@article{ref1,
title="Risk factors for recurrent falls in older adults: a systematic review with  meta-analysis",
journal="Maturitas",
year="2021",
author="Jehu, D. A. and Davis, J. C. and Falck, R. S. and Bennett, K. J. and Tai, D. and Souza, M. F. and Cavalcante, B. R. and Zhao, M. and Liu-Ambrose, T.",
volume="144",
number="",
pages="23-28",
abstract="Older adults who fall recurrently (i.e., 2 or more falls/year) are at risk of  functional decline and mortality. Understanding which risk factors for recurrent  falls are most important will inform secondary fall prevention strategies that can  reduce recurrent falls risk. Thus, we conducted a systematic review with  meta-analysis to determine the relative risk of recurrent falls for different types  of falls risk factors. MEDLINE, EMBASE, PsycINFO, and CINAHL databases were searched  on April 25, 2019 (Prospero Registration: CRD42019118888). We included peer-reviewed  prospective studies which examined risk factors that contributed to recurrent falls  in adults aged ≥ 60 years. Using the falls risk classification system of Lord and  colleagues, we classified each risk factor into one of the following domains: 1)  balance and mobility; 2) environmental; 3) psychological; 4) medical; 5) medication;  6) sensory and neuromuscular; or 7) sociodemographic. We calculated the summary  relative risk (RR) for each domain and evaluated the risk of bias and quality of  reporting. Twenty-two studies were included in this systematic review and  meta-analysis. Four domains predicted recurrent falls: balance and mobility  (RR:1.32;95 % CI:[1.10, 1.59]), medication (RR:1.53;95 % CI:[1.11, 2.10]),  psychological (RR:1.35;95 % CI:[1.03, 1.78]), and sensory and neuromuscular  (RR:1.51;95 % CI:[1.18, 1.92]). Each of these four domains can be viewed as a marker  of frailty. The risk of bias was low, and the study quality was high  (minimum:19/22). Older adults with markers of frailty are up to 53 % more likely to  experience recurrent falls. Strategies that identify and resolve frailty markers  should be a frontline approach to preventing recurrent falls.<p /> <p>Language: en</p>",
language="en",
issn="0378-5122",
doi="10.1016/j.maturitas.2020.10.021",
url="http://dx.doi.org/10.1016/j.maturitas.2020.10.021"
}