Fahimnia Somayeh, Mirhedayati Roudsari Hadi, Doucette John, Shahrokni Armin
Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Geriatrics Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Curr Gerontol Geriatr Res. 2018 May 15;2018:5713285. doi: 10.1155/2018/5713285. eCollection 2018.
Falls are common among older adults. However, not much is known about the prevalence of falls among older patients with cancer. In 2015, older patients with cancer referred to Geriatrics service for preoperative evaluation were assessed for fall history, basic and instrumental activities of daily living (ADL and IADL), KPS, and use of assistive device. Of 806 patients, 215 (26.7%) patients reported fall. Incidence of last fall inside and outside home was 54.4% and 45.5%, respectively. Among patients with no falls, 33.6% had KPS ≤ 80 compared to 59.6% with one-time fall and 60.7% with multiple falls ( < 0.001). Among IADL, 8.5% of patients with no falls were unable to do shopping compared with 14.7% in one-time fall and 18.8% in multiple fallers ( < 0.001). In ADL items, the percentage of patients who were limited a lot in walking outside was 10.7% in no falls, 20.2% in one-time fall, and 27.1% in multiple fallers groups ( < 0.001). Only 17.8% of patients with no falls were using canes while 27.7% of patients with one-time fall and 38.8% with multiple falls were using canes ( < 0.001). Falls are prevalent among older patients with cancer. Fall history and number of falls are associated with functional status.
跌倒在老年人中很常见。然而，对于老年癌症患者中跌倒的患病率了解并不多。2015年，对转诊至老年医学科进行术前评估的老年癌症患者评估了跌倒史、基本和工具性日常生活活动（ADL和IADL）、KPS以及辅助设备的使用情况。在806例患者中，215例（26.7%）报告有跌倒。上次在家中和家外跌倒的发生率分别为54.4%和45.5%。在无跌倒的患者中，33.6%的患者KPS≤80，而单次跌倒患者中这一比例为59.6%，多次跌倒患者中为60.7%（<0.001）。在IADL方面，无跌倒患者中8.5%无法购物，单次跌倒患者中为14.7%，多次跌倒患者中为18.8%（<0.001）。在ADL项目中，在户外行走受限程度较大的患者比例在无跌倒患者中为10.7%，单次跌倒患者中为20.2%，多次跌倒患者组中为27.1%（<0.001）。无跌倒患者中只有17.8%使用拐杖，而单次跌倒患者中27.7%使用拐杖，多次跌倒患者中38.8%使用拐杖（<0.001）。跌倒在老年癌症患者中很普遍。跌倒史和跌倒次数与功能状态相关。
