Evaluation of the relationship between lower urinary tract symptoms and fall risks in male patients over 65 years old

Abstract

Objective. In our study, we aimed to evaluate the relationship between LUTS and fall risk in patients over 65 years old.

Methods. 183 people over 65 years old who attended to Health Sciences University Sisli Hamidiye Etfal Training and Research Hospital Family Medicine Polyclinics and Recep Tayyip Erdogan University Family Medicine Polyclinics between February 2017-May 2017 were included in the study and `Individual Presentation Form' prepared by the researcher questioning socio-demographic characteristics was applied to the participants by face-to-face questioning method, International Prostate Symptom Score (IPSS) and Morse Fall Scale (MFS) were completed afterwards and ROC analysis of IPSS was performed for those who have high risk in terms of MFS.

Results. When evaluating the relationship between MFS and IPSS, we observed that as all subscores and total score of IPSS increased, the MFS score increased. The MFS scores of the participants whose IPSS classification was evaluated as severe were found to be significantly higher. ROC analysis of IPSS was performed for those who have high risk in terms of MFS. It was found that area under curve is 78.4%, and those with an IPSS of 13.5 and above show a high fall risk with 71.4% sensitivity and 70% specificity.

Conclusions. In our study, we found that as the IPSS of the participants increased, the risk of falling increased. Moreover, we found that age, occupation type, type and number of chronic diseases were effective in both fall and IPSS. In addition to LUTS screening in males, evaluation should be done for the risk of falling.