Skip to main content
SpringerLink
Log in

Urogeriatrisches Syndrom: Sturz

  • Chapter
  • First Online:
Geriatrische Urologie

  • 918 Accesses

Zusammenfassung

Stürze bei geriatrischen Patienten stellen ein hochfrequentes und folgenreiches Problem dar. Eigene Daten von stationären Krankenhauspatienten der Urologie belegen, dass während des stationären Aufenthaltes 91 von 6101 Patienten zweier Jahrgänge oder 1,5 % stürzten. Das mittlere Alter der gestürzten Patienten lag mit 76 Jahren um 12 Jahre höher als das aller Krankenhauspatienten mit 64,4 Jahren. Daher lohnt die Betrachtung dieses „uro-geriatrischen Syndroms“.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 74.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  1. Freiberger E, Menz HB (2006) Characteristics of falls in physically active community-dwelling older people: findings from the “Standfest im Alter” study. Z Gerontol Geriatr 39:261–267

    Article  PubMed  Google Scholar 

  2. Edwards R, Hunter K, Wagg A (2015) Lower urinary tract symptoms and falls in older women: a case control study. Maturitas 80:308–311

    Article  PubMed  Google Scholar 

  3. Batchelor FA, Dow B, Low MA (2013) Do continence management strategies reduce falls? A systematic review. Australas J Ageing 32:211–216

    Article  PubMed  Google Scholar 

  4. Stewart Williams J, Kowal P, Hestekin H, O’Driscoll T, Peltzer K et al (2015) Prevalence, risk factors and disability associated with fall-related injury in older adults in low- and middle-incomecountries: results from the WHO study on global AGEing and adult health (SAGE). BMC Med 13:147

    Article  PubMed  PubMed Central  Google Scholar 

  5. Rapp K, Becker C, Cameron ID, Konig HH, Buchele G (2012) Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes. J Am Med Dir Assoc 13(187):e1–e6

    Google Scholar 

  6. Cevizci S, Uluocak S, Aslan C, Gokulu G, Bilir O, Bakar C (2015) Prevalence of falls and associated risk factors among aged population: community based cross-sectional study from Turkey. Cent Eur J Public Health 23:233–239

    Article  PubMed  Google Scholar 

  7. Tromp AM, Smit JH, Deeg DJ, Bouter LM, Lips P (1998) Predictors for falls and fractures in the longitudinal aging study amsterdam. J Bone Miner Res 13:1932–1939

    Article  CAS  PubMed  Google Scholar 

  8. Baranzini F, Poloni N, Diurni M, Ceccon F, Colombo D et al (2009) Polypharmacy and psychotropic drugs as risk factors for falls in long-term care setting for elderly patients in Lombardy. Recenti Prog Med 100:9–16

    PubMed  Google Scholar 

  9. Dhalwani NN, Fahami R, Sathanapally H, Seidu S, Davies MJ, Khunti K (2017) Association between polypharmacy and falls in older adults: a longitudinal study from England. BMJ Open 7:e016358

    Article  PubMed  PubMed Central  Google Scholar 

  10. Fritsch MA, Shelton PS (2017) Geriatric polypharmacy: pharmacist as key facilitator in assessing for falls risk. Clin Geriatr Med 33:205–223

    Article  PubMed  Google Scholar 

  11. Morin L, Calderon Larranaga A, Welmer AK, Rizzuto D, Wastesson JW, Johnell K (2019) Polypharmacy and injurious falls in older adults: a nationwide nested case-control study. Clin Epidemiol 11:483–493

    Article  PubMed  PubMed Central  Google Scholar 

  12. Richardson K, Bennett K, Kenny RA (2015) Polypharmacy including falls risk-increasing medications and subsequent falls in community-dwelling middle-aged and older adults. Age Ageing 44:90–96

    Article  PubMed  Google Scholar 

  13. Weiner DK, Hanlon JT, Studenski SA (1998) Effects of central nervous system polypharmacy on falls liability in community-dwelling elderly. Gerontology 44:217–221

    Article  CAS  PubMed  Google Scholar 

  14. Tutuarima JA, van der Meulen JH, de Haan RJ, van Straten A, Limburg M (1997) Risk factors for falls of hospitalized stroke patients. Stroke 28:297–301

    Article  CAS  PubMed  Google Scholar 

  15. Damian J, Pastor-Barriuso R, Valderrama-Gama E, de Pedro-Cuesta J (2013) Factors associated with falls among older adults living in institutions. BMC Geriatr 13:6

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lahmann NA, Heinze C, Rommel A (2014) Falls in German hospitals and nursing homes 2006–2013. Frequencies, injuries, risk assessment, and preventive measures. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 57:650–659

    Article  CAS  PubMed  Google Scholar 

  17. Lai SW (2019) Orthostatic hypotension and falls. Am J Hypertens 32:e10

    Article  PubMed  Google Scholar 

  18. Lipsitz LA (2017) Orthostatic hypotension and falls. J Am Geriatr Soc 65:470–471

    Article  PubMed  Google Scholar 

  19. Menant JC, Wong AK, Trollor JN, Close JC, Lord SR (2016) Depressive symptoms and orthostatic hypotension are risk factors for unexplained falls in community-living older people. J Am Geriatr Soc 64:1073–1078

    Article  PubMed  Google Scholar 

  20. Mol A, Bui Hoang PTS, Sharmin S, Reijnierse EM, van Wezel RJA et al (2019) Orthostatic hypotension and falls in older adults: a systematic review and meta-analysis. J Am Med Dir Assoc 20(589–97):e5

    Google Scholar 

  21. Momeyer MA, Mion LC (2018) Orthostatic hypotension: an often overlooked risk factor for falls. Geriatr Nurs 39:483–486

    Article  PubMed  Google Scholar 

  22. Atlas A, Kerse N, Rolleston A, Teh R, Bacon C (2017) Falls and depression in octogenarians—life and living in advanced age: a cohort study in New Zealand. J Prim Health Care 9:311–315

    Article  PubMed  Google Scholar 

  23. Gimm GW, Kitsantas P (2016) Falls, depression, and other hospitalization risk factors for adults in residential care facilities. Int J Aging Hum Dev 83:44–62

    Article  PubMed  Google Scholar 

  24. Magnuson A, Sattar S, Nightingale G, Saracino R, Skonecki E, Trevino KM (2019) A practical guide to geriatric syndromes in older adults with cancer: a focus on falls, cognition, polypharmacy, and depression. Am Soc Clin Oncol Educ Book 39:e96–e109

    Article  PubMed  Google Scholar 

  25. Choi EJ, Kim SA, Kim NR, Rhee JA, Yun YW, Shin MH (2014) Risk factors for falls in older Korean adults: the 2011 community health survey. J Korean Med Sci 29:1482–1487

    Article  PubMed  PubMed Central  Google Scholar 

  26. Abreu HC, Reiners AA, Azevedo RC, Silva AM, Abreu D, Oliveira A (2015) Incidence and predicting factors of falls of older inpatients. Rev Saude Publica 49:37

    Article  PubMed  PubMed Central  Google Scholar 

  27. Davis NF, Quinlan MR, Bhatt NR, Browne C, MacCraith E et al (2016) Incidence, cost, complications and clinical outcomes of iatrogenic urethral catheterization injuries: a prospective multi-institutional study. J Urol 196:1473–1477

    Article  CAS  PubMed  Google Scholar 

  28. Cox R, Buckholtz B, Bradas C, Bowden V, Kerber K, McNett MM (2017) Risk factors for falls among hospitalized acute post-ischemic stroke patients. J Neurosci Nurs 49:355–360

    Article  PubMed  Google Scholar 

  29. Samuelsson CM, Hansson PO, Persson CU (2019) Early prediction of falls after stroke: a 12-month follow-up of 490 patients in the fall study of gothenburg (FallsGOT). Clin Rehabil 33:773–783

    Article  PubMed  Google Scholar 

  30. Pahwa AK, Andy UU, Newman DK, Stambakio H, Schmitz KH, Arya LA (2016) Noctural enuresis as a risk factor for falls in older community dwelling women with urinary incontinence. J Urol 195:1512–1516

    Article  PubMed  Google Scholar 

  31. Burkhardt H, Wehling M, Gladisch R (2007) [Pharmacotherapy of elderly patients]. Internist (Berl) 48:1220, 2–, 31

    Google Scholar 

  32. Burkhardt H, Wehling M (2018) Praktische Geriatrie. In: Burkhardt H, Wehling M (Hrsg) Praktische Geriatrie, 2. Aufl. Thieme, New York, S 92–99

    Google Scholar 

  33. Resnick NM, Yalla SV, Laurino E (1989) The pathophysiology of urinary incontinence among institutionalized elderly persons. N Engl J Med 320:1–7

    Article  CAS  PubMed  Google Scholar 

  34. Elbadawi A, Diokno AC, Millard RJ (1998) The aging bladder: morphology and urodynamics. World J Urol 16(Suppl 1):S10–S34

    Article  PubMed  Google Scholar 

  35. Elbadawi A, Hailemariam S, Yalla SV, Resnick NM (1997) Structural basis of geriatric voiding dysfunction. VI. Validation and update of diagnostic criteria in 71 detrusor biopsies. J Urol 157:1802–1813

    Article  CAS  PubMed  Google Scholar 

  36. Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. III. Detrusor overactivity. J Urol 150:1668–1680

    Article  CAS  PubMed  Google Scholar 

  37. Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. IV. Bladder outlet obstruction. J Urol 150:1681–1695

    Article  CAS  PubMed  Google Scholar 

  38. Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. IV. Bladder outlet obstruction. J Urol 150:1681–1695

    Article  CAS  PubMed  Google Scholar 

  39. Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. III. Detrusor overactivity. J Urol 150:1668–1680

    Article  CAS  PubMed  Google Scholar 

  40. Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. II. Aging detrusor: normal versus impaired contractility. J Urol 150:1657–1667

    Article  CAS  PubMed  Google Scholar 

  41. Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction. I. Methods of a prospective ultrastructural/urodynamic study and an overview of the findings. J Urol 150:1650–1656

    Article  CAS  PubMed  Google Scholar 

  42. Zia A, Kamaruzzaman S, Myint PK, Tan MP (2016) Anticholinergic burden is associated with recurrent and injurious falls in older individuals. Maturitas 84:32–37

    Article  PubMed  Google Scholar 

  43. Zia A, Kamaruzzaman SB, Tan MP (2015) Polypharmacy and falls in older people: balancing evidence-based medicine against falls risk. Postgrad Med 127:330–337

    Article  PubMed  Google Scholar 

  44. Corrao G, Mazzola P, Monzio Compagnoni M, Rea F, Merlino L et al (2015) Antihypertensive medications, loop diuretics, and risk of hip fracture in the elderly: a population-based cohort study of 81,617 Italian patients newly treated between 2005 and 2009. Drugs Aging 32:927–936

    Article  CAS  PubMed  Google Scholar 

  45. Moon SJ, Kim YT, Lee TY, Moon H, Kim MJ et al (2011) The influence of an overactive bladder on falling: a study of females aged 40 and older in the community. Int Neurourol J 15:41–47

    Article  PubMed  PubMed Central  Google Scholar 

  46. Hunter KF, Voaklander D, Hsu ZY, Moore KN (2013) Lower urinary tract symptoms and falls risk among older women receiving home support: a prospective cohort study. BMC Geriatr 13:46

    Article  PubMed  PubMed Central  Google Scholar 

  47. Fritel X, Lachal L, Cassou B, Fauconnier A, Dargent-Molina P (2013) Mobility impairment is associated with urge but not stress urinary incontinence in community-dwelling older women: results from the Ossebo study. BJOG 120:1566–1572

    Article  CAS  PubMed  Google Scholar 

  48. Brown JS, Vittinghoff E, Wyman JF, Stone KL, Nevitt MC et al (2000) Urinary incontinence: does it increase risk for falls and fractures? Study of osteoporotic fractures research group. J Am Geriatr Soc 48:721–725

    Article  CAS  PubMed  Google Scholar 

  49. Teo JS, Briffa NK, Devine A, Dhaliwal SS, Prince RL (2006) Do sleep problems or urinary incontinence predict falls in elderly women? Aust J Physiother 52:19–24

    Article  PubMed  Google Scholar 

  50. Kurita N, Yamazaki S, Fukumori N, Otoshi K, Otani K et al (2013) Overactive bladder symptom severity is associated with falls in community-dwelling adults: LOHAS study. BMJ Open 3:e002413

    Article  PubMed  PubMed Central  Google Scholar 

  51. Richardson K, Bennett K, Maidment ID, Fox C, Smithard D, Kenny RA (2015) Use of medications with anticholinergic activity and self-reported injurious falls in older community-dwelling adults. J Am Geriatr Soc 63:1561–1569

    Article  PubMed  Google Scholar 

  52. Salahudeen MS, Chyou TY, Nishtala PS (2016) Serum anticholinergic activity and cognitive and functional adverse outcomes in older people: a systematic review and meta-analysis of the literature. PLoS ONE 11:e0151084

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  53. Callegari E, Malhotra B, Bungay PJ, Webster R, Fenner KS et al (2011) A comprehensive non-clinical evaluation of the CNS penetration potential of antimuscarinic agents for the treatment of overactive bladder. Br J Clin Pharmacol 72:235–246

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Gulsun M, Pinar M, Sabanci U (2006) Psychotic disorder induced by oxybutynin: presentation of two cases. Clin Drug Investig 26:603–606

    Article  CAS  PubMed  Google Scholar 

  55. Ferrara P, D’Aleo CM, Tarquini E, Salvatore S, Salvaggio E (2001) Side-effects of oral or intravesical oxybutynin chloride in children with spina bifida. BJU Int 87:674–678

    Article  CAS  PubMed  Google Scholar 

  56. Choulot JJ, Mensire A, Saint Martin J (1989) Overdose of anticholinergic agents and confusional syndrome. Ann Pediatr (Paris) 36:714

    CAS  Google Scholar 

  57. Womack KB, Heilman KM (2003) Tolterodine and memory: dry but forgetful. Arch Neurol 60:771–773

    Article  PubMed  Google Scholar 

  58. Torvinen-Kiiskinen S, Taipale H, Tanskanen A, Tiihonen J, Hartikainen S (2014) Concomitant use of acetylcholine esterase inhibitors and urinary antispasmodics among finnish community-dwelling persons with Alzheimer disease. J Clin Psychopharmacol 34:722–727

    Article  CAS  PubMed  Google Scholar 

  59. Johnell K, Fastbom J (2008) Concurrent use of anticholinergic drugs and cholinesterase inhibitors: register-based study of over 700,000 elderly patients. Drugs Aging 25:871–877

    Article  CAS  PubMed  Google Scholar 

  60. Gray SL, Anderson ML, Dublin S, Hanlon JT, Hubbard R et al (2015) Cumulative use of strong anticholinergics and incident dementia: a prospective cohort study. JAMA Intern Med 175:401–407

    Article  PubMed  PubMed Central  Google Scholar 

  61. Sink KM, Thomas J 3rd, Xu H, Craig B, Kritchevsky S, Sands LP (2008) Dual use of bladder anticholinergics and cholinesterase inhibitors: long-term functional and cognitive outcomes. J Am Geriatr Soc 56:847–853

    Article  PubMed  PubMed Central  Google Scholar 

  62. Carriere I, Fourrier-Reglat A, Dartigues JF, Rouaud O, Pasquier F et al (2009) Drugs with anticholinergic properties, cognitive decline, and dementia in an elderly general population: the 3-city study. Arch Intern Med 169:1317–1324

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  63. Isik AT, Celik T, Bozoglu E, Doruk H (2009) Trospium and cognition in patients with late onset Alzheimer disease. J Nutr Health Aging 13:672–676

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Urologische Klinik, Ev. Krankenhaus Witten gGmbH, Witten, Nordrhein-Westfalen, Deutschland

    Andreas Wiedemann

Authors
  1. Andreas Wiedemann
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Andreas Wiedemann .

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Wiedemann, A. (2020). Urogeriatrisches Syndrom: Sturz . In: Geriatrische Urologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61494-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61494-5_9

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61493-8

  • Online ISBN: 978-3-662-61494-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation