The incidence and risk factors for falls in adults with rheumatoid arthritis: A systematic review

被引:49
作者
Brenton-Rule, Angela
Dalbeth, Nicola
Bassett, Sandra
Menz, Hylton B.
Rome, Keith
机构
[1] AUT University, Private Bag 92006, Auckland
关键词
Rheumatoid arthritis; Risk factors; Falls incidence; Balance; Stability; OLDER-PEOPLE; FUNCTIONAL ABILITY; FOOT PAIN; BALANCE; FEAR; PREVENTION; STABILITY; RECALL;
D O I
10.1016/j.semarthrit.2014.08.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To conduct a systematic review of the incidence and risk factors for falls in people with rheumatoid arthritis (RA). Methods: A search was conducted of the electronic databases AMED, CINAHL, MEDLINE, Scopus and The Cochrane Library. Study participants were adults with RA. Outcome measures were falls experienced in the preceding 6-12 months or prospective falls over a 12-month period. Articles were scored for quality using a modified version of the Downs and Black Quality Index Tool. Results: Nine articles were included with mean (range) quality scores 72% (43-93%). The quality assessment revealed inconsistency in falls data attainment. Falls incidence ranged from 10% to 50% and was independent of age, gender or RA disease duration. History of a prior fall (odds ratio (OR) = 3.6 and 9.8) and increasing number of medications (OR = 1.4 and 2.1) were consistently associated with falls in RA. Number of co-morbid conditions, swollen and tender lower extremity joints, anti-depressants, anti-hypertensives, psychotropics, pain intensity and static balance were also identified as significant fall risk factors in at least one study. However, the evidence was limited to a single study or conflicted with other studies. Conclusion: In studies of falls in people with RA, there is a wide range in reported falls incidence, which may be due to inconsistency in falls data attainment. Numerous potential fall risk factors have been evaluated, producing limited or conflicting evidence. It is recommended that future studies follow previous consensus guidelines for collecting and reporting falls data. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:389 / 398
页数:10
相关论文
共 41 条
[1]  
[Anonymous], EXERCISE IMPROVING B
[2]  
[Anonymous], 2008, WHO GLOB REP FALLS P
[3]   Occurrence and risk factors for falls in rheumatoid arthritis [J].
Armstrong, C ;
Swarbrick, CM ;
Pye, SR ;
O'Neill, TW .
ANNALS OF THE RHEUMATIC DISEASES, 2005, 64 (11) :1602-1604
[4]   Evaluation of dynamic postural balance using the Biodex Stability System in rheumatoid arthritis patients [J].
Aydog, Ece ;
Bal, Ajda ;
Aydog, Sedat Tolga ;
Cakci, Aytul .
CLINICAL RHEUMATOLOGY, 2006, 25 (04) :462-467
[5]   Rheumatoid arthritis and falls: the influence of disease activity [J].
Boehler, Christoph ;
Radner, Helga ;
Ernst, Michaela ;
Binder, Alexa ;
Stamm, Tanja ;
Aletaha, Daniel ;
Smolen, Josef S. ;
Koeller, Marcus .
RHEUMATOLOGY, 2012, 51 (11) :2051-2057
[6]   Fear of Falling, Fall Risk and Disability in Patients with Rheumatoid Arthritis [J].
Cakit, Burcu Duyur ;
Nacir, Baris ;
Erdem, Hatice Rana ;
Karagoz, Aynur ;
Saracoglu, Meryem .
TURKISH JOURNAL OF RHEUMATOLOGY, 2011, 26 (03) :217-225
[7]   Foot Disorders and Falls in Older Persons [J].
Chaiwanichsiri, Dootchai ;
Janchai, Siriporn ;
Tantisiriwat, Natthiya .
GERONTOLOGY, 2009, 55 (03) :296-302
[8]   FORGETTING FALLS - THE LIMITED ACCURACY OF RECALL OF FALLS IN THE ELDERLY [J].
CUMMINGS, SR ;
NEVITT, MC ;
KIDD, S .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1988, 36 (07) :613-616
[9]   Risk Factors for Falls in Community-dwelling Older People A Systematic Review and Meta-analysis [J].
Deandrea, Silvia ;
Lucenteforte, Ersilia ;
Bravi, Francesca ;
Foschi, Roberto ;
La Vecchia, Carlo ;
Negri, Eva .
EPIDEMIOLOGY, 2010, 21 (05) :658-668
[10]   The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions [J].
Downs, SH ;
Black, N .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1998, 52 (06) :377-384