Abstract
Objective:to identify the risk and prevalence of falls in the last year in chronic renal failure patients on hemodialysis; to associate the risk of falls with the fear of falling and socio-demographic-clinical variables.Method:association study. 131 individuals participated in the study. The Morse Falls Scale, the Fall Efficacy Scale and the Tilburg Frailty Indicator were used. The data were analyzed by linear regression, the level of significance adopted was 0.05.Results:97.7% were at risk for falls and 37.4% had at least one fall per year, with a mean of 2.02. Extreme concern about falling was presented by women, patients with less education, amputees, and frail individuals. Diabetes, as a comorbidity, and people with difficulty or need for assistance for ambulance showed a significant increase in the occurrence of falls.Conclusion:high risk and high prevalence of falls were found in hemodialysis patients, greater in those with diabetes or mobility limitations. Fear of falling was identified especially in women and in people with less education. These findings challenge the role of preventing falls, both in hemodialysis sessions and in the adoption of strategies for activities of daily living that involve patients and their families.
Highlights
IntroductionThe 2019 Global Kidney Health Atlas points out that 10% of the world population is affected by chronic kidney disease (CKD) consisting of kidney damage and irreversible loss of kidney function, present for more than three months, in need of dialysis treatment[1,2].CKD and hemodialysis are responsible for physical and emotional limitations with an important negative impact on the quality of life of people affected by this pathology, interfering in the performance of activities of daily living and restricting the social interaction of the individual, in addition to being associated with several comorbidities especially in elderly[1,2,3].Comorbidities related to CKD can cause functional limitations, low cardio-respiratory fitness, fatigue, disturbances of mineral metabolism, which lead to bone mineral disease, and can act as a risk factor for accidents due to falls[1,2,3,4], which are present in greater number in chronic renal patients undergoing dialysis treatment[5,6,7].Patients on hemodialysis are at a higher risk of falls, ranging from 13% to 25%, compared to the general population[6,8,9]
Comorbidities related to chronic kidney disease (CKD) can cause functional limitations, low cardio-respiratory fitness, fatigue, disturbances of mineral metabolism, which lead to bone mineral disease, and can act as a risk factor for accidents due to falls[1,2,3,4], which are present in greater number in chronic renal patients undergoing dialysis treatment[5,6,7]
In the analysis of the comorbidities of the participants, 60.8% had an isolated diagnosis of arterial hypertension; 28% had hypertension and diabetes mellitus simultaneously; and 8.3% had an isolated diagnosis of diabetes mellitus
Summary
The 2019 Global Kidney Health Atlas points out that 10% of the world population is affected by chronic kidney disease (CKD) consisting of kidney damage and irreversible loss of kidney function, present for more than three months, in need of dialysis treatment[1,2].CKD and hemodialysis are responsible for physical and emotional limitations with an important negative impact on the quality of life of people affected by this pathology, interfering in the performance of activities of daily living and restricting the social interaction of the individual, in addition to being associated with several comorbidities especially in elderly[1,2,3].Comorbidities related to CKD can cause functional limitations, low cardio-respiratory fitness, fatigue, disturbances of mineral metabolism, which lead to bone mineral disease, and can act as a risk factor for accidents due to falls[1,2,3,4], which are present in greater number in chronic renal patients undergoing dialysis treatment[5,6,7].Patients on hemodialysis are at a higher risk of falls, ranging from 13% to 25%, compared to the general population[6,8,9]. The 2019 Global Kidney Health Atlas points out that 10% of the world population is affected by chronic kidney disease (CKD) consisting of kidney damage and irreversible loss of kidney function, present for more than three months, in need of dialysis treatment[1,2]. Comorbidities related to CKD can cause functional limitations, low cardio-respiratory fitness, fatigue, disturbances of mineral metabolism, which lead to bone mineral disease, and can act as a risk factor for accidents due to falls[1,2,3,4], which are present in greater number in chronic renal patients undergoing dialysis treatment[5,6,7]. Patients on hemodialysis are at a higher risk of falls, ranging from 13% to 25%, compared to the general population[6,8,9]. There are still few studies that deal with this subject exactly
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