title: [Beyond to pattern of risk factors in elderly subjects].
abstract: Most falls in the elderly result from an interaction between several risk factors in. Interventions targeting risk factors for a fall have been effective in the prevention of falls. The aim of this prospective study was to identify pattern of risk factors in hospitalized elderly subjects for fall in a geriatric acute care unit.
  
  
  METHODS
  over a 5-year period, 471 patients hospitalized in the geriatric unit of Angers Hospital following a fall were randomly assigned to 471 patients without any fall history. The prevalence of risk factors for a fall, and the existence of predisposing and precipitating factors were compared between the two groups.
  
  
  RESULTS
  risk factors for fall, namely gait unsteadiness, hip disorders, peripheral neuropathy, convulsions and syncope, were significantly more prevalent in the group of fallers compared to the controls. Two faller patterns were proposed: (1) patients with depression and receiving benzodiazepine and neuroleptic, and (2) patients with poor vision and osteoarticular disorders. Two further factors, namely parkinsonism and foot disorders, seemed to be sufficient to explain a fall.
  
  
  CONCLUSIONS
  this study for the first time has identified risk factors patterns of fall in elderly patients hospitalized in a geriatric acute care unit, which can be used to implement diagnosis and treatment strategies.
authors: Service de gériatrie, Hôpital Bretonneau, APHP, Paris.
authors: Marie-Line
authors: ML
authors: Gaubert-Dahan
authors: Anne
authors: A
authors: Cougnaud-Petit
authors: Laure
authors: L
authors: De Decker
authors: Cédric
authors: C
authors: Annweiler
authors: Olivier
authors: O
authors: Beauchet
authors: Gilles
authors: G
authors: Berrut
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D011446:Prospective Studies; D012307:Risk Factors