title: Falls in elderly hemodialysis patients.
abstract: The elderly, (age ≥ 65 years) hemodialysis (HD) patient population is growing rapidly across the world. The risk of accidental falls is very high in this patient population due to multiple factors which include aging, underlying renal disease and adverse events associated with HD treatments. Falls, the most common cause of fatal injury among elderly, not only increase morbidity and mortality, but also increase costs to the health system. Prediction of falls and interventions to prevent or minimize fall risk and associated complications will be a major step in helping these patients as well as decreasing financial and social burdens. Thus, it is vital to learn how to approach this important problem. In this review, we will summarize the epidemiology, risk factors, pathophysiology and complications of falls in elderly HD patients. We will also focus on available methods to assess and predict the patients at higher risk of falling and will provide recommendations for interventions to reduce the occurrence of falls in this population.
authors.affiliation: Division of Nephrology, Department of Medicine, University of Virginia Health System, PO Box 800133, Charlottesville, VA 22908, USA.
authors.forename: E M
authors.initials: EM
authors.lastname: Abdel-Rahman
authors.forename: F
authors.initials: F
authors.lastname: Turgut
authors.forename: K
authors.initials: K
authors.lastname: Turkmen
authors.forename: R A
authors.initials: RA
authors.lastname: Balogun
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D011379:Prognosis; D006435:Renal Dialysis / Q000009:adverse effects*; D012307:Risk Factors