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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- ADL:
-
Activities of daily living
- AMSTAR:
-
A measurement tool to assess systematic reviews
- CI:
-
Confidence interval
- OR:
-
Odds ratio
- RR:
-
Relative risk
References
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
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
Ganz D, Bao Y, Shekelle P, Rubenstein L (2007) Will my patient fall? JAMA 297:77–86
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
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
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
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
Impairment (The Free Dictionary). http://www.thefreedictionary.com/impairment
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
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
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
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
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
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
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
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
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
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
Acknowledgments
The authors thank Andrew Tang and Luxey Sirisegaram who helped with the initial research.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights 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)