Link between cardiovascular disease and the risk of falling: A comprehensive review of the evidence

Mikoś, Marcin; Winnicki, Kamil; Henry, Brandon Michael; Sanchís-Gomar, Fabián

doi:10.20452/pamw.15849

Cited by 7 publications

(9 citation statements)

References 89 publications

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“…Chen and colleagues observed that around 24% of SARS-CoV-2-infected patients present to the hospital with syncope, pre-syncope, and/or an associated fall [ 6 ], a finding which may in part be explained by cardiac rhythm disturbances in COVID-19 disease patients. Extensive research over the past decade has shown that arrhythmias are an important cause of cerebral hypoperfusion, syncope, and subsequent falls [ 19 – 21 ]. A systematic review and meta-analysis by Malik and colleagues on a total of 43 213 older adults found that atrial fibrillation was independently associated with syncope (odds ratio [OR], 1.19) and falls (OR, 1.88) [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although fall prevention strategies may benefit from incorporating rhythm management and anticoagulation in susceptible patients, these interventions may equally be detrimental in this patient population. Antiarrhythmics are arrhythmogenic and have been associated with both syncope and traumatic falls [ 29 ], while anticoagulants can increase a patient’s bleeding risk if a fall does occur [ 19 , 30 ]. The evidence is mixed, however, and this risk may not be significant enough to outweigh the benefits of anticoagulation.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

et al. 2022

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Background During the current Coronavirus Disease 2019 (COVID-19) pandemic, falls have been identified as a potential presenting symptom in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection; however, data on factors increasing fall risk in this patient population are limited. This study aimed to examine the factors that may predispose hospitalized COVID-19 disease patients to falls. Material/Methods In this retrospective observational study, hospitalized COVID-19 disease patients were examined for fall incidence, as well as demographics, comorbidities, and clinical and laboratory data. Patients were stratified according to their fall status and their characteristics were compared using Fisher’s exact test or Mann-Whitney U test. A total of 312 hospitalized COVID-19 disease patients were enrolled (median age, 75 years; males, 51.3%), of whom 11 (3.5%) fell. Results There was a greater prevalence of falls among patients who experienced arrhythmias than those that did not (28.6% vs 1.7%; P <0.001). Additionally, a significantly greater proportion of those that were discharged to the internal ward and to the intensive care unit fell (10.3% and 10.0%, respectively) compared to those that were discharged home (1.6%, P =0.008). Thyroid-stimulating hormone (TSH) was significantly elevated in patients who fell (5.3 vs 0.97 μIU/mL, P =0.013), while alanine aminotransferase (ALT) was significantly lower in those who fell (17.1 vs 33.5 IU/L, P =0.041). Conclusions Arrhythmias may be an important predisposing factor for falls in COVID-19 disease patients and fall prevention programs should prioritize interventions directed at this vulnerable patient population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

et al. 2022

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“…The existence of other risk factors for falls should thus be carefully explored and addressed where possible. Partly because of possible fluctuations in blood pressure and partly because of the mechanism of drug action, cardiovascular diseases increase not only the risk but also the severity of falls [11,19,20]. The risk of falls rises by 60% when using antiarrhythmic calcium channel blockers; by 20% when taking drugs containing digoxin; and by 10% when taking diuretics [15,21].…”

Section: Chronic Diseasesmentioning

confidence: 99%

Prevalence of risk factors for falls among older adult ambulant patients on a chronic inpatient ward

Wiesl

Kis-Kós

Gyombolai

et al. 2023

DHS

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Purpose Falls in older age are the result of the interaction of several modifiable and nonmodifiable risk factors. Risk factors for falls may vary in frequency not only in different economic and cultural contexts but also in different forms of care services among the older population. The aim of the present cross-sectional descriptive observational study was to assess the prevalence of risk factors for falls among older ambulant patients on a chronic inpatient ward in Hungary. Material/Methods Data associated with risk factors for falls, such as age, sex, chronic physical and mental illness, acute illness, incontinence, history of falls, balance and gait disorder, and visual impairment, were collected from 82 participants. The frequency of these risk factors in our sample was compared with their prevalence in the elderly population living at home — based on data available in the literature and statistical databases — using chi-square tests. Results Our results show that the prevalence of hypertension, cerebrovascular events, dementia and diabetes are significantly higher in the elderly population in chronic inpatient care than in the elderly population living at home. There is also a significantly higher prevalence of balance disorders and the use of sedatives/sleeping pills/neuroleptics in the studied population. Cardiovascular diseases, osteoporosis, and Parkinson's disease are equally prevalent in both populations. Conclusions In the case of many of the patients admitted to chronic inpatient care, there is a real chance that their physical condition will improve or stabilise to the point where they can return to their own homes or be moved to a nursing home. This kind of rehabilitation approach to chronic inpatient care would require many more qualified nurses, physiotherapists, occupational therapists, dietitians and social workers than are currently available.

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“…Одна из самых серьезных травм у пациентов старческого возраста -перелом проксимального отдела бедра, в большинстве случаев обусловлена именно падением. Каждый год происходит 646 000 смертельных падений в мире [18].…”

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“…Вероятность падений увеличивается с возрастом, что объяснимо прогрессированием старческой астении и развитием саркопении. Возраст от 65 до 74 лет связан с 31 % риском падения, который увеличивается до 37 % в возрастной группе 80+ лет [18]. Женщины падают чаще мужчин, но наиболее наглядно это различие проявляется в более старшей возрастной группе [2,8].…”

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Falls As a Problem of an Aging Population, a Modern Look at Risk Factors and Assessment Methods. Role of Fear of Falls in Increasing their Risk

Ларина

Levitskaya

Кудина

2021

Arhivʺ vnutrennej mediciny

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The article presents modern views on the problem of falls in the elderly. There is a global trend of changing the demographic situation - the permanent increase in the proportion of elderly and senile people in the general population, the issues of geriatrics as one of the medical specialties are becoming the most relevant. Among the problems that geriatricians and all specialists involved in the treatment of elderly patients have to solve, one of the most serious is the problem of falls. The article provides a medical review of the assessment of the frequency of falls depending on gender, age, diseases and external factors. The main risk factors for falls and their prevention measures are discussed in detail. Special attention is given to the fear of falls as a significant risk factor. The methods of validation the risk factor with the use of unified questionnaires - “The scale of assessment of the fear of fa lls” and “the Falls efficacy scale” are presented. The purpose of this article is to attract the attention of practitioners to the problem of falls and the fear of falls as one of the significant risk factors, methods of its identification and prevention

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Link between cardiovascular disease and the risk of falling: A comprehensive review of the evidence

Cited by 7 publications

References 89 publications

Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19)

Prevalence of risk factors for falls among older adult ambulant patients on a chronic inpatient ward

Falls As a Problem of an Aging Population, a Modern Look at Risk Factors and Assessment Methods. Role of Fear of Falls in Increasing their Risk

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