Older adults commonly use diuretics as antihypertensives and for treating and preventing heart failure as well as ascites in liver cirrhosis. Until now, no formal systematic review or meta-analysis was performed to summarize the risk factors of falls in the elderly after lower extremity joint replacement to obtain a definitive conclusion. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.merckmanuals.com/home/older-people%e2%80%99s-health-issues/falls-in-older-people/falls-in-older-people). [56]. Soc. Eur. Laboratory tests included complete blood count, blood urea nitrogen, creatinine, serum electrolytes, glucose, hemoglobin A1c, aspartate aminotransferase (AST), alanine aminotransferase (ALT), protein, and albumin. Other studies have reported that abnormal laboratory values such as those indicating anemia or hyponatremia are associated with inpatient falls12,13. Choi, Y. et al. modify the keyword list to augment your search. How to cite this article: Liu Y, Yang Y, Liu H, Wu W, Wu X, Wang T. A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty. Goldstein DS, Pechnik S, Holmes C, et al. Meta-analysis of these studies showed that overweight patients appeared more prone to falling (OR 1.18, 95% CI 1.081.29; Table 2; Fig. Causes of falls | NHS inform Data on medical history, fall risk assessment (Morse Fall Scale; MFS), medications, and laboratory results were obtained. Annu Rev Psychol 2019;70:74770. YL and YY contributed equally to this manuscript. Google Scholar. 4). [55]. Obesity may impair the early outcome of total knee arthroplasty. A systematic review and meta-analysis of fall incidence and risk - LWW FRID was defined based on the AHRQ Fall Prevention Toolkit8 and the American Geriatric Society Beers criteria15. Evaluating patients for fall risk - Mayo Clinic Objective The predetermination of the risk for falls in elderly patients, who will have or had a surgery, enables one to carry out the protective/preventive interventions on this matter. Hypertension 2003;16:A222. Last reviewed by a Cleveland Clinic medical professional on 06/23/2022. Oliver, D., Britton, M., Seed, P., Martin, F. C. & Hopper, A. H. Development and evaluation of evidence-based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies. Beauchamp MK, Sibley KM, Lakhani B, et al. Previous studies have suggested that hyponatremia is a potential risk factor for falls13,32. Table 2 shows the comparison of fall risk assessment and laboratory results between the groups. Hung WW, Ross JS, Boockvar KS, et al. J. Gerontol. Fall risk factors for individuals under the age of 65 years with type 2 J. Prevention strategies, including exercise and assistive devices, help you lead a healthier life overall. Common Types of Falls in the Elderly Population, Their Associated Risk Acad. However, the models prediction abilities vary when applied in hospitalized patients with acute conditions7, and they lack consideration of various clinical factors. 3C). Fall predictors beyond fall risk assessment tool items for acute Lancet 2011;377:211526. ISSN 2045-2322 (online). Approximately a third of persons fall at least once in the year after total joint arthroplasty (TJA), but preventing and treating falls is still challenging in clinical practice. [2123] However, these existing studies have generally been too small to investigate multivariate analyses of predictive factors associated with falls. Ask about your activity level and ability to perform daily tasks. Risk factors and injury associated with falls in elderly hospitalized patients in a community hospital. Comorbidities and impairments explaining the association between diabetes and lower extremity disability: The Women's Health and Aging Study. Miwa, Y. et al. [20]. Physiological. Am. 108, 174179 (2013). How to do a systematic review: a best practice guide for conducting and reporting narrative reviews, meta-analyses, and meta-syntheses. and JavaScript. Jrvenp J, Kettunen J, Krger H, et al. It has been reported that advanced age is a risk factor for falls, with higher rates of falls and injurious falls among older hospitalized patients than their younger counterparts2. Osteoporos. Scientific Reports 20, 863873 (2013). Eight studies paid close attention to the relationship between cardiac disease and falls after lower extremity joint replacement. This study has provided evidence for the preventing of falls in the elderly patients who were underwent TJA. 3H), with no heterogeneity (P = .882, I2 = 0; Table 2). [43,42] At the same time, it is believed that being overweight will reduces a womans static balance. Nurs. All were published in English with publication time from 2012 to 2018. Daly RM, Rosengren BE, Alwis G, et al. Mayo Clin. The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. Feasibility and outcomes of a home-based exercise program on improving balance and gait stability in women with lower-limb osteoarthritis or rheumatoid arthritis: a pilot study. Receiver operating characteristic curves and area under the curve (AUC) were used to determine whether clinical factors could discriminate between fallers and controls. In French community-dwelling older adults, poor nutritional status, as assessed by the Mini Nutritional Assessment, was associated with falls and fractures34. J. Clin. Elderly patients with the history of fall may experience diminished level of activity and function as well as distressing signs of depression. Both number of total medications and FRID were higher in fallers than controls (all P<0.001). Related prophylaxis strategies should be implemented in elderly patients involved with above-mentioned risk factors to prevent falls after TJA. The CDW of electronic health records identified one or two controls for each case from those patients who did not experience falls during their hospital stay. 91, 16321639 (2016). All studies on the risk factors of falls after TJA in elderly patients without language restriction were reviewed. The following fall risk factors were examined for differences between groups (fallers vs. non-fallers): age, body mass index, depression, fear of falling, neuropathy, number of medications, sedentary behavior, and visual co-morbidities. Article Injury 46, 119123 (2015). 3I), with no heterogeneity (P = .183, I2 = 41.0%; Table 2). Muscle weakness and, [40]. Search for Similar Articles This indicates that other factors may contribute to your risk of melanoma. Gait abnormality predicts. Res. Canovas F, Dagneaux L. Quality of life after total knee arthroplasty. Is minimally invasive. Even if youre low risk, your healthcare provider may still make preventive recommendations. For example, the median age at diagnosis is 62years for breast cancer, 67years for colorectal cancer, 71years for lung cancer, and 66 years for prostate cancer. https://www.ahrq.gov/sites/default/files/publications/files/fallpxtoolkit.pdf, http://creativecommons.org/licenses/by/4.0/, Falls in oldest-old adults hospitalized in acute geriatric ward, Osteoporotic fractures and subsequent fractures: imminent fracture risk from an analysis of German real-world claims data. Baker PN, van der Meulen JH, Lewsey J, et al. A retrospective cohort study in two US hospitals demonstrated that a higher number of FRID, higher comorbidity predisposition including 11 past diagnoses related to falls (confusion, disorientation, and impulsivity; dizziness and vertigo; hallucinations; visual impairment; hearing loss; vestibular dysfunction; language impairment; orthostatic hypotension; cerebrovascular accident; Parkinsons disease; and seizure disorder), and a history of falling increased the risk of inpatient falls10. 5 There are many predisposing factors that may lead to falls. The prevalence of falls changes according to cognitive impairment and type and phase of dementia. Benzodiazepines can cause sedation and impaired balance and gait, all of which lead to increases in the risk of falls among older adults32. Age-related loss of muscle mass (known as sarcopenia), problems with balance and gait, and blood pressure that drops too much when you get up from lying down or sitting (called postural hypotension) are all risk factors for falling. PDF Fact Sheet Risk Factors for Falls - Centers for Disease Control and Patient suffering from a fall were on average older, with 3.2 years older than that in non-fallers groups in this study. Exp. Using the International Classification of Functioning, Disability and Health as a framework to examine the association between. Google Scholar. Second, we focused on hospitalized older adults, a vulnerable population regarding both falls and possible adverse reactions to FRID. 1 Roughly half of all falls result in an injury, 2 of which 10% are serious, 3 and injury rates increase with age. Aryee, E., James, S. L., Hunt, G. M. & Ryder, H. F. Identifying protective and risk factors for injurious falls in patients hospitalized for acute care: a retrospective case-control study. Markota, M., Rummans, T. A., Bostwick, J. M. & Lapid, M. I. Benzodiazepine use in older adults: dangers, management, and alternative therapies. [3]. Additionally, we identified significant improvements in the accuracy of fall risk prediction when clinical factors were combined with MFS. Pharm. Of these, the MFS is the most popular because of its ease of use; nurses can perform the rating in under three minutes. The Hallym University Research Fund 2019 [Grant Number HURF-2019-32] supported this work. First, the setting was a single Korean tertiary hospital, which might not be representative of the general population. In this matched casecontrol study, we demonstrated that several clinical factors also identified in other recent studies were associated with inpatient falls. [49]. Parenting is one of the most complex and challenging jobs you'll face in your lifetime -- but also the most rewarding. Associations between hyponatremia, volume depletion and the risk of falls in US hospitalized patients: a case-control study. However, the gender differences in the associations of falls with indoor and outdoor environmental hazards are scarce. An increased rate of falling leads to a rise in fracture risk in postmenopausal women with self-reported osteoarthritis: a prospective multinational cohort study (GLOW). Health Syst. Elderly patients and falls: a systematic review and meta-analysis Preventing fall in hospitals: a toolkit for improving quality of care. The participants in this casecontrol study included hospitalized older adults with acute conditions who had falls during their hospital stay (case group) and 410 hospitalized older adults who did not experience falls (control group). Wasserstein D, Farlinger C, Brull R, et al. Recently, the Agency for Healthcare Research and Quality (AHRQ) suggested that evaluating medications, disease states, laboratory results, and patients education levels can prevent falls in hospitals8. Women's Health and Aging Study. Can. [44]. -Instead, use assessment tools to identify fall risk factors. Dir. Hassan BS, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. [34] Fall incidence and associated injuries may be potentially reduced by identifying patients at increased risk and providing targeted intervention delivered by rehabilitation clinicians pre- or postoperatively to reduce fall risk and subsequent injury in these patients. This means that half of cancer cases occur in people below this age and half in people above this age. 3K). Aust J Physiother 2005;51:197. B. Results of a prospective, matched study. Source: SEER21 20132017, all races, both sexes. Swinkels A, Newman JH, Allain TJ. All statistical tests were two-sided, and the significance level was set at P<0.05. The following fall risk factors were examined for differences between groups (fallers vs. non-fallers): age, body mass index, depression, fear of falling, neuropathy, number of medications, sedentary behavior, and visual co-morbidities. Hyponatremia as a fall predictor in a geriatric trauma population. 3B), with no heterogeneity (P = .510, I2 = 0; Table 2). Fall Risk Assessment Scales: A Systematic Literature Review A dynamic risk model for inpatient falls. These and the list of comorbidities are shown in Table 1. Morse, J. M. The safety of safety research: the case of patient fall research. J. Gerontol. Wei F, Hester AL. Patient Saf. Epilepsy Res. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Postoperative falls incidence was consistently higher in those who had falls history compared with those who did not. The prevalence of diabetes mellitus and cognitive impairment was higher among fallers than controls (37.6% and 27.3%, P=0.009; 6.7% and 2.7%, P=0.017; respectively). Mandl LA, Lyman S, Quinlan P, et al. The incidence rates for cancer overall climb steadily as age increases, from fewer than 25 cases per 100,000 people in age groups under age 20, to about 350 per 100,000 people among those aged 4549, to more than 1,000 per 100,000 people in age groups 60 years and older. The age range of the sample was 5597years, and the mean age and median age was 73.7years and 73.0years, respectively. Triggering of balance corrections and compensatory strategies in a patient with total leg proprioceptive loss. Try group exercise classes geared toward older adults, such as Tai Chi. Hill K. Activities-specific and Balance Confidence (ABC) Scale. Risk factors for heart disease include: Age. Memtsoudis SG, Dy CJ, Ma Y, et al. Levinger P, Wee E, Margelis S, et al. Correlation of serum IGF-1, AGEs and their receptors with the risk of Riddle DL, Golladay GJ. Among the six items of the MFS, more fallers than controls had a history of falling, ambulatory aid, gait impairment, and altered mental status (P=0.002, P=0.001, P=0.001, and P=0.009). Patient demographics, type and duration of blocks were considered Brain Res 2002;142:91107. 26, 21572164 (2015). Abnormal laboratory values were defined as follows: leukocytosis (white blood cell count>10,000/uL), anemia (hemoglobin<13g/dL in men or<12g/dL in women), hypoalbuminemia (albumin<3.8g/dL), decreased estimated glomerular filtration rate (<60mL/(min*1.73m2)), hyponatremia (sodium<135mmol/L), hypokalemia (potassium<3.6mmol/L), abnormal liver function test (2* upper normal limit of AST or ALT), and uncontrolled diabetes mellitus (hemoglobin A1c8.0%).
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what type of fall risk factor is advanced age?
