Anxiety after a fall in elderly subjects and subsequent risk of developing post traumatic stress disorder at two months. A pilot study |
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Authors: | Frédéric Bloch M. Blandin R. Ranerison Y. E. Claessens A. S. Rigaud G. Kemoun |
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Affiliation: | 1. Department of Gerontology, H?pital Broca (Assistance Publique-H?pitaux de Paris), 75013, Paris, France 2. EA 4468, University Paris Descartes, 75014, Paris, France 6. 54/56 rue Pascal, 75013, Paris, France 3. Department of Emergency Medicine, H?pital Cochin (Assistance Publique-H?pitaux de Paris), 75679, Paris Cedex 14, France 4. Department of Emergency Medicine, Centre Hospitalier Princesse Grace, MC-98012, Monaco, Principauté de Monaco 5. Laboratory ? Mobilité, Vieillissement, Exercice ? (MOVE), EA 6314, University of Poitiers, 86000, Poitiers, France
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Abstract: | Background The psychological burden suffered by elderly subjects after a fall adds to rehabilitation difficulties. We hypothesised that Post Traumatic Stress Disorder (PTSD) may be at the root of these psychological post-fall problems. The immediate psychological state was examined after 2 months post-fall in order to determine the prevalence of anxiety and PTSD and their possible correlates. Method A single centre prospective survey including elderly subjects referred to an emergency department (ED) after a fall with a 2-month follow-up. Results 30.5% of patients showed a significant level of anxiety after their fall and (26%) showed evidence supporting the presence of PTSD at 2-months. Immediate anxiety, ability to re-establish upright posture and a history of repeated falls were significant predictors of PTSD at 2-months. Conclusion persistent psychological problems post fall may be related to PTSD which is significantly correlated to immediate anxiety. This study can be seen as a first step in patient characterisation, and predicts who may benefit from which of the various approaches of rehabilitation. |
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