Skip to main content

Risk Factors for Falls in the Elderly

  • Chapter
  • First Online:
Medication-Related Falls in Older People

Abstract

Falls can have significant impact on older adults including fractures and decreased quality of life. Individuals who are 65 years and older have a 30 % chance of falling per year, and this increases up to 37 % in those 80 years or older. In the community-dwelling older adult, various risk factors can contribute to falling. This chapter reviews the literature on risk factors for falling.

This chapter focuses on high-quality systematic reviews including adults aged 60 years and older. Reviews were assessed using A Measurement Tool to Assess Systematic Reviews (AMSTAR) and rated as high quality if they scored 7 or more out of 11. Thirteen systematic reviews were included. When assessing an older adult for falls, risk factors that encompasses extrinsic and intrinsic factors should be considered.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ADL:

Activities of daily living

AMSTAR:

A measurement tool to assess systematic reviews

CI:

Confidence interval

OR:

Odds ratio

RR:

Relative risk

References

  1. Letts L, Moreland J, Richardson J et al (2010) The physical environment as a fall risk factor in older adults: systematic review and meta-analysis of cross-sectional and cohort studies. Aust Occup Ther J 57:51–64

    Article  PubMed  Google Scholar 

  2. Hartikainen S, Lönnroos E, Louhivuori K (2007) Medication as a risk factor for falls: critical systematic review. J Gerontol Ser A Biol Med Sci 62(10):1172–1181

    Article  Google Scholar 

  3. Ganz D, Bao Y, Shekelle P, Rubenstein L (2007) Will my patient fall? JAMA 297:77–86

    Article  PubMed  Google Scholar 

  4. Huang AR, Mallet L, Rochefort CM, Eguale T, Buckeridge DL, Tamblyn R (2012) Medication-related falls in the elderly. Drugs Aging 29(5):359–376

    Article  CAS  PubMed  Google Scholar 

  5. Deandrea S, Lucenteforte E, Bravi F, Foschi R, La Vecchia C, Negri E (2010) Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 21(5):658–668

    Article  PubMed  Google Scholar 

  6. Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C et al (2007) Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol 7(1):10

    Article  PubMed  PubMed Central  Google Scholar 

  7. Deandrea S, Bravi F, Turati F, Lucenteforte E, La Vecchia C, Negri E (2013) Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis. Arch Gerontol Geriatr 56(3):407–415

    Article  PubMed  Google Scholar 

  8. Impairment (The Free Dictionary). http://www.thefreedictionary.com/impairment

  9. Muir SW, Berg K, Chesworth B, Klar N, Speechley M (2010) Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. J Clin Epidemiol 63:389–406

    Article  PubMed  Google Scholar 

  10. Bloch F, Thibaud M, Dugue B et al (2010) Episodes of falling among elderly people: a systematic review and meta-analysis of social and demographic pre-disposing characteristics. Clinics 65:895–903

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Kvelde T, McVeigh C, Toson B, Greenaway M, Lord SR, Delbaere K, Close JC (2013) Depressive symptomatology as a risk factor for falls in older people: systematic review and meta‐analysis. J Am Geriatr Soc 61(5):694–706

    Article  PubMed  Google Scholar 

  12. Angelousi A, Girerd N, Benetos A, Frimat L, Gautier S, Weryha G, Boivin JM (2014) Association between orthostatic hypotension and cardiovascular risk, cerebrovascular risk, cognitive decline and falls as well as overall mortality: a systematic review and meta-analysis. J Hypertens 32(8):1562–1571

    Article  CAS  PubMed  Google Scholar 

  13. Stubbs B, Schofield P, Binnekade T, Patchay S, Sepehry A, Eggermont L (2014) Pain is associated with recurrent falls in community‐dwelling older adults: evidence from a systematic review and meta‐analysis. Pain Med 15(7):1115–1128

    Article  PubMed  Google Scholar 

  14. Woolcott JC, Richardson KJ, Wiens MO et al (2009) Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med 169:1952–1960

    Article  PubMed  Google Scholar 

  15. Hegeman J, Van Den Bemt BJ, Duysens J, van Limbeek J (2009) NSAIDs and the risk of accidental falls in the elderly: a systematic review. Drug Saf 32:489–498

    Article  CAS  PubMed  Google Scholar 

  16. Sterke C, Verhangen A, van Beeck E et al (2008) The influence of drug use on fall incidents among nursing home residents: a systematic review. Int Psychogeriatr 20:890–910

    Article  PubMed  Google Scholar 

  17. Zang G (2013) Antihypertensive drugs and the risk of fall injuries: a systematic review and meta-analysis. J Int Med Res 41(5):1408–1417

    Article  CAS  PubMed  Google Scholar 

  18. Kim DH, Brown RT, Ding EL, Kiel DP, Berry SD (2011) Dementia medications and risk of falls, syncope, and related adverse events: meta‐analysis of randomized controlled trials. J Am Geriatr Soc 59(6):1019–1031

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

The authors thank Andrew Tang and Luxey Sirisegaram who helped with the initial research.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. Kwan MD, FRCPC .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Kwan, E., Straus, S., Holroyd-Leduc, J. (2016). Risk Factors for Falls in the Elderly. In: Huang, A., Mallet, L. (eds) Medication-Related Falls in Older People. Adis, Cham. https://doi.org/10.1007/978-3-319-32304-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-32304-6_8

  • Published:

  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-32302-2

  • Online ISBN: 978-3-319-32304-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics