TY  - JOUR
PY  - 2019//
TI  - Balance, risk of falls, risk factors and fall-related costs in individuals with diabetes
JO  - Diabetes research and clinical practice
A1  - Rinkel, Willem D.
A1  - van Nieuwkasteele, Shelly
A1  - Castro Cabezas, Manuel
A1  - van Neck, Johan W.
A1  - Birnie, Erwin
A1  - Henk Coert, J.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIMS: Sensory loss and impaired balance are considered risk factors of incident falls. The aim of this study was to assess the relationship between degree of foot sensation and balance, risk of falls, incidence of fall-related injuries and costs in a cohort of patients with diabetes. <br><br>METHODS: (Non)-neuropathic subjects participating in the Rotterdam Diabetic Foot Study were followed prospectively. Subjects underwent sensory testing of the feet (39 item Rotterdam Diabetic Foot Study Test Battery (RDF-39)); balance was assessed at the second follow-up (Brief-BESTest) as were data on incident falls. Medical records and financial data were abstracted to estimate fall-related morbidity and in-hospital costs. <br><br>RESULTS: A higher RDF-39 score, cerebral artery disease, type 2 diabetes, height and age were predictors of the Brief-BESTest total score. 41/296 patients (13.9%) reported two or more falls during follow-up. Predictors for recurrent falls were a higher RDF-39 score (aOR: 1.124, p<.0005), male gender (aOR: 0.319, p=0.016), age (aOR: 0.938, p=0.003) and type 2 diabetes (aOR: 3.157, p=0.100). Thirty-one patients used medical resources (median € 370 (IQR: 150-977)). <br><br>CONCLUSIONS: Degree of sensory loss correlates significantly with an increased imbalance and risk of falls. The RDF-39 may be used as stratification tool in medical decision-making and patient information.<br><br>Copyright © 2019. Published by Elsevier B.V.<p />  <p>Language: en</p>
LA  - en
SN  - 0168-8227
UR  - http://dx.doi.org/10.1016/j.diabres.2019.107930
ID  - ref1
ER  -