title: [Falls among hemodialysis patients: Incidence and risk factors].
abstract: Falls and mineral and bones disorders are both implicated in the occurrence of pathological fractures in patients undergoing chronic dialysis. However, data on falls among this population are rare. We carried out a prospective study during four weeks and included 70 patients on chronic hemodialysis with the main objectives being to evaluate the incidence of falls and factors related to it. At the end of the four weeks, 16 patients (22.86%) fell at least once, with a total of 17 falls during 4 weeks, giving an incidence of 3.2 falls per patient/year. The mean age was 40 ± 16 years. Five patients (31.2%) had a past history of pathological fractures. Ten patients (62.5%) presented intra- and post-dialysis hypotension, six (37.5%) was diagnosed of gait disorders and two (12.5%) had sensory deficit of the lower limbs. Six patients (37.5%) presented frailty. Hypotension (P=0.004), frailty (P=0.047) and sensory deficit (P=0.049) were significantly associated with the occurrence of falls. The incidence of falls is relatively high in our hemodialysis patients and real risk factors exist. Hence, it is important to implement programs for falls prevention to reduce their incidence and impact.
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc. Electronic address: bfanotokadoukaza@yahoo.fr.
authors.forename: Béfa
authors.initials: B
authors.lastname: Noto-Kadou-Kaza
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Denis Georges
authors.initials: DG
authors.lastname: Teuwafeu
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio de Lomé, Lomé, Togo.
authors.forename: Kossi Akomola
authors.initials: KA
authors.lastname: Sabi
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Nadia
authors.initials: N
authors.lastname: Zenasni
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio de Lomé, Lomé, Togo.
authors.forename: Eyram Yoan Makafui
authors.initials: EY
authors.lastname: Amekoudi
authors.affiliation: Service de néphrologie et d'hémodialyse, CHU Sylvanus Olympio de Lomé, Lomé, Togo.
authors.forename: Claude Mawufemo
authors.initials: CM
authors.lastname: Tsevi
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Maimouna
authors.initials: M
authors.lastname: Mahamat
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Yasminatou Aminata Wendkuuni
authors.initials: YA
authors.lastname: Bikinga
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Selma
authors.initials: S
authors.lastname: El Khayat
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Zamd
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Ghislaine
authors.initials: G
authors.lastname: Medkouri
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Mohamed Gharbi
authors.initials: MG
authors.lastname: Benghanem
authors.affiliation: Service de néphrologie, de dialyse et transplantation rénale, CHU Ibn Rochd, 1, quartier des Hôpitaux, Casablanca, Maroc.
authors.forename: Benyounes
authors.initials: B
authors.lastname: Ramdani
mesh_terms: D000058:Accidental Falls; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D016330:Frail Elderly; D006801:Humans; D007022:Hypotension / Q000150:complications; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D006435:Renal Dialysis; D012307:Risk Factors; D012678:Sensation Disorders / Q000150:complications; D055815:Young Adult
keywords: Chutes; Facteurs de risque; Falls; Hemodialysis; Hémodialyse; Incidence; Risks factors