Frédéric Bloch1. 1. Department of Gerontology, Hôpital Broca (AP-HP), University Paris Descartes, Paris, France.
Abstract
OBJECTIVE: To test the hypothesis that post-traumatic stress disorder (PTSD) can appear after a fall and try to identify predictive factors for its development in older fallers. METHODS: Systematic literature review and meta-analyses of studies on PTSD post fall in older subjects. RESULTS: One hundred seventy-seven indexed articles were identified, of which three had complete data on PTSD post fall in older subjects. Only the odds ratio of the association between history of fall and occurrence of PTSD was significant (odds ratio = 2.79 (95% CI, 1.03-7.53). CONCLUSION: The trend in our results, even though limited, reveals two groups of subjects: frail subjects that are at risk of developing PTSD and subjects who seem to be resistant to its development. A clear description of these two groups may help us identify the population at risk for delayed PTSD who could then benefit from dedicated treatment.
OBJECTIVE: To test the hypothesis that post-traumatic stress disorder (PTSD) can appear after a fall and try to identify predictive factors for its development in older fallers. METHODS: Systematic literature review and meta-analyses of studies on PTSD post fall in older subjects. RESULTS: One hundred seventy-seven indexed articles were identified, of which three had complete data on PTSD post fall in older subjects. Only the odds ratio of the association between history of fall and occurrence of PTSD was significant (odds ratio = 2.79 (95% CI, 1.03-7.53). CONCLUSION: The trend in our results, even though limited, reveals two groups of subjects: frail subjects that are at risk of developing PTSD and subjects who seem to be resistant to its development. A clear description of these two groups may help us identify the population at risk for delayed PTSD who could then benefit from dedicated treatment.
Authors: Daniel Schoene; Claudia Heller; Yan N Aung; Cornel C Sieber; Wolfgang Kemmler; Ellen Freiberger Journal: Clin Interv Aging Date: 2019-04-24 Impact factor: 4.458