Geriatric Risk of Falls Profile in Rehabilitation Clinic RSUD Leuwiliang



Abstract
Background and objective: The importance of risk of falls assessment among geriatric  due to their degeneration physiologic process. Patognomonic of geriatric giant include instability. Timed up and go test has its own validity even in geriatric patient. The purpose of this study is to find baseline data of risk of falls among geriatric at RSUD Leuwiliang.
Methods: Cross sectional study of 15 geriatric patients who performed TUG  to determine  risk of falls.
Results: 15 patients (53% male) of mean (SD) age 68,9 (7,4)years old, BMI 23,4 (4,4), height 1,56 m (0.1), mean TUG 9,5 (1.6). Mean data had normal distribution from normality test, using T test dependent which is 9.5 sec (p=0,02). There were 7 person (46,7%) who had low risk and 8 person (53,3%) had moderate risk.
Conclusion:  Risk of falls among geriatric patient at RSUD Leuwiliang  almost the same between low and moderate risk which is 53% and 47% respectively.

Key Words: risk of falls, TUG, geriatric giant 



Introduction:    
Falls or instability is a serious consequences among geriatric that is caused by their degenerative physiologic process that had been highlighted as giant of geriatric. Risk of falls among geriatric is assessed by timed-up-and-go test which has its own validity.  Baseline risk is needed as a pilot data to prepare rehabilitation program among geriatric patient.


Picture 1. Timed Up and Go Test











Methods:
Cross sectional study of 15 geriatric patients who performed TUG  to determine  risk of falls. Post-test probability of a fall in patients classified as high risk (≥13.5 seconds) and low risk (<13.5 seconds) using the TUG score
Inclusion Criteria:
  • Age >=60 yo
  •  Outpatients at  Rehabilitation Departement, RSUD Leuwiliang
  •  Sign up the informed consent

Exclusion criteria:

  • Cognitive impairment
  • Uncooperative
  • Neuromuscular problem

Result:

Table 1. Baseline data of the 15 geriatric patients  

  • Male (n,%)                         53.3
  • Age (SD) years                  68.9 (7.4)
  • Height (m)                         1.56 (0.1)
  •  BMI (kg/m2)                     23.4 (4.4)
  •  Mean TUG                         9.5 (1.6)

 Diagram 1. Risk of falls of 15 geriatric patients at RSUD Leuwiliang  
 

Conclusion:
Risk of falls among geriatric patient at RSUD Leuwiliang  almost the same between low and moderate risk which is 53% and 47% respectively.  However, another assessment tool is needed in reference to achieve diagnostic accuracy.




Bibliography:

1. Srinivas P. Giant of Geriatric-Current Issue and Challenges: 1st World Congress on Healthy Ageing,www.healthyageingcongress.org, 2012.
2. Podsiadlo, D., Richardson, S. The timed ‘Up and Go’ Test: a Test of Basic Functional Mobility for Frail Elderly Persons. Journal of American Geriatric Society. 1991; 39:142-148
3. Shumway-Cook A, Brauer S, Woollacott M. Predicting the Probability for Falls in CommunityDwelling Older Adults Using the Timed Up & Go Test. Physical Therapy 2000 Vol 80(9): 896903
4. Jacobs M, Fox T. Using the TUG to Prredict Risk of Faalls. 2008.
5.  Barry E,  Galvin R,  Keogh C, Horgan F, Fahey T.  Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis. BMC Geriatrics 2014, 14:14  doi:10.1186/1471-2318-14-14
6. Rubenstein LZ: Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 2006, 35(2):ii37-ii41
7. Bloem BR, Steijns JA, Smits-Engelsman BC: An update on falls. Curr Opin Neurol 2003, 16(1):15-26
8. Oliver D, Daly F, Martin FC, McMurdo ME: Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age Ageing 2004, 33(2):122-130