PMID- 15924077
OWN - NLM
STAT- MEDLINE
DCOM- 20050929
LR  - 20191109
IS  - 0035-3787 (Print)
IS  - 0035-3787 (Linking)
VI  - 161
IP  - 4
DP  - 2005 Apr
TI  - [Cognitive disorders and falls: experience of the Lille multidisciplinary falls 
      service].
PG  - 419-26
AB  - BACKGROUND: Falls and dementia are two major public health problems which concern 
      the elderly population. Cognitive impairment, as a result of Alzheimer's disease or 
      non-Alzheimer dementia, is recognized as a risk factor for falling. Through the 
      experience of the Multidisciplinary Falls Consultation, our aims were first, to 
      evaluate the prevalence of a cognitive decline among outpatients who consult for 
      falls, and second, to determine whether the cognitive impairment was known and 
      diagnosed before the consultation or not. METHODS: Data concerning the first 300 
      outpatients who completed the initial evaluation are reported. Each patient was 
      assessed by a geriatrician, a neurologist, and a physiatrist, who visited him or her 
      at home. Cognitive impairment was defined as a Mini-Mental State Examination (MMSE) 
      score<24. RESULTS: Of the 300 patients, 228 patients completed the initial 
      evaluation. Among them, 97 (42.5 percent) had a MMSE score<24; 55 had mild stage 
      dementia (MMSE score between 23 and 18) and 42 were at a moderate or severe stage 
      (MMSE score< or =17/30). The cognitive decline was not diagnosed before the 
      consultation in 80 of the 97 patients (82 percent). CONCLUSION: The findings show 
      that a large proportion of old persons presenting with gait disturbance at the 
      Multidisciplinary Falls Consultation have an underlying cognitive decline. 
      Assessment of cognitive functions is required in every elderly faller.
FAU - Maeker, E
AU  - Maeker E
AD  - Service de Médecine Interne et Gériatrie, Hôpital gériatrique "Les Bateliers", 
      Lille.
FAU - Bombois, S
AU  - Bombois S
FAU - Pardessus, V
AU  - Pardessus V
FAU - Tiberghien, F
AU  - Tiberghien F
FAU - Dipompeo, C
AU  - Dipompeo C
FAU - Thevenon, A
AU  - Thevenon A
FAU - Dewailly, P
AU  - Dewailly P
FAU - Puisieux, F
AU  - Puisieux F
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Troubles cognitifs et chutes: l'expérience de la consultation multidisciplinaire de 
      la chute de Lille.
PL  - France
TA  - Rev Neurol (Paris)
JT  - Revue neurologique
JID - 2984779R
SB  - IM
MH  - *Accidental Falls
MH  - Aged
MH  - Aged, 80 and over
MH  - Cognition Disorders/*complications/epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Paris
MH  - Retrospective Studies
EDAT- 2005/06/01 09:00
MHDA- 2005/09/30 09:00
CRDT- 2005/06/01 09:00
PHST- 2005/06/01 09:00 [pubmed]
PHST- 2005/09/30 09:00 [medline]
PHST- 2005/06/01 09:00 [entrez]
AID - MDOI-RN-04-2005-161-4-0035-3787-101019-200501758 [pii]
AID - 10.1016/s0035-3787(05)85071-4 [doi]
PST - ppublish
SO  - Rev Neurol (Paris). 2005 Apr;161(4):419-26. doi: 10.1016/s0035-3787(05)85071-4.