Yıl: 2022 Cilt: 68 Sayı: 2 Sayfa Aralığı: 271 - 277 Metin Dili: İngilizce DOI: 10.5606/tftrd.2022.7868 İndeks Tarihi: 28-05-2023

A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors

Öz:
Objectives: The aim of this study was to compare the risk of falling in patients with rheumatoid arthritis (RA) to the healthy individuals and to identify the factors affecting the risk of falls. Patients and methods: Between December 2015 and August 2016, a total of 100 consecutive patients with RA (16 males, 84 females; mean age: 49.5±11.1 years; range, 21 to 65 years) and 50 healthy controls (11 males, 39 females; mean age: 34.3±12.7 years; range, 19 to 63 years) were included in this prospective study. The fall risk was evaluated using the Tetrax Portable Balance System. The Health Assessment Questionnaire Disability Index (HAQ-DI), RA disease activity (Disease Activity Score 28 [DAS28], Clinical Disease Activity Index [CDAI], and Simple Disease Activity Index [SDAI]), and Falls Efficacy Scale International (FES-I) were applied to all participants. Results: The fall risk scores and the FES-I scores were significantly higher in the patients with RA than the control group (p<0.001, p<0.001). A positive significant correlation was found between the Tetrax values of the patients and age, and the scores of the HAQ-DI, FES, DAS28, DAS28-C-reactive protein, CDAI and SDAI. Conclusion: Our study results showed higher fall risk scores in patients with RA than healthy individuals an objective computerized technique, and this higher fall risk appeared to be affected by older age, disease activity, and disability.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988;319:1701-7.
  • 2. Blake AJ, Morgan K, Bendall MJ, Dallosso H, Ebrahim SB, Arie TH, et al. Falls by elderly people at home: Prevalence and associated factors. Age Ageing 1988;17:365-72.
  • 3. Baker SP, Harvey AH. Fall injuries in the elderly. Clin Geriatr Med 1985;1:501-12.
  • 4. Moreland J, Richardson J, Chan D, O'Neill J, Bellissimo A, Grum R, et al. Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology 2003;49:93-116.
  • 5. McKay C, Anderson KE. How to manage falls in community dwelling older adults: A review of the evidence. Postgrad Med J 2010;86:299-306.
  • 6. Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E. Risk factors for falls in community-dwelling older people: A systematic review and meta-analysis. Epidemiology 2010;21:658-68.
  • 7. Bergland A, Wyller TB. Risk factors for serious fall related injury in elderly women living at home. Inj Prev 2004;10:308-13.
  • 8. Symmons DP. Epidemiology of rheumatoid arthritis: Determinants of onset, persistence and outcome. Best Pract Res Clin Rheumatol 2002;16:707-22.
  • 9. Brand C, Aw J, Lowe A, Morton C. Prevalence, outcome and risk for falling in 155 ambulatory patients with rheumatic disease. APLAR Journal of Rheumatology 2005;8:99-105.
  • 10. Gümüşdiş G. Bağ dokusu hastalıkları: Romatoid artrit In: Gümüşdiş G, Doğanavşargil E, editörler. Klinik romatoloji el kitabı. İzmir: Güven Matbaası; 2003. s. 209-27.
  • 11. Armstrong C, Swarbrick CM, Pye SR, O'Neill TW. Occurrence and risk factors for falls in rheumatoid arthritis. Ann Rheum Dis 2005;64:1602-4.
  • 12. Fessel KD, Nevitt MC. Correlates of fear of falling and activity limitation among persons with rheumatoid arthritis. Arthritis Care Res 1997;10:222-8.
  • 13. Hayashibara M, Hagino H, Katagiri H, Okano T, Okada J, Teshima R. Incidence and risk factors of falling in ambulatory patients with rheumatoid arthritis: A prospective 1-year study. Osteoporos Int 2010;21:1825-33.
  • 14. Jamison M, Neuberger GB, Miller PA. Correlates of falls and fear of falling among adults with rheumatoid arthritis. Arthritis Rheum 2003;49:673-80.
  • 15. Kaz Kaz H, Johnson D, Kerry S, Chinappen U, Tweed K, Patel S. Fall-related risk factors and osteoporosis in women with rheumatoid arthritis. Rheumatology (Oxford) 2004;43:1267-71.
  • 16. Oswald AE, Pye SR, O'Neill TW, Bunn D, Gaffney K, Marshall T, et al. Prevalence and associated factors for falls in women with established inflammatory polyarthritis. J Rheumatol 2006;33:690-4.
  • 17. Smulders E, Schreven C, Weerdesteyn V, van den Hoogen FH, Laan R, Van Lankveld W. Fall incidence and fall risk factors in people with rheumatoid arthritis. Ann Rheum Dis 2009;68:1795-6.
  • 18. Huusko TM, Korpela M, Karppi P, Avikainen V, Kautiainen H, Sulkava R. Threefold increased risk of hip fractures with rheumatoid arthritis in Central Finland. Ann Rheum Dis 2001;60:521-2.
  • 19. Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, et al. 2010 Rheumatoid arthritis classification criteria: An American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum 2010;62:2569-81.
  • 20. Fries JF, Spitz P, Kraines RG, Holman HR. Measurement of patient outcome in arthritis. Arthritis Rheum 1980;23:137-45.
  • 21. Smolen JS, Landewé R, Bijlsma J, Burmester G, Chatzidionysiou K, Dougados M, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis 2017;76:960-77.
  • 22. Dougados M, Aletaha D, van Riel P. Disease activity measures for rheumatoid arthritis. Clin Exp Rheumatol 2007;25(5 Suppl 46):S22-9.
  • 23. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing 2005;34:614-9.
  • 24. Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr 2012;54:429-33.
  • 25. Akkaya N, Akkaya S, Atalay NS, Acar M, Catalbas N, Sahin F. Assessment of the relationship between postural stability and sleep quality in patients with fibromyalgia. Clin Rheumatol 2013;32:325-31.
  • 26. Özdemir O, Kutsal Y. Fall risk assessment of elderly by using posturography. Turk Geriatri Dergisi 2009;12:177-80.
  • 27. Brenton-Rule A, Dalbeth N, Bassett S, Menz HB, Rome K. The incidence and risk factors for falls in adults with rheumatoid arthritis: A systematic review. Semin Arthritis Rheum 2015;44:389-98.
  • 28. Metli NB, Kurtaran A, Akyüz M. Impaired balance and fall risk in rheumatoid arthritis patients. Turk J Phys Med Rehab 2015;61:344-51.
  • 29. Böhler C, Radner H, Ernst M, Binder A, Stamm T, Aletaha D, et al. Rheumatoid arthritis and falls: The influence of disease activity. Rheumatology (Oxford) 2012;51:2051-7.
  • 30. Akyol Y, Ulus Y, Tander B, Tomak L, Zahiroğlu Y, Bilgici A, et al. Falls, fear of falling, and associated factors in ambulatory patients with rheumatoid arthritis: A comparative study with healthy controls. Turk J Phys Med Rehabil 2018;64:213-21.
  • 31. Arfken CL, Lach HW, Birge SJ, Miller JP. The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health 1994;84:565-70.
  • 32. Friedman SM, Munoz B, West SK, Rubin GS, Fried LP. Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc 2002;50:1329-35.
  • 33. Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci 2000;55:M299-305.
  • 34. Laan RF, van Riel PL, van de Putte LB. Bone mass in patients with rheumatoid arthritis. Ann Rheum Dis 1992;51:826-32.
  • 35. Gough AK, Lilley J, Eyre S, Holder RL, Emery P. Generalised bone loss in patients with early rheumatoid arthritis. Lancet 1994;344:23-7.
  • 36. Kanis JA, Borgstrom F, De Laet C, Johansson H, Johnell O, Jonsson B, et al. Assessment of fracture risk. Osteoporos Int 2005;16:581-9.
  • 37. Hooyman JR, Melton LJ 3rd, Nelson AM, O'Fallon WM, Riggs BL. Fractures after rheumatoid arthritis. A population-based study. Arthritis Rheum 1984;27:1353-61.
APA ERGÜL E, Alkan Melikoglu M (2022). A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. , 271 - 277. 10.5606/tftrd.2022.7868
Chicago ERGÜL Emine Esra,Alkan Melikoglu Meltem A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. (2022): 271 - 277. 10.5606/tftrd.2022.7868
MLA ERGÜL Emine Esra,Alkan Melikoglu Meltem A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. , 2022, ss.271 - 277. 10.5606/tftrd.2022.7868
AMA ERGÜL E,Alkan Melikoglu M A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. . 2022; 271 - 277. 10.5606/tftrd.2022.7868
Vancouver ERGÜL E,Alkan Melikoglu M A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. . 2022; 271 - 277. 10.5606/tftrd.2022.7868
IEEE ERGÜL E,Alkan Melikoglu M "A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors." , ss.271 - 277, 2022. 10.5606/tftrd.2022.7868
ISNAD ERGÜL, Emine Esra - Alkan Melikoglu, Meltem. "A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors". (2022), 271-277. https://doi.org/10.5606/tftrd.2022.7868
APA ERGÜL E, Alkan Melikoglu M (2022). A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. Turkish Journal of Physical Medicine and Rehabilitation, 68(2), 271 - 277. 10.5606/tftrd.2022.7868
Chicago ERGÜL Emine Esra,Alkan Melikoglu Meltem A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. Turkish Journal of Physical Medicine and Rehabilitation 68, no.2 (2022): 271 - 277. 10.5606/tftrd.2022.7868
MLA ERGÜL Emine Esra,Alkan Melikoglu Meltem A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. Turkish Journal of Physical Medicine and Rehabilitation, vol.68, no.2, 2022, ss.271 - 277. 10.5606/tftrd.2022.7868
AMA ERGÜL E,Alkan Melikoglu M A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. Turkish Journal of Physical Medicine and Rehabilitation. 2022; 68(2): 271 - 277. 10.5606/tftrd.2022.7868
Vancouver ERGÜL E,Alkan Melikoglu M A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors. Turkish Journal of Physical Medicine and Rehabilitation. 2022; 68(2): 271 - 277. 10.5606/tftrd.2022.7868
IEEE ERGÜL E,Alkan Melikoglu M "A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors." Turkish Journal of Physical Medicine and Rehabilitation, 68, ss.271 - 277, 2022. 10.5606/tftrd.2022.7868
ISNAD ERGÜL, Emine Esra - Alkan Melikoglu, Meltem. "A quantitative assessment of the risk of falls in rheumatoid arthritis patients and determination of the risk factors". Turkish Journal of Physical Medicine and Rehabilitation 68/2 (2022), 271-277. https://doi.org/10.5606/tftrd.2022.7868