La Tunisie medicale · 2025
Falls in rheumatoid arthritis: Prevalence and associated factors.
СтатьяНазвание и аннотация: Перевод в очереди
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Makhlouf Yasmine, Mahjoub Sarra, Boussaa Hiba, Miladi Saoussen, Souebni Leila, Ouenniche Kmar, Kassab Selma, Chekili Selma, Ben Abdelghani Kawther, Fazaa Alia, Laatar Ahmed
Аннотация
OBJECTIVE: to assess the frequency of falls and identify its associated factors in rheumatoid arthritis (RA)patients.
METHODS: we conducted a cross-sectional study includingRA patients according to the ACR EULAR criteria 2010. Sociodemographic and disease-related data were collected. Fall risk and balance disorders were evaluated respectively according to the Timed Up and Go Test (TUG) and the Berge Balance Scale (BBS). Foot disability was assessed using the Foot Function Index (FFI).
RESULTS: Fifty patients were included. The mean age was 58 years [30-88] with a gender ratio of 0.25. The average disease duration was 11 years [1-47]. Previous falls were found in 25% of the patients, resulting in fractures in 6.3% of them. Only three patients reported a history of fall in the last year with recurrent falls reaching 12.5%. There was a statistically significant association between the occurrence of falls and a prolonged TUG score (p= 0.041) as well as a history of vertigo (p<0.05). Similarly, the risk of falls was more frequent in female RA patients with a prolonged disease duration but without reaching a significant threshold (p=0.05).
CONCLUSION: the study highlighted the frequent risk of falls in patients with RA. Factors associated with fall occurrence involved the number of falls, and a history of vertigo.
METHODS: we conducted a cross-sectional study includingRA patients according to the ACR EULAR criteria 2010. Sociodemographic and disease-related data were collected. Fall risk and balance disorders were evaluated respectively according to the Timed Up and Go Test (TUG) and the Berge Balance Scale (BBS). Foot disability was assessed using the Foot Function Index (FFI).
RESULTS: Fifty patients were included. The mean age was 58 years [30-88] with a gender ratio of 0.25. The average disease duration was 11 years [1-47]. Previous falls were found in 25% of the patients, resulting in fractures in 6.3% of them. Only three patients reported a history of fall in the last year with recurrent falls reaching 12.5%. There was a statistically significant association between the occurrence of falls and a prolonged TUG score (p= 0.041) as well as a history of vertigo (p<0.05). Similarly, the risk of falls was more frequent in female RA patients with a prolonged disease duration but without reaching a significant threshold (p=0.05).
CONCLUSION: the study highlighted the frequent risk of falls in patients with RA. Factors associated with fall occurrence involved the number of falls, and a history of vertigo.