Volume 4, Issue 1, March 2019, Page: 24-29
The Determinants of Fall in the Elderly at the Geriatric Center of Ouakam (Senegal)
Ousseynou Ka, Research Training Unit: Health and Sustainable Development of Alioune Diop University of Bambey, Bambey, Senegal
Boris Arthur Aboua Ghébi, Faculty of Médicine, Cheikh Anta Diop University of Dakar, Dakar, Senegal
Abdoul Aziz Ndiaye, Research Training Unit: Health and Sustainable Development of Alioune Diop University of Bambey, Bambey, Senegal
Atoumane Faye, Faculty of Médicine, Cheikh Anta Diop University of Dakar, Dakar, Senegal
Mamadou Makhtar Mbacké Léye, Faculty of Médicine, Cheikh Anta Diop University of Dakar, Dakar, Senegal
Mamadou Diallo, Department of Letters and Linguistics of Gaston Berger University of Saint Louis, Saint Louis, Senegal
Souhaibou Ndongo, Faculty of Médicine, Cheikh Anta Diop University of Dakar, Dakar, Senegal
Received: Mar. 17, 2019;       Accepted: Apr. 25, 2019;       Published: May 27, 2019
DOI: 10.11648/j.wjph.20190401.14      View  108      Downloads  10
Abstract
In Sénégal, the reality of falls in the elderly, despite their being a serious problem, are not well-known to the général public because the epidemiological data do not take them into account. This study aims at analyzing falls in elderly people who come for consultation at the gerontology and geriatrics center of Ouakam, focusing in particular on their frequency and their determinants. This was a descriptive cross-sectional study that was conducted from May 9 to July 10, 2016 at the Gerontology and Geriatrics Center. The population under investigation consisted of 210 patients with a female prédominance (61%), an average age of 69 years, 72% married, 22% practiced physical activity, 54% had a normal weight, 58% took more of a medicine. The most common pathologies were visual acuity (70%), arterial hypertension (52%), osteoarthritis (25%)... The most prescribed drug classes were hypotensives (33%), analgesics (13%), antidiabetics drugs (10%). The frequency of the falls in our population was 27% and they usually occurred at home (65%). The determinants of the falls were soil barriers (35%), loss of balance (22%), wet surfaces (16%), stairs (8%)... The number of medications taken per patient was only one factor statistically correlated with the number of falls. Bruising accounted for most of the mechanical complications (62%) but all patients had developed a phobia for falling again. Recommendations have been made for better management of these falls.
Keywords
Falls, Elderly, Determinants, Geriatric Center, Senegal
To cite this article
Ousseynou Ka, Boris Arthur Aboua Ghébi, Abdoul Aziz Ndiaye, Atoumane Faye, Mamadou Makhtar Mbacké Léye, Mamadou Diallo, Souhaibou Ndongo, The Determinants of Fall in the Elderly at the Geriatric Center of Ouakam (Senegal), World Journal of Public Health. Vol. 4, No. 1, 2019, pp. 24-29. doi: 10.11648/j.wjph.20190401.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
OMS (2016): http://www.who.int/mediacentre/factsheets/fs344/fr/consulté en aout 2016
[2]
Ermanel C, Thélot B, Jougla E, Pavillon G (2007). Accidental mortality of everyday life in metropolitan French, 2000-2004 Bull Epidemiol Hebd: 318-322. https://www.cairn.info/revue-francaise-des-affaires-sociales-2008-1-page-71.htm
[3]
Bloch F (2016). Fall of the elderly person. EMC- Treaty of Medicine Akros: 10 (3). http://dx.doi.org/10.1016/S1634/6939(15) 63057-5
[4]
Dargent-Molina P, Bréart G (1995). Epidemiology of falls and fall-related injuries in the aged Rev Epidemiol Santé Publique: 43: 72-83. https://www.ncbi.nlm.nih.gov/labs/articles/7892520/
[5]
Bloch F (2012). Critical falls: why remaining on the ground after a fall can be dangerous, whatever the fall J Am Geriatr Soc; 60: 1375-1376 https://www.safetylit.org/citations/index.php? fuse action...26
[6]
Navarro Ocampo G, Bréjard V, Bonnet A (2016). Fall in the elderly: from psychological impact to psychic work. Rev NPG17 (97): 42–50. http://dx.doi.org/10.1016/j.npg.2016.02.003
[7]
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J et al (2001). Frailty in older adults: evidence for a phenotype J Gerontol A Biol Sci Med Sci; 56: M146-M156. https://books.google.sn/books?isbn=1441969993 -
[8]
Scheffer AC, Schulman’s MJ, van Dijk N, van der Hooft T, de Rooij SE (2008). Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons Age Ageing: 37: 19-24 https://www.ncbi.nlm.nih.gov/pubmed/18194967
[9]
Mbaye EM, Ridde V, Kâ O (2013).Good intentions are not enough: analysis of a health policy for the elderly in Senegal. Public health: 25 (1): 107-12 https://www.cairn.info/revue-sante-publique-2013-1-page-107.htm
[10]
Ministère de l’Economie et des Finances du Sénégal (2002). National Agency of Statistics and Demography (ANSD). Third General Census of the Human Population of Senegal. Chap. 10: 119-131. www.ansd.sn/ressources/rapports/RGPH3_RAP_NAT.pdf
[11]
Pradnya D, Ragupathy Sendhilkumar MSc, MPT (2016). Prevalence of risk factors for falls among elderly people living in long-term care homes. Journal of Clinical Gerontology Geriatrics: 7 (3): 99-103 http://dx.doi.org/10.1016/j.jcgg.2016.03.004consulté en mai 2016
[12]
Hdiji O, Damak M, Bouzidi N, MhiriC (2016). Risk of Fails due to neurologic factors in an elderly Tunisian population. http://dx.doi.org/10.1016/j.npg.2016.03.001consulté en juin 2016
[13]
Grundstrom AC, Guse CE, Layde PM (2012). Risk factors for falls and fall-related injuries in adults 85 years of age and older. Archives of Gerontology and Geriatrics 54: 421–428
[14]
Buatois S (2011). Establishment of a simple clinical scale to assess the risk of repeated falls in seniors Kinesither Rev: (111): 45-48. xemtailieu.com › Thểloạikhác › Chưaphânloại
[15]
Gelbard R, Inaba K, Okoye OT, Morrell M, Saadi Z, Lam L et al (2014). Falls in the elderly: a modern look at an old problem The American Journal of Surgery: 208, 249-253. http://dx.doi.org/10.1016/j.amjsurg.2013.12.034
[16]
Ambrose AF et al (2013). Risk factors for falls among older adults: A review of the literature Maturitas 75: 51–61. http://dx.doi.org/10.1016/j.maturitas.2013.02.009
[17]
Waldron N, Dey I, Nagree Y et al (2011). A multi-faceted intervention to implement guideline care and improve quality of care for older people who present to the emergency department with falls BMC Geriatr, 11, p. 6 bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-11-6
[18]
Ciangura C, Faucher P, Oppert J-M (2014). Physical activity, nutrition and obesity. Clinical nutrition and metabolism 28: 279–286 www.em-consulte.com/article/942174/activite-physique-nutrition-et-obesite
[19]
Yang X. J. et al (2011). Balance concerns in the elderly: Real or imaginary? / Journal of Clinical Gerontology & Geriatrics 2: 109-115. https://www.researchgate.net/.../230734240_Original_article_
[20]
Pin S, Vuillemin A, Léond C (2014). Prevalence of falls among people aged 55 to 85 and characteristics of fallers: results of the 2010 Health Barometer. 6th International Congress of Epidemiology / Journal of Epidemiology and Public Health: 62S-S213-S254. http://dx.doi.org/10.1016/j.respe.2014.06.273
[21]
Minary A et al (2016). Drugs increasing the risk of falling: prospective study at Strasbourg University Hospital. Neurol psychiatr gériatr. http://dx.doi.org/10.1016/j.npg.2015.12.002
[22]
Ka O, Mbaye E, Leye MMM, et al (2012). Sesam Plan in Senegal; limits of this model. Rev Public health: 24 (5): 439-451.
[23]
Fall F, Ka O, Diallo Y, Gaye A, et al (2015). Epidemiological profile of patients with erectile dysfunction at Ouakam health center, Dakar Senegal. Méd Afr Noire: 60 (11): 450-458
[24]
Kane A (1995). Arterial Hypertension in Senegal: Epidemiological Aspects, Clinical Aspects and Problems of Therapeutic Management Dakar Medical, 40: 157-161. tropical-cardiology.com/.../25-l-hypertension-artérielle-en-afrique-sub-saharienne-det..
[25]
Thiam A (2010). Analysis of the consultation of the elderly received at the center of gerontology and geriatrics of Ouakam. Thèse Med, Dakar, Ucad 2010. number 83 http://bibnum.ucad.sn/viewer.php?c=thm&d=THM-47223
[26]
Chastan N, Welter M-L (2016). How do I examine a gait disorder? Neurological Practice – FMC. http://dx.doi.org/10.1016/j.praneu.2016.10.007consulté en aout 2016
[27]
Tsai L-Y, Tsay S-L, Hsieh R-K, Yu S, Tsai J-M, Chien H-H, Liu S-J (2014). Fall Injuries and Related Factors of Elderly Patients at a Medical Center in Taiwan International Journal of Gerontology 8: 203-208. http://dx.doi.org/10.1016/j.ijge.2013.10.007
[28]
Montali F, Campaniello G, Benatti M, Rastelli, G, Pedrazzoni M, Cervellin G (2015). Impact of different drug classes on clinical severity of falls in an elderly population: Epidemiological survey in a trauma center Journal of Clinical Gerontology & Geriatrics 6: 63-67. http://dx.doi.org/10.1016/j.jcgg.2015.03.002
[29]
Hong-Ying P, Meng-Meng H, Jie Z, Pei-Pei P, Dan N (2015). Circumstances of falls and fall-related injuries among frail elderly under home care in China. International journal of nursing sciences 2: 237-242. http://dx.doi.org/10.1016/j.ijnss.2015.07.002
Browse journals by subject