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The prevalence, assessment and associations of falls in dementia with Lewy bodies and Alzheimer's disease

Lookup NU author(s): Dr Clive Ballard, Dr Fiona Shaw, Kathleen Lowery, Professor Ian McKeith, Professor Rose Anne Kenny


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Falls were assessed for 3 months using a daily fall diary in 65 (30 dementia with Lewy bodies, DLB; 35 Alzheimer's disease, AD) dementia patients from a case register, diagnosed using operationalised clinical criteria, with established accuracy against post-mortem. Multiple falls (>5) occurred in 37% of DLB patients and 6% of those with AD, often resulting in injury. None of the standard risk assessment tools identified fallers, but they did identify multiple fallers. More detailed evaluation methods examining gait patterns, sway and neurovascular instability were not helpful. Multiple falls were associated with DLB, parkinsonian, previous falls, greater impairment of activities of daily living and older age. Falls are particularly common in DLB sufferers and may aid diagnosis. Treatment studies evaluating fall reduction strategies are a priority.

Publication metadata

Author(s): McKeith I; Lowery K; Kenny R; Shaw F; Ballard CG

Publication type: Article

Publication status: Published

Journal: Dementia and Geriatric Cognitive Disorders

Year: 1999

Volume: 10

Issue: 2

Pages: 97-103

Print publication date: 01/03/1999

ISSN (print): 1420-8008

ISSN (electronic): 1421-9824

Publisher: S. Karger AG


DOI: 10.1159/000017108


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