NGUY CƠ TÉ NGÃ Ở CÁC BỆNH NHÂN PARKINSON NGOẠI TRÚ

Abstract

Objectives: To determine the risk of falling in Parkinson's outpatients. Subjects and methods: A cross-sectional study describing 93 Parkinson's patients who visited the Hospital of University of Medicine and Pharmacy in Ho Chi Minh City. Patients who met the sample selection criteria were evaluated for gait and balance based on 2 falls - risk scales, namely Three Predictive Steps (3SPT) and Tinetti, then classified the risk of falling according to each scale and the factors related to it. The study was measured and analyzed using the statistical software R. Study results: mean age was 63.37 ± 9.76 years old, male/female ratio was 1/1.27, mean disease duration was 5.0 ± 5.2 years, mean Hoehn and Yahr stage group mean is 2.4 ± 7.4. The percentage of patients at high risk of falling according to the 3SPT and Tinetti scales accounted for 33% and 41%, respectively. Factors associated with high risk of falling according to both Tinetti and 3SPT scales include high Hoehn and Yahr stages, prolonged disease duration, increased fear of falling. Conclusion: The rate of falling risk of Parkinson's patients assessed by 2 scales as Tinetti scale or Three-step prediction scale is very high, with a number of factors associated with high risk rate including HY stage, prolonged disease duration, fear of falling. This shows the urgency of establishing a program to survey and prevent falls in Parkinson's outpatients, especially for the patient who has a prolonged disease duration, higher stage of Hoehn and Yahr and a fear of falling.