Mailliez Aurélie, Chen Yaohua, Litke Rachel, Gloria Stéphanie, Chekroud Hacène, Huvent-Grelle Dominique, Mirakovska Liubinka, Gaxatte Cédric, Puisieux François
Department of Geriatrics, CHU Lille, Lille, France.
Univ. Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1167-RID-AGE-Facteurs de Risque et Déterminants Moléculaires des Maladies Liées au Vieillissement, Lille, France.
J Diabetes Res. 2025 Aug 21;2025:6145818. doi: 10.1155/jdr/6145818. eCollection 2025.
The aim of this study is to assess the prevalence of diabetes in patients attending a multidisciplinary consultation for fall risk assessment and to compare fall risk factors and the prevalence of other geriatric syndromes in patients with and without diabetes. A single-center retrospective cohort study was conducted at the Lille University Hospital Geriatrics Department, France. Inclusion criteria were any patients aged 65 years and over consulting for fall risk assessment between January 2, 2005, and January 2, 2015. A comprehensive multidisciplinary clinical evaluation was carried out to establish a personalized assessment of the patient's risk of falling. One thousand five hundred and twenty patients were included. Mean age was 81.4 ± 6.4 years; 72.2% were female, and 20% had diabetes. While patients with diabetes were younger than patients without diabetes (mean age: 79.4 ± 6.1 years vs. 81.9 ± 6.4 years, < 0.001), they were more likely to have had at least two falls in the previous 6 months (65.5% vs. 56.2%; = 0.004), had more balance and gait disorders (respectively, 77.4% vs. 69.7%, = 0.009, and 88% vs. 82%, = 0.012), and had more cognitive decline, urinary disorders, functional dependency, and polypharmacy than patients without diabetes ( < 0.0001 for all). Patients with diabetes have more geriatric syndromes and comorbidities, leading to a higher risk of adverse events compared to patients without diabetes even if they are younger. Preventing falls and other geriatric syndromes should therefore be a concern for all healthcare professionals who care for people with diabetes.
本研究旨在评估因跌倒风险评估而接受多学科会诊的患者中糖尿病的患病率，并比较糖尿病患者与非糖尿病患者的跌倒风险因素及其他老年综合征的患病率。在法国里尔大学医院老年病科进行了一项单中心回顾性队列研究。纳入标准为2005年1月2日至2015年1月2日期间因跌倒风险评估前来咨询的65岁及以上的任何患者。进行了全面的多学科临床评估，以建立对患者跌倒风险的个性化评估。共纳入1520例患者。平均年龄为81.4±6.4岁；72.2%为女性，20%患有糖尿病。虽然糖尿病患者比非糖尿病患者年轻（平均年龄：79.4±6.1岁 vs. 81.9±6.4岁，P<0.001），但他们在过去6个月内至少跌倒两次的可能性更大（65.5% vs. 56.2%；P = 0.004），平衡和步态障碍更多（分别为77.4% vs. 69.7%，P = 0.009，和88% vs. 82%，P = 0.012），并且与非糖尿病患者相比，认知功能下降、泌尿系统疾病、功能依赖和多重用药更多（所有P<0.0001）。糖尿病患者有更多的老年综合征和合并症，即使他们更年轻，与非糖尿病患者相比，不良事件风险更高。因此，预防跌倒和其他老年综合征应成为所有照顾糖尿病患者的医护人员关注的问题。
