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Beweglich? pp 167-181 | Cite as

Stürze im Alter

Chapter
Part of the Weißbuch Prävention book series (WEIßBUCH, volume 2007/20)

Auszug

Das folgende Kapitel widmet sich dem Thema Sturzsyndrom. Gerade bei hochbetagten Menschen stellt dies ein hohes gesundheitliches Risiko mit zum Teil langfristigen gesundheitlichen Folgen da. Der erste Teil widmet sich den Grundlagen, Risikofaktoren und präventiven Ansätzen. Im zweiten Teil werden wesentliche Studien vertieft.

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Literatur

  1. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention (2001) Guideline for the Prevention of Falls in Older Persons. J Am Geriatr Soc 49:664–672CrossRefGoogle Scholar
  2. Anders J, Dapp U, von Renteln-Kruse W, Juhl K (2006) Einschätzung der Sturzgefährdung gebrechlicher, noch selbstständig lebender, älterer Menschen. Z Gerontol Geriat 39:268–276CrossRefGoogle Scholar
  3. Becker C (2003) Einführung in das Ulmer Modellvorhaben zur Verminderung von Stürzen und sturzbedingten Verletzungen bei Heimbewohnern. In: Sturzprävention in der stationären Altenpflege. Fachtagung 25.06.2003 Erlangen. http://www.geronto. uni-erlangen.de/pdfs/abstractband.pdf [Stand: 15.04.2007]Google Scholar
  4. Becker C, Kron M, Lindemann U, Sturm E, Eichner B, Walter-Jung B, Nikolaus T (2003) Effectiveness of a multifaceted intervention on falls in nursing home residents. JAGS 51(3):306–313CrossRefGoogle Scholar
  5. Becker C, Lindemann U, Kapfer E, Eichner B, Hausner M, Nikolaus T (2001) Mobilität und Mobilitätsstörungen von Heimbewohnern. »Verminderung von sturzbedingten Verletzungen bei Alten-und Pflegeheimbewohnern«. Dritter Bericht des Ulmer Modellvorhabens. http://www.kda.de/bma-modellprogramm/ulm/bericht3. pdf [Stand: 15.04.2007]Google Scholar
  6. Blais, Mireille (2004) La dynamique de l’intervention en éducation à la santé au primaire. http://www.theses.ulaval. ca/2004/21501/21501.html [Stand: 15.04.2007]Google Scholar
  7. Blake AJ, Morgan K, Bendall MJ, Dallosso H, Ebrahim SBJ, Arie THD (1988) Falls by elderly people at home: prevalence and associated factors. Age Ageing 17:365–372PubMedCrossRefGoogle Scholar
  8. Buddeberg C (2003) Zur integralen Betreuung alter Menschen — ein biopsychosoziales Modell in der Akutspitalbehandlung? In: Carigiet E, Grob D (Hrsg) Der alte Mensch im Spital — Altersmedizin im Brennpunkt. Gesundheits-und Umweltdepartement der Stadt Zürich, S 150–156Google Scholar
  9. Bundesarbeitsgemeinschaft für Rehabilitation (Hrsg) (2006) Arbeitshilfe zur geriatrischen Rehabilitation. Frankfurt a. M. 2006Google Scholar
  10. Center for Disease Control and Prevention, CDC, National Center for Injury Prevention and Control (2001) U.S. Fall Prevention Programs for Seniors — Comprehensive Programs. CDC, 2001: http:// origin.cdc.gov/ncip/falls/toc.pdf [Stand: 15.04.2007]Google Scholar
  11. Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, Roth AE, Shekelle PG (2004) Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ 328:680PubMedCrossRefGoogle Scholar
  12. Chu LW, Chiu AYY, Chi I (2006) Impact of falls on the balance, gait, and activities of daily living functioning in community-dwelling Chinese older adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 61:399–404Google Scholar
  13. Cumming RG (1998) Epidemiology of medication-related falls and fractures in the elderly. Drugs Aging 12:43–53PubMedCrossRefGoogle Scholar
  14. Dapp U, Anders J, von Renteln-Kruse W, Meier-Baumgartner HP (2005) Active health promotion in old age: methodology of a preventive intervention programme provided by an interdisciplinary health advisory team for independent older people. J Public Health 13:122–127CrossRefGoogle Scholar
  15. Deutsche Gesellschaft für Allgemeinmedizin (2004) DEGAM-Leitlinie Nr. 4: Ältere Sturzpatienten. omikron publishing 2004. www.degam-leitlinien.de [Stand: 15.04.2007]Google Scholar
  16. Deutsche Gesellschaft für Geriatrie (Hrsg) (2007) Definition Geriatrischer Patienten. http://www.dggeriatrie.de/download/GeriPatientDefinition19-01-07.ppt [Stand: 15.04.2007]Google Scholar
  17. Donaldson M, Khan K, Davis J, Salter A, Buchanan J, McKnight D, Janssen P, Bell M, McKay H (2005) Emergency department fallrelated presentations do not trigger fall risk assessment: A gap in care of high-risk outpatient fallers. Arch Gerontol Geriatr 41(3):311–317PubMedCrossRefGoogle Scholar
  18. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146–56PubMedGoogle Scholar
  19. Gesundheitsforum Baden-Württemberg (2005) Sturzprävention im Pflegeheim — Umsetzung eines erfolgreichen Modellprojekts in Baden-Württemberg. Pressemitteilung unter: http://www.gesundheitsforum-bw.de/servlet/PB/menu/1190192/index.html [Stand: 15.04.2007]Google Scholar
  20. Goetz SM (2000) Falls in elderly patients — assessment of falls with reference to etiology and prevention. Ther Umschau 57(12):733–738CrossRefGoogle Scholar
  21. Hamerman D (1999) Toward an Understanding of Frailty. Ann Int Med 130(11):945–950PubMedGoogle Scholar
  22. Hirsch J (2004) Optimising multi-task performance: opportunities for motoric neurorehabilitation. Neurol Neurosurg Psychiatry 75:949–950CrossRefGoogle Scholar
  23. Howland J (1998) Covariates of fear of falling and associated activity curtailment. Gerontologist 38:549–555PubMedGoogle Scholar
  24. Kressig RW, Beauchet O (2004) Die Rolle der Ganganalyse in therapeutischen Trainingsprogrammen von Betagten. Z Gerontol Geriat 37(1):15–19CrossRefGoogle Scholar
  25. Kroker P (1999) The problem of remaining upright. BMJ 319:1300PubMedGoogle Scholar
  26. McClure R, Turner C, Peel N, Spinks A, Eakin E, Hughes K (2005) Population-based interventions for the prevention of fall-related injuries in older people. Cochrane Database of Systematic Reviews 2005, Issue 1Google Scholar
  27. Meier-Baumgartner HP, Dapp U, Anders J (2006) Aktive Gesundheitsförderung im Alter. Ein neuartiges Präventionsprogramm für Senioren. 2. Aufl. Kohlhammer, StuttgartGoogle Scholar
  28. Meyer G (ohne Jahr) Sturzprävention in Alten-und Pflegeheimen. Vortrag. Als download verfügbar unter: http://www.aekno.de/ htmljava/c/meyer-0905.pdf [Stand: 15.04.2007]Google Scholar
  29. Moreland J, Richardson J, Chan DH, O’Neill J, Bellissimo A, Grum RM, Shanks L (2003) Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology 49(2):93–116PubMedCrossRefGoogle Scholar
  30. Nied RJ, Franklin B (2002) Promoting and prescribing exercise for the elderly. Am Family Phys 65(3):419–426Google Scholar
  31. Nikolaus T, Becker C (1999) Mobilität und Mobilitätsstörungen von Heimbewohnern, Bericht 1. Erster Jahresbericht des Ulmer Modellvorhabens »Verminderung von sturzbedingten Verletzungen bei Alten-und Pflegeheimbewohnern«. http://www.kda.de/ bma-modellprogramm/ulm/bericht.pdf [Stand: 15.04.2007]Google Scholar
  32. Nikolaus T, Bach M (2003) Preventing falls in community-dwelling frail older people using a home intervention team (HIT): Results from the randomized falls-HIT trial. J Am Geriatr Soc 51(3):300–305PubMedCrossRefGoogle Scholar
  33. Oliver D, Britton M, Seed P (1997) Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies. BMJ 315:1049–1053PubMedGoogle Scholar
  34. Oliver D, Connelly JB, Victor CR, Shaw FE, Whitehead A, Genc Y, Vanoli A, Martin FC, Gosney MA (2006) Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analysis. BMJ 334(7584): 82PubMedCrossRefGoogle Scholar
  35. Perell KL, Nelson A, Goldman RL, Luther SL, Prieto-Lewis N, Rubenstein LZ (2001) Fall risk assessment measures: an analytic review. J Gerontol Med Sci 56A(12):M761–766Google Scholar
  36. ProFaNE (Prevention of Falls Network Europe, 2007). http://www.profane.eu.org/ [Stand: 15.04.2007]Google Scholar
  37. Pschyrembel (1994) Klinisches Wörterbuch, 257. Aufl. De Gruyter, Berlin, S 1495Google Scholar
  38. Renteln-Kruse W von, Krause T (2007) Incidence of in-hospital falls in geriatric patients before and after the introduction of an interdisciplinary team-based fall-prevention intervention. J Am Geriatr Soc (in press)Google Scholar
  39. Renteln-Kruse W von (Hrsg) (2004) Medizin des Alterns und des alten Menschen. Steinkopff, DarmstadtGoogle Scholar
  40. Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35-52:1137–1141Google Scholar
  41. Sahni M, Lowenthal DT, Meuleman J (2005) A clinical, physiology and pharmacology evaluation of orthostatic hypotension in the elderly. Int Urol Nephrol 37(3):669–674PubMedCrossRefGoogle Scholar
  42. Sattin RW (1992) Falls among older persons: a public health perspective. Ann Rev Public Health 13:489–508CrossRefGoogle Scholar
  43. Singer R (1980) Motor learning and human performance. New YorkGoogle Scholar
  44. Tinetti ME, McAvay G, Claus E (1996) Does multiple risk factor reduction explain the reduction in fall rate in the Yale FICSIT Trial? Frailty and Injuries Cooperative Studies of Intervention Techniques. Am J Epidemiol 144(4):389–399PubMedGoogle Scholar
  45. Van der Velde N, Van den Meiracker A, Pols HAP, Stricker BHC, Van der Cammen TJM (2007) Withdrawal of fall-risk-increasing drugs in older persons: Effect on tilt-table test outcomes. J Am Geriat Soc 55(5):734–739PubMedCrossRefGoogle Scholar
  46. Volkert D, Berner YN, Berry E, Cederholm T, Bertrand PC, Milne A, Palmblad J, Schneider S, Sobotka L, Stanga Z, DEGEM (2006) ESPEN Guidelines on Enterai Nutrition: Geriatrics. Clin Nutr 25:330–360PubMedCrossRefGoogle Scholar
  47. Volkert D (2004) Leitlinie Enterale Ernährung der DGEM und DGG. Ernährungszustand, Energie-und Substratstoffwechsel im Alter. Aktuel Ernaehr Med 29:190–197CrossRefGoogle Scholar
  48. Wagner EH, LaCroix AZ, Grothaus L, Leveille SG, Hecht JA, Artz K (1994) Preventing disability and falls in older adults: a population-based randomized trial. Am J Public Health 84:1800–1806PubMedCrossRefGoogle Scholar
  49. Walter U (2001) Präventionspotenziale für ein gesundes Altern. Gesundheit und Gesellschaft Wissenschaft 1:21–26Google Scholar
  50. Weigand JV, Gerson LW (2001) Preventive care in the emergency department: should emergency departments institute a falls prevention program for elder patients? A systematic review. Acad Emerg Med 8:823–826PubMedCrossRefGoogle Scholar
  51. Wetzels R, Harmsen M, Van Weel C, Grol R, Wensing M (2007) Interventions for improving older patients’ involvement in primary care episodes. Cochrane Database Syst Rev 24;(1): CD004273Google Scholar
  52. World Health Organization (WHO) (2007) International Classification of Functioning, Disability and Health (ICF). http://www.who.int/ classifications/icf/site/icftemplate.cfm [Stand: 15.04.2007]Google Scholar
  53. World Health Organization (WHO) (2004a) What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls? Health Evidence Network (HEN), March 2004: http://www.euro.who.int/document/ E82552.pdf [Stand: 15.04.2007]Google Scholar
  54. World Health Organization (WHO) (2004b) World Alliance for Patient Safety. http://www.who.int/patientsafety/en/ [Stand: 15.04.2007]Google Scholar
  55. Zecevic AA, Salmoni AW, Speechley M, Vandervoort AA (2006) Defining a fall and reasons for falling: Comparisons among the views of seniors, health care providers, and the research literature. Gerontologist 46(3):367–376PubMedGoogle Scholar

Literatur zum Thema

  1. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM (1997) Randomised controlled trial of a general practice programme of home based exercise to preventfalls in elderly women. Br Med J 315:1065–1069Google Scholar
  2. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Buchner DM (1999) Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Age Ageing 28:513–518PubMedCrossRefGoogle Scholar
  3. Campbell AJ (2002) Preventing fractures by preventing falls in older women. CMAJ 167(9):1005–1006PubMedGoogle Scholar
  4. Gardner MM, Robertson MC, McGee R, Campbell AJ (2002) Application of a falls prevention program for older people to primary health care practice. Prev Med 34:546–553PubMedCrossRefGoogle Scholar
  5. Robertson MC, Devlin N, Scuffham P, Gardner MM, Buchner DM, Campbell AJ (2001) Economic evaluation of a community-based exercise programme to prevent falls. J Epidemiol Commun Health 55:600–606CrossRefGoogle Scholar

Literatur zum Thema

  1. Gillespie LD, Gillespie WJ, Robertson, MC, Lamb SE, Cumming RG, Rowe BH (2003) Interventions for preventing falls in elderly people (review). Cochrane Database of Systematic Reviews 4, 1–117Google Scholar

Literatur zum Thema

  1. McClure R, Turner C, Peel N, Spinks, A, Eakin E, Hughes K (2005) Population-based interventions for the prevention of fallrelated injuries in older people. The Cochrane Database of Systematic Reviews 1, 1–17Google Scholar

Copyright information

© Springer Medizin Verlag Heidelberg 2008

Authors and Affiliations

  1. 1.Albertinen-Haus, Zentrum für Geriatrie und GerontologieHamburg

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