Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh

Goutam Kumar Acherjya; Mohammad Ali; Mostofa Kamal; Rajashish Chakkraborty; Md Anwar Shahadat; AV Srinivashan

doi:doi:10.11648/j.ajim.20190702.13

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Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh

Goutam Kumar Acherjya, Mohammad Ali, Mostofa Kamal, Rajashish Chakkraborty, Md Anwar Shahadat, AV Srinivashan

Published in American Journal of Internal Medicine (Volume 7, Issue 2)

Received: 28 March 2019 Accepted: 5 May 2019 Published: 30 May 2019

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Abstract

Parkinson’s disease is the second most common neuro degenerative disease worldwide. Fall is common scenario in our day to day clinical practice among the older people but it is more common among the Parkinson’s people. The study was conducted to assess the frequency of fall and to ascertain the risk association among the idiopathic Parkinson’s patients. This observational study was conducted from July to December, 2018 in the district of Jashore, Bangladesh. Both the male and female clinically diagnosed as idiopathic Parkinson’s disease without taking antiparkinsonian medication were recruited in the study. Those having Parkinson’s disease due to stroke or secondary causes, orthostatic hypotension, taking anti parkinsonian drugs and the drugs may mimicking Parkinson’s disease were excluded from the study. A total 111 patients were analyzed of which 69.4% (N=77) male and 30.6% (N=34) female with the mean age of our participants was 66±10 years. The event of fall among the idiopathic Parkinson’s patients was 36.9% in the last one year where single, two and three or more episodes of fall were 20.7%, 3.6% and 12.6% respectively. No significant difference observed between faller and non-fallers among different demographic characteristics including age (p: 0.091) sex (p: 0.058) educational level (p: 0.235), occupational status (p: 0.220) and residency (p: 0.547). Experience of fall found more in high BMI (p: 0.037), hypertensive (p: 0.018), diabetic (p: 0.009) and in patients receiving multiple medications (p: 0.011). But duration of Parkinsonism (p: 0.835) does not increase fall. Based on this study, we have found that there is high frequency of fall among the idiopathic Parkinson’s patients. So, earlier identification and potential strategies to remove the risk factors may prevent falls and falls related events, thus finally reducing the morbidity and mortality in the Parkinson’s patients.

Published in	American Journal of Internal Medicine (Volume 7, Issue 2)
DOI	10.11648/j.ajim.20190702.13
Page(s)	36-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Fall, Frequency, Risk Factors, Idiopathic Parkinson’s Disease

References

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[3]	Farombi TH, Owolabi MO, Ogunniyi A. Falls and Their Associated Risks in Parkinson’s disease Patients in Nigeria. Journal of Movement Disorders. 2016; 9 (3): 160-165.
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[16]	Parashos SA, Wielinski CL, Giladi N, Gurevich T. National Parkinsons Foundation Quality Improvement Initiative Investigators. Falls in Parkinson disease: analysis of a large cross-sectional cohort. J Parkinsons Dis. 2013; 3: 515-522.
[17]	Lai sw, Su LT, Lin CH, Tsai CH, Sung FC, Hsieh PH. Polypharmacy increases the risk of Parkinson’s disease in older people in Taiwan: A population-based study. Phychogeriatrics. 2011; 11: 150-156.
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APA Style

Goutam Kumar Acherjya, Mohammad Ali, Mostofa Kamal, Rajashish Chakkraborty, Md Anwar Shahadat, et al. (2019). Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh. American Journal of Internal Medicine, 7(2), 36-40. https://doi.org/10.11648/j.ajim.20190702.13

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ACS Style

Goutam Kumar Acherjya; Mohammad Ali; Mostofa Kamal; Rajashish Chakkraborty; Md Anwar Shahadat, et al. Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh. Am. J. Intern. Med. 2019, 7(2), 36-40. doi: 10.11648/j.ajim.20190702.13

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AMA Style

Goutam Kumar Acherjya, Mohammad Ali, Mostofa Kamal, Rajashish Chakkraborty, Md Anwar Shahadat, et al. Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh. Am J Intern Med. 2019;7(2):36-40. doi: 10.11648/j.ajim.20190702.13

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@article{10.11648/j.ajim.20190702.13,
  author = {Goutam Kumar Acherjya and Mohammad Ali and Mostofa Kamal and Rajashish Chakkraborty and Md Anwar Shahadat and AV Srinivashan},
  title = {Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh},
  journal = {American Journal of Internal Medicine},
  volume = {7},
  number = {2},
  pages = {36-40},
  doi = {10.11648/j.ajim.20190702.13},
  url = {https://doi.org/10.11648/j.ajim.20190702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20190702.13},
  abstract = {Parkinson’s disease is the second most common neuro degenerative disease worldwide. Fall is common scenario in our day to day clinical practice among the older people but it is more common among the Parkinson’s people. The study was conducted to assess the frequency of fall and to ascertain the risk association among the idiopathic Parkinson’s patients. This observational study was conducted from July to December, 2018 in the district of Jashore, Bangladesh. Both the male and female clinically diagnosed as idiopathic Parkinson’s disease without taking antiparkinsonian medication were recruited in the study. Those having Parkinson’s disease due to stroke or secondary causes, orthostatic hypotension, taking anti parkinsonian drugs and the drugs may mimicking Parkinson’s disease were excluded from the study. A total 111 patients were analyzed of which 69.4% (N=77) male and 30.6% (N=34) female with the mean age of our participants was 66±10 years. The event of fall among the idiopathic Parkinson’s patients was 36.9% in the last one year where single, two and three or more episodes of fall were 20.7%, 3.6% and 12.6% respectively. No significant difference observed between faller and non-fallers among different demographic characteristics including age (p: 0.091) sex (p: 0.058) educational level (p: 0.235), occupational status (p: 0.220) and residency (p: 0.547). Experience of fall found more in high BMI (p: 0.037), hypertensive (p: 0.018), diabetic (p: 0.009) and in patients receiving multiple medications (p: 0.011). But duration of Parkinsonism (p: 0.835) does not increase fall. Based on this study, we have found that there is high frequency of fall among the idiopathic Parkinson’s patients. So, earlier identification and potential strategies to remove the risk factors may prevent falls and falls related events, thus finally reducing the morbidity and mortality in the Parkinson’s patients.},
 year = {2019}
}

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TY - JOUR
T1 - Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh
AU - Goutam Kumar Acherjya
AU - Mohammad Ali
AU - Mostofa Kamal
AU - Rajashish Chakkraborty
AU - Md Anwar Shahadat
AU - AV Srinivashan
Y1 - 2019/05/30
PY - 2019
N1 - https://doi.org/10.11648/j.ajim.20190702.13
DO - 10.11648/j.ajim.20190702.13
T2 - American Journal of Internal Medicine
JF - American Journal of Internal Medicine
JO - American Journal of Internal Medicine
SP - 36
EP - 40
PB - Science Publishing Group
SN - 2330-4324
UR - https://doi.org/10.11648/j.ajim.20190702.13
AB - Parkinson’s disease is the second most common neuro degenerative disease worldwide. Fall is common scenario in our day to day clinical practice among the older people but it is more common among the Parkinson’s people. The study was conducted to assess the frequency of fall and to ascertain the risk association among the idiopathic Parkinson’s patients. This observational study was conducted from July to December, 2018 in the district of Jashore, Bangladesh. Both the male and female clinically diagnosed as idiopathic Parkinson’s disease without taking antiparkinsonian medication were recruited in the study. Those having Parkinson’s disease due to stroke or secondary causes, orthostatic hypotension, taking anti parkinsonian drugs and the drugs may mimicking Parkinson’s disease were excluded from the study. A total 111 patients were analyzed of which 69.4% (N=77) male and 30.6% (N=34) female with the mean age of our participants was 66±10 years. The event of fall among the idiopathic Parkinson’s patients was 36.9% in the last one year where single, two and three or more episodes of fall were 20.7%, 3.6% and 12.6% respectively. No significant difference observed between faller and non-fallers among different demographic characteristics including age (p: 0.091) sex (p: 0.058) educational level (p: 0.235), occupational status (p: 0.220) and residency (p: 0.547). Experience of fall found more in high BMI (p: 0.037), hypertensive (p: 0.018), diabetic (p: 0.009) and in patients receiving multiple medications (p: 0.011). But duration of Parkinsonism (p: 0.835) does not increase fall. Based on this study, we have found that there is high frequency of fall among the idiopathic Parkinson’s patients. So, earlier identification and potential strategies to remove the risk factors may prevent falls and falls related events, thus finally reducing the morbidity and mortality in the Parkinson’s patients.
VL - 7
IS - 2
ER -

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Author Information

Goutam Kumar Acherjya

Upazila Health Complex, Bagherpara, Jashore, Bangladesh
Mohammad Ali

Department of Hematology, National Institute of Cancer Research and Hospital, Dhaka, Bangladesh
Mostofa Kamal

Department of Medicine, Shaheed Suhrawardy Medical College and Hospital, Dhaka, Bangladesh
Rajashish Chakkraborty

Department of Respiratory Medicine, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Md Anwar Shahadat

Zakia Wahid Hossain Medical Care, Jamaica, New York, United States of America
AV Srinivashan

Institute of Neurology, Madras Medical College and Research Institute, Chennai, Tamil Nadu, India

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APA Style

Goutam Kumar Acherjya, Mohammad Ali, Mostofa Kamal, Rajashish Chakkraborty, Md Anwar Shahadat, et al. (2019). Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh. American Journal of Internal Medicine, 7(2), 36-40. https://doi.org/10.11648/j.ajim.20190702.13

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ACS Style

Goutam Kumar Acherjya; Mohammad Ali; Mostofa Kamal; Rajashish Chakkraborty; Md Anwar Shahadat, et al. Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh. Am. J. Intern. Med. 2019, 7(2), 36-40. doi: 10.11648/j.ajim.20190702.13

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AMA Style

Goutam Kumar Acherjya, Mohammad Ali, Mostofa Kamal, Rajashish Chakkraborty, Md Anwar Shahadat, et al. Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh. Am J Intern Med. 2019;7(2):36-40. doi: 10.11648/j.ajim.20190702.13

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@article{10.11648/j.ajim.20190702.13,
  author = {Goutam Kumar Acherjya and Mohammad Ali and Mostofa Kamal and Rajashish Chakkraborty and Md Anwar Shahadat and AV Srinivashan},
  title = {Frequency and Risk Factors Association of Fall Among the Idiopathic Parkinson’s Patients in Jashore, Bangladesh},
  journal = {American Journal of Internal Medicine},
  volume = {7},
  number = {2},
  pages = {36-40},
  doi = {10.11648/j.ajim.20190702.13},
  url = {https://doi.org/10.11648/j.ajim.20190702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20190702.13},
  abstract = {Parkinson’s disease is the second most common neuro degenerative disease worldwide. Fall is common scenario in our day to day clinical practice among the older people but it is more common among the Parkinson’s people. The study was conducted to assess the frequency of fall and to ascertain the risk association among the idiopathic Parkinson’s patients. This observational study was conducted from July to December, 2018 in the district of Jashore, Bangladesh. Both the male and female clinically diagnosed as idiopathic Parkinson’s disease without taking antiparkinsonian medication were recruited in the study. Those having Parkinson’s disease due to stroke or secondary causes, orthostatic hypotension, taking anti parkinsonian drugs and the drugs may mimicking Parkinson’s disease were excluded from the study. A total 111 patients were analyzed of which 69.4% (N=77) male and 30.6% (N=34) female with the mean age of our participants was 66±10 years. The event of fall among the idiopathic Parkinson’s patients was 36.9% in the last one year where single, two and three or more episodes of fall were 20.7%, 3.6% and 12.6% respectively. No significant difference observed between faller and non-fallers among different demographic characteristics including age (p: 0.091) sex (p: 0.058) educational level (p: 0.235), occupational status (p: 0.220) and residency (p: 0.547). Experience of fall found more in high BMI (p: 0.037), hypertensive (p: 0.018), diabetic (p: 0.009) and in patients receiving multiple medications (p: 0.011). But duration of Parkinsonism (p: 0.835) does not increase fall. Based on this study, we have found that there is high frequency of fall among the idiopathic Parkinson’s patients. So, earlier identification and potential strategies to remove the risk factors may prevent falls and falls related events, thus finally reducing the morbidity and mortality in the Parkinson’s patients.},
 year = {2019}
}

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