Prevalence and Associated Risk Factors of Falls among Parkinson Disease Patients in two Tertiary Hospitals, Addis Ababa, Ethiopia.

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Date

2021

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Addis Abeba University

Abstract

ABSTRACT Introduction:Falls are a significant cause of disability, lost independence andreduced quality of life in people with Parkinson’s disease. Prospective studiesshow that between 45% and 68% of people with PD will fall each year, with alarge proportion (50–86%) falling recurrently. Objectives:To assess the prevalence of falls, their associated risk factorsamong Parkinson’s disease patients having follow up at TikurAnbesaSpecialized Hospital and Zewditu Memorial Hospital Neurology outpatienclinics, Addis Ababa, Ethiopia. Methods:Institution based cross sectional study was conducted amongParkinson’s disease patients on follow up at TikurAnbesa Specialized Hospitaland Zewditu Memorial Hospital Neurology outpatient clinics. Data wascollected by interviewer administered questionnaire and analyzed using SPSSV27 software package. Results: Data from 127 participants were collected and analyzed.The mean age of the recruited participants was 64 ± 12 years, and the males account for 70%. The mean duration of disease was 5.6 ± 4.6 years. 48 (37.8%) respondents had history of fallswith 13 (27%) having singlefall and 35 (63 %) with recurrent falls.Median occurrence of fall was6 months after PD diagnosis.Duration of illness and severity of disease as quantified by Hoehn and Yahr stage independently predicts risk of fall. Conclusion:In this study the prevalence of fall among Parkinson disease patients is 37.8% which is consistent with previous studies. Among all sociodemographic and clinical factors, duration of illness and Severity of Parkinson disease were independent predictors of falls.

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Keywords

Parkinson disease,Patients

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