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Master Thesis

Rôle de la capacité intrinsèque dans le risque de chute avec fracture : construction et analyse d’un score à partir d’une cohorte de sujets ayant chuté

Abstract : Introduction: Intrinsic capacity is defined according to the WHO, by the physical and mental capacities of an individual. A development and maintenance of functional capacities, made up of the interaction and association of the intrinsic capacity with the environment of an individual, allows well-being at an advanced age. Intrinsic capacity is made up of 5 areas: cognitive, vitality, locomotion, psychological and sensory. The main objective of this study is to construct an intrinsic capacity score with a weighting of its domains and to seek a link between this score and the risk of fracture after a fall in a population of fallers. Material and methods: 163 patients were included from a retrospective case-control cohort. The MMSE, MOCA, TMT B-A, sedentary lifestyle score, physical activity score, grip strength, albumin, creatinine, BMI, MADRS scale and visual acuity have been used and analyzed. Results: The parameters significantly associated with the risk of fracture after a fall are grip strength, sedentary lifestyle score, creatinine and TMT B-A. The intrinsic capacity score in our study has a sensitivity of 61% for detecting the risk of fracture after a fall and a specificity of 79%. The AUC is 0.773. Discussion: Impaired executive function, decrease in muscle mass and overall strength are risk factors for falls after fracture. Conclusion: In our study, a decrease in the intrinsic capacity score and therefore in the physical and mental capacities of an individual increases the risk of fracture after a fall.
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https://dumas.ccsd.cnrs.fr/dumas-03545772
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Submitted on : Thursday, January 27, 2022 - 2:31:04 PM
Last modification on : Friday, February 4, 2022 - 4:07:12 AM

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Élody Laurent. Rôle de la capacité intrinsèque dans le risque de chute avec fracture : construction et analyse d’un score à partir d’une cohorte de sujets ayant chuté. Médecine humaine et pathologie. 2021. ⟨dumas-03545772⟩

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