Use of a clustering method to describe the clinical profiles of older fallers: the value of a multidisciplinary consultation.
Clustering
Falls
Frailty
Gait speed
Physical inactivity
Journal
European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
21
12
2022
accepted:
26
06
2023
pubmed:
19
8
2023
medline:
19
8
2023
entrez:
19
8
2023
Statut:
ppublish
Résumé
The population of older adults is particularly heterogeneous with regard to frailty and the risk of falling, the two of which are linked. We conducted an exploratory, analysis (with no preconceived ideas) of data collected during multidisciplinary falls consultations (MFCs), to identify people with similar profiles. We performed an observational, multicentre study of older patients (aged 75 and over) having been evaluated in an MFC. We excluded adults with a Mini Mental State Examination score < 14/30, an activities of daily living score < 4/6, or an unstable medical condition. Each participant underwent a clinical interview, impedancemetry, and a physical activity assessment (a questionnaire, and use of an activity tracker on 5 consecutive days). The K-means method and ascending hierarchical clustering were used to identify clusters of people with common characteristics. Of the 106 participants, the median [IQR] mean number of falls in the previous 6 months was 1 [2]. Three functional clusters were identified: (i) fallers with poor mobility, difficulty getting up off the ground after a fall, and using a mobility aid for walking; (ii) an intermediate sedentary group with a gait speed of ~ 0.6 m s The population of older fallers referred for an MFC is heterogeneous. The presence of certain clinical characteristics enabled the definition of three patient clusters, which might help physicians to determine the most appropriate care objectives and pathways.
Identifiants
pubmed: 37597075
doi: 10.1007/s41999-023-00829-3
pii: 10.1007/s41999-023-00829-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1097-1104Informations de copyright
© 2023. The Author(s), under exclusive licence to European Geriatric Medicine Society.
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