Fear of falling among elderly patients with dizziness and syncope in a tilt setting.
The objectives of this study were to assess the prevalence of fear of falling (FOF) among patients over age 60 with dizziness, falls, or syncope; and to analyze risk factors associated with FOF, including data from the tilt table test. This study included 200 older patients referred to a geriatric outpatient clinic specializing in dizziness, falls, and syncope. The primary outcome measure was the proportion of patients who experienced FOF (yes vs. no) and whether FOF restricted leaving home alone or performing activities of daily living. FOF occurred in 50 per cent of patients in this population. Among these, 44 per cent gave up going out alone and 10 per cent stopped doing basic activities of daily living. Beyond age 75, FOF was associated with recurrent dizziness, depression, and symptoms on standing, but not prior falls.
Unidad de Valoracion Geriatrica, Hospital del Bierzo, Ponferrada, Leon, Spain. jperezjara@wanadoo.es
Javier
J
Perez-Jara
Alfredo
A
Enguix
Jose Miguel
JM
Fernandez-Quintas
Beatriz
B
Gómez-Salvador
Rosa
R
Baz
Paloma
P
Olmos
Alberto
A
Rodríguez
Arturo
A
Vilches
Carlos
C
Reyes-Ortiz
D000058:Accidental Falls; D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology; D004244:Dizziness / Q000523:psychology*; D005239:Fear; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D013575:Syncope / Q000523:psychology*; D018667:Tilt-Table Test