, 52% had fallen on more than one occasion. There was no important increase in the frequency of falls with age. After adjusting for age and sex, those who had fallen in the previous year were more likely to report taking antidepressant treatment (odds ratio (OR) = 2.09) and to have impairment in both walking (OR = 1.37) and rising (OR = 1.41). The HAQ score was higher in those who reported a fall than those who did not, though the difference was not statistically significant.
CONCLUSIONS: In this hospital based survey, one in three patients with rheumatoid arthritis reported falling in the previous 12 months. Falls were associated with self reported impairment in lower limb function.

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Year:  2005        PMID: 15817660      PMCID: PMC1755283          DOI: 10.1136/ard.2004.031195

Source DB:  PubMed          Journal:  Ann Rheum Dis        ISSN: 0003-4967            Impact factor:   19.103


  24 in total

1.  Muscle strength, activity, housing and the risk of falls in elderly people.

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2.  Threefold increased risk of hip fractures with rheumatoid arthritis in Central Finland.

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3.  Falls by elderly people at home: prevalence and associated factors.

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Journal:  Age Ageing       Date:  1988-11       Impact factor: 10.668

4.  Risk factors for falls among elderly persons living in the community.

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Journal:  N Engl J Med       Date:  1988-12-29       Impact factor: 91.245

5.  Falls in older Mexican-American women.

Authors:  A V Schwartz; M L Villa; M Prill; J A Kelsey; J A Galinus; R R Delay; M C Nevitt; D A Bloch; R Marcus; J L Kelsey
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Journal:  J Gerontol       Date:  1989-07

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9.  Forgetting falls. The limited accuracy of recall of falls in the elderly.

Authors:  S R Cummings; M C Nevitt; S Kidd
Journal:  J Am Geriatr Soc       Date:  1988-07       Impact factor: 5.562

10.  Measurement of patient outcome in arthritis.

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Journal:  Arthritis Rheum       Date:  1980-02
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2.  Risk factors associated with the occurrence of hip fracture in Japanese patients with rheumatoid arthritis: a prospective observational cohort study.

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4.  Incidence and risk factors of falling in ambulatory patients with rheumatoid arthritis: a prospective 1-year study.

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5.  [Age-related differences in functional tests to assess the risk of falling in patients with knee pain].

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6.  Associated factors for falls and fear of falling in Japanese patients with rheumatoid arthritis.

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7.  Frequency and predictors for falls in the ambulatory patients with rheumatoid arthritis: a longitudinal prospective study.

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9.  Falls, fear of falling, and associated factors in ambulatory patients with rheumatoid arthritis: A comparative study with healthy controls.

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10.  Fall Risk and Related Factors in Systemic Lupus Erythematosus.

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