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請哪位好心人幫我翻譯這段文獻或段落,自己翻譯的太奇怪,google又不給力~謝謝!幫忙大致翻譯就可 Falls are frequent in the elderly and affect mortality, morbidity,loss of functional capacity and institutionalization. In the older patient the incidence of falls can sometimes be underestimated, even in the absence of a clear cognitive impairment, because it is... 顯示更多 請哪位好心人幫我翻譯這段文獻或段落,自己翻譯的太奇怪,google又不給力~謝謝!幫忙大致翻譯就可
Falls are frequent in the elderly and affect mortality, morbidity,loss of functional capacity and institutionalization.
In the older patient the incidence of falls can sometimes be underestimated, even in the absence of a clear cognitive impairment, because it is often difficult to reconstruct the dynamics. It is quite common that forms due to syncope are associated with retrograde amnesia and in 40 to 60% of the cases falls happen in the absence of witnesses.
The pathogenesis of falls is often multifactorial,due to physiological age-related changes or more properly pathological factors, or due to the environment.
The identification of risk factors is essential in the planning of preventive measures. Syncope is one of major causes of falls. About 20% of cardiovascular syncope in patients older than 70 appears as a fall and more than 20% of older people with Carotid Sinus Syndrome complain of falls as well as syncope.
These data clearly state that older patients with history of falls should undergo a cardiovascular and neuroautonomic assessment besides the survey of other risk factors.
Multifactorial assessment requires a synergy of various specialists. The geriatrician coordinates the multidisciplinary intervention in order to make the most effective evaluation of the risk of falling,searching for all predisposing factors, aiming towards a program of prevention.
In clear pathological conditions it is possible to enact a specific treatment. Particular attentionmust indeed be paid to the re-evaluation of drug therapy, with dose adjustments or withdrawal especially for antihypertensive, diuretics and benzodiazepines.
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