The Prevalence, Assessment and Associations of Falls in Dementia with Lewy Bodies and Alzheimer’s DiseaseBallard C.G. · Shaw F. · Lowery K. · McKeith I. · Kenny R.
aMRC Neurochemical Pathology Unit, bRoyal Victoria Infirmary and cUniversity of Newcastle upon Tyne, UK
Falls were assessed for 3 months using a daily fall diary in 65 (30 dementia with Lewy bodies, DLB; 35 Alzheimer’s disease, AD) dementia patients from a case register, diagnosed using operationalised clinical criteria, with established accuracy against post-mortem. Multiple falls (>5) occurred in 37% of DLB patients and 6% of those with AD, often resulting in injury. None of the standard risk assessment tools identified fallers, but they did identify multiple fallers. More detailed evaluation methods examining gait patterns, sway and neurovascular instability were not helpful. Multiple falls were associated with DLB, parkinsonism, previous falls, greater impairment of activities of daily living and older age. Falls are particularly common in DLB sufferers and may aid diagnosis. Treatment studies evaluating fall reduction strategies are a priority.
Dr. Clive G. Ballard
MRC Neurochemical Pathology Unit
Newcastle General Hospital, Westgate Rd
Newcastle upon Tyne NE4 6BE (UK)
Tel. +44 0191 273 5251, Fax +44 0191 272 5291, E-Mail email@example.com
Accepted: August 14, 1998
Number of Print Pages : 7
Number of Figures : 0, Number of Tables : 4, Number of References : 33
Dementia and Geriatric Cognitive Disorders
Vol. 10, No. 2, Year 1999 (Cover Date: March-April 1999)
Journal Editor: V. Chan-Palay, New York, N.Y.
ISSN: 1420–8008 (print), 1421–9824 (Online)
For additional information: http://www.karger.com/journals/dem