Impact of cardiovascular evaluations and interventions on fall risk in older adults: a protocol for a scoping review and evidence map

Wang, Liping; Poelgeest, Eveline P. van; Pronk, A. C.; Daams, Joost G.; Leeflang, Mariska; Hoekstra, Alfons G.; Velde, Nathalie van der

doi:10.1136/bmjopen-2021-057959

Cited by 1 publication

(2 citation statements)

References 23 publications

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“…A protocol paper for this scoping review and evidence map was published in advance [ 20 ]. The scoping review was conducted and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-analyses extension for Scoping Reviews (PRISMA-ScR) checklist [ 21 , 22 ] (Supplementary Appendix A ).…”

Section: Methodsmentioning

confidence: 99%

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The impact of cardiovascular diagnostics and treatments on fall risk in older adults: a scoping review and evidence map

Pronk,

Wang,

van Poelgeest

et al. 2023

GeroScience

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Background We aimed to summarize the published evidence on the fall risk reducing potential of cardiovascular diagnostics and treatments in older adults. Methods Design: scoping review and evidence map. Data sources: Medline and Embase. Eligibility criteria: all available published evidence; Key search concepts: “older adults,” “cardiovascular evaluation,” “cardiovascular intervention,” and “falls.” Studies reporting on fall risk reducing effect of the diagnostic/treatment were included in the evidence map. Studies that investigated cardiovascular diagnostics or treatments within the context of falls, but without reporting a fall-related outcome, were included in the scoping review for qualitative synthesis. Results Two articles on cardiovascular diagnostics and eight articles on cardiovascular treatments were included in the evidence map. Six out of ten studies concerned pacemaker intervention of which one meta-analyses that included randomized controlled trials with contradictory results. A combined cardiovascular assessment/evaluation (one study) and pharmacotherapy in orthostatic hypotension (one study) showed fall reducing potential. The scoping review contained 40 articles on cardiovascular diagnostics and one on cardiovascular treatments. It provides an extensive overview of several diagnostics (e.g., orthostatic blood pressure measurements, heart rhythm assessment) useful in fall prevention. Also, diagnostics were identified, that could potentially provide added value in fall prevention (e.g., blood pressure variability and head turning). Conclusion Although the majority of studies showed a reduction in falls after the intervention, the total amount of evidence regarding the effect of cardiovascular diagnostics/treatments on falls is small. Our findings can be used to optimize fall prevention strategies and develop an evidence-based fall prevention care pathway. Adhering to the World guidelines on fall prevention recommendations, it is crucial to undertake a standardized assessment of cardiovascular risk factors, followed by supplementary testing and corresponding interventions, as effective components of fall prevention strategies. In addition, accompanying diagnostics such as blood pressure variability and head turning can be of added value.

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Section: Methodsmentioning

confidence: 99%

“…A detailed description of the eligibility criteria can be found in the published protocol paper [ 20 ]. In addition, for the evidence map, studies that investigated cardiovascular diagnostics/treatment with a fall-related outcome were included.…”

Section: Methodsmentioning

confidence: 99%