2DB  - PubMed
3AU  - Maeker, E
4AU  - Bombois, S
5AU  - Pardessus, V
6AU  - Tiberghien, F
7AU  - Dipompeo, C
8AU  - Thevenon, A
9AU  - Dewailly, P
10AU  - Puisieux, F
11T1  - Cognitive disorders and falls: experience of the Lille multidisciplinary falls service
12TT  - Troubles cognitifs et chutes: l'expérience de la consultation multidisciplinaire de la chute de Lille
13LA  - fre
14SN  - 0035-3787
15Y1  - 2005/04/
16AB  - 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.
17SP  - 419
18EP  - 426
19VL  - 161
20IS  - 4
21AN  - 15924077
22UR  - https://pubmed.ncbi.nlm.nih.gov/15924077
23DO  - 10.1016/s0035-3787(05)85071-4
24U1  - 15924077[pmid]
25U4  - MDOI-RN-04-2005-161-4-0035-3787-101019-200501758[PII]
26J2  - Rev Neurol (Paris)
27JF  - Revue neurologique
28KW  - *Accidental Falls
29KW  - Aged
30KW  - Aged, 80 and over
31KW  - Cognition Disorders/*complications/epidemiology
32KW  - Female
33KW  - Humans
34KW  - Male
35KW  - Paris
36KW  - Retrospective Studies
37CY  - France
38ER  -