Prospective study was conducted in order to investigate the relationship between cognitive and @entity146 and falls in @entity303 . Falls and fall-related @entity174 were studied in 154 ambulatory @entity1 who were admitted to a geriatric intermediate nursing facility with a @entity195 ( @entity195 ) or mixed @entity1294 (MIX). The Mini-Mental State (MMS) was used for the evaluation of cognitive status, and the @entity146 Disturbance Scale (DBD) was used as a behavioral parameter. In order to evaluate problematic behavior in walking, a derivative scale (DBD-W) was developed from the DBD by choosing three items relevant to wandering. During the 3 months of observation, 61 @entity1 fell more than once; 15 of them experienced @entity174 . The mean MMS scores were higher in non fallers, fallers who did not sustain @entity174 and those complicated with @entity174 , in that order, and the difference between the non fallers and fallers with @entity174 was statistically significant. When the subjects were divided into three subgroups on the basis of the MMS scores, there was a trend toward a higher ratio of fallers or those complicated with @entity174 in the subgroup with the lower MMS score. The DBD and DBD-W scores were not associated with falls or @entity174 , although fallers had a slightly higher DBD or DBD-W score than non fallers. These findings suggest that the risk of falling or @entity174 becomes higher with the advance of @entity73 in institutionalized ambulatory @entity1 with @entity195 or MIX. The findings also suggest that @entity146 are not necessarily associated with falls or @entity174 .

[Relationship between @entity73 , @entity146 and falls in XXXX with @entity303 ].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity146 :: ('MESH:D001523', 'Disease') :: ['behavioral disturbances', 'Dementia Behavior'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity1294 :: ('MESH:D015140', 'Disease') :: ['Alzheimer and vascular dementia'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment'] @entity195 :: ('MESH:D000544', 'Disease') :: ['DAT', "diagnosis of Alzheimer's type dementia"]
@entity1 :: (9606,Species) :: ['patients']
