Fall Risk in the Elderly Diabetic Hypertensive Patients

Presentation Number: MON 630
Date of Presentation: April 3rd, 2017

Sumru Savas1, Sefa Sarac2 and Fulden Zeliha Sarac*1
1School of Medicine, Ege University, Izmir, Turkey, 2Atatürk Training and Research Hospital, Izmir, Turkey

Abstract

Introduction: Patients with type 2 diabetes mellitus are considered at risk for falls and their harmful consequences. Because, these patients have peripheral neuropathy and reduced visual acuity, use multiple drugs, have dizziness, hearing disorders, and hypoglycemic events resulting from poor medication use. Besides, most of diabetic patients have hypertension or under antihypertensive treatment. The aims of the study were 1. To investigate the frequency and risk factors of falls in type 2 diabetic patients with hypertension, 2. To compare the risk factors for falls between patients with age ≥60 years and patients with age <60 years. Subjects and Methods: 200 diabetic patients with age ≥60 years (69.9 ± 4.3 years) and 120 diabetic patients with age <60 years (51.3 ± 7.1 years) were enrolled in this study. Demographic and biochemical parameters were collected in all patients, retrospectively. All patients were evaluated for their predisposing and situational risk factors for falls and 25 (OH) D. Results: 71 (35.5%) diabetic patients with age ≥60 and 31 (25.8%) diabetic patients with age <60 years experienced a fall at any time. The fall frequencies for patients with age ≥60 and patients with age <60 years were 35.5% and 25.8%, respectively (p <0.05). In patients with age ≥60; 2% had medications of thiazide diuretics, 70% had angiotensin-converting enzyme inhibitors, 50% had calcium channel blockers, 7% had beta-adrenergic blockers and 20% had angiotensin II receptor antagonists. And also, usage of oral antidiabetic drugs was in 66.5% and insulin treatment in 15% of the patients with age ≥60. There were positive associations between fall risk and hypoglycemia, neuropathy, retinopathy, combination of triple oral antidiabetic drug regime, insulin treatment and antihypertansive medications such as calcium channel blockers in patients with age ≥60 (p = 0.01; p = 0.03; p = 0.02; p = 0.03; p = 0.04; p = 0.04, respectively). Likewise, the significant associations between fall risk and related factors such as hypoglycemia, neuropathy, retinopathy,and insülin treatments in patients with age <60 were found. Conclusions: Hypoglycemia, neuropathy, retinopathy, combination of triple oral antidiabetic drug regime, insulin and calcium channel blockers treatments are significant risk factors for falls in type 2 diabetic hypertensive patients with age ≥60.

 

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