Prevalence and risk factors for falls in patients with spondyloarthritis: A systematic review

Lim, Grace Rui Si; Ng, Charmaine; Kwan, Yu Heng; Fong, Warren

doi:10.1111/1756-185x.14092

Cited by 6 publications

(3 citation statements)

References 37 publications

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“…The interpretation of this result is that the gender being male or female does not increase the risk of falls because both sexes have the same medical conditions, use the same number of prescribed medications, and do not engage in physical activity. This result is analogous to the result of a study conducted by Lim et al, (2021) that they found there were no significant associations between the risk of fall and with gender. In related to the educational level, the results found that there is no significant association among the risk for fall of the samples participants in the study and their educational level (the pvalue of level of education was 0.423).…”

Section: Table (1)supporting

confidence: 87%

Association between risk for fall and socio-demographic attributes among diabetic elderly patients

Al-Ardhi¹,

Atiyah²

2022

MJN

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Background: With advancing age, we notice that the functional and physiological capacity of the musculoskeletal and nervous systems begins to decline gradually, which has a noticeable impact on the motor activity. This age-related deterioration significantly contributes to falls and frequent falls among the elderly. 6611 elderly people die daily as a result of falls, and thus falls become one of the most important public health problems in several countries of the world.Aims of the study: to find out corelation between the risk of falls and the social and demographic characteristics of elderly diabetic patients aged 60 years and over.Methodology: A correlation design was conducted to study the association between risk for fall and sociodemographic attributes among elderly diabetic patients at In the Endocrinology and Diabetes Center affiliated to Al-Hussein Teaching Hospital in Al-Muthanna Governorate from 18 / December /2021 to 1 /April /2022. A non-probability (purposive) sample of 107 elderly diabetic patients from Diabetes center. To measure the association between risk for fall and socio demographic attributes, the researcher used a questionnaire that consist of (7) items related to socio demographic attributes and to measure the risk for fall the researcher used the berg balance scale that included ( 14) items . To analyze the results, the researcher used descriptive statistics (frequencies, percentage, mean, standard deviation) and inferential statistics (hi-squared) test was used.Results: (37.4%) of participants within the age group (60-64) years old. (49.5%) was men, (50.5%) was women. Illiterate (33.6%), (64.5%) of the participants are married, (37.4%) are unemployed, (94.4%) are live with family and (59.8%) are live in Urban. (48.6%) of participants have moderate risk for fall. There was significant relationship between the risk of fall with age, occupation, place of residency. Conclusion:The study concluded that some of socio-demographic characteristic such as age, and occupation and place of residency Increase the risk of falling among elderly diabetic patients while there is no association between the risk of fall and with gender, level of education, marital status, living status among elderly diabetic patients. Recommendations:The study recommended the importance of implementing educational programs on fall prevention in all centers visited by the elderly and the elderly home, because the country lacks such programs to reduce the incidence of falls. Conducting more research on the topic of falls to detect the risk factors of falls among the elderly to reduce these cases.

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Section: Table (1)supporting

confidence: 87%

Association between risk for fall and socio-demographic attributes among diabetic elderly patients

Al-Ardhi¹,

Atiyah²

2022

MJN

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“…A study carried out in older people living in nursing homes found that polypharmacy was associated with fall risk(OR 1.29, 95% CI1.03–1.60) 12 . However, in a 2021 systematic review that investigated the risk factors and falls among patients with spondylarthritis, the author suggested that polypharmacy was not associated with the risk of falls 13 …”

Section: Introductionmentioning

confidence: 99%

Association of polypharmacy with falls among older Chinese inpatients: A nationwide cohort study

Zhang

Jiao

Guo

et al. 2021

Geriatrics Gerontology Int

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Aim Polypharmacy is prevalent among older adults and has been mainly reported to be associated with falls among community‐dwelling or nursing home residents. Our study aimed to investigate the relationship between polypharmacy and falls among older Chinese hospitalized patients. Methods A nationwide prospective cohort study included 9062 participants in six hospitals from China aged ≥65 years, with a 1‐year follow‐up period. Baseline polypharmacy and other health‐related variables were collected when older inpatients were recruited on hospital admission. Polypharmacy was defined as patients who have taken five medications or more. Well‐trained nurses assessed falls by telephone at follow up. We used multivariate logistic regression analysis to examine the association between polypharmacy and the risk of falls based on cross‐sectional analyses and longitudinal analyses. Results Of 9062 participants, the mean age was 72.42 years (SD= 5.69), and 5228 (57.69%) were men. After fully adjusted for age, sex, education, depression, cognitive impairment, low handgrip strength, frailty, various hospitals, and nutritional status, the cross‐sectional and longitudinal analyses showed that inpatients with polypharmacy had an increased risk of falls (OR 1.37, 95%CI 1.17–1.56 for the cross‐sectional association; OR 1.43, 95% CI 1.01–2.03 for the longitudinal association, respectively), compared with those without polypharmacy. In addition, subgroup analyses of the association between polypharmacy and 1‐year falls, or history of falls was unchanged. Conclusions Polypharmacy was prevalent among older Chinese hospitalized patients and was an independent risk factor of 1‐year falls, suggesting that clinicians should make a comprehensive assessment of medications, and deprescribing strategies should be implemented to reduce unnecessary medications for decreasing the rate of falls. Geriatr Gerontol Int 2021; 21: 810–817.

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“…A recently published review of falls in patients with SpA reported a prevalence of falls during a retrospective 12-month period of 13%–25%. 34 Risk factors for falls in SpA was among others functional limitation, measured by Bath AS Functional Index (BASFI), and reduced spinal mobility, measured by BASMI. A prior study of 40 patients with AS and 40 age-matched and sex-matched controls found a statistically significantly higher proportion with a history of falls in AS (20%) compared with the controls (5%).…”

Section: Discussionmentioning

confidence: 99%

Occurrence and relative risks for non-vertebral fractures in patients with ankylosing spondylitis compared with the general population: a register-based study from Sweden

et al. 2023

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ObjectivesTo estimate the incidence of non-vertebral fractures in ankylosing spondylitis (AS) compared with the general population.MethodsNationwide register-based cohort study including patients with AS (n=11 611, 65% men, mean age 48 years), and matched general population controls (n=58 050). Five prespecified fracture outcomes: (1) non-vertebral; (2) fracture of the proximal humerus, distal forearm or hip; (3) proximal humerus; (4) distal forearm and (5) hip) were identified through register linkages with follow-up 2007–2016. We used Poisson regression to calculate incidence rates (IRs), number of fractures per 1000 person-years at risk and IR ratios (IRRs), overall and by sex and age. IRRs were adjusted for history of any prior fracture.ResultsIRs (men/women) for non-vertebral fracture in AS were 11.9 (95% CI 11.0 to 12.9)/14.5 (95% CI 13.1 to 16.1) and in controls 10.0 (95% CI 9.7 to 10.4)/11.8 (95% CI 11.1 to 12.4), IRR (men/women) 1.2 (95% CI 1.1 to 1.3)/1.2 (95% CI 1.1 to 1.4). IRs (men/women) for fractures of the humerus, forearm or hip in AS were 4.0 (95% CI 3.5 to 4.6)/6.3 (95% CI 5.4 to 7.3) and in controls 2.7 (95% CI 2.5 to 2.9)/5.5 (95% CI 5.1 to 6.0), IRR (men/women) 1.5 (95% CI 1.3 to 1.7)/1.1 (95% CI 0.9 to 1.3). IRRs were statistically significantly elevated in men with AS versus controls for forearm fracture (1.4 (95% CI 1.1 to 1.7)) and hip fracture (1.8 (95% CI 1.4 to 2.3)), whereas not in women with AS where the IRRs were 1.1 (95% CI 0.9 to 1.4) and 1.0 (95% CI 0.6 to 1.4). For humerus fracture, IRRs were 1.4 (95% CI 0.99 to 1.9) in men with AS versus controls and 1.1 (95% CI 0.8 to 1.6) in women.ConclusionsBoth men and women with AS have a slightly higher risk of non-vertebral fractures than the general population. A statistically significantly higher risk of fractures of the proximal humerus, distal forearm or hip was found in men with AS in comparison to general population, where the relative risk was especially pronounced for hip fracture.

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Prevalence and risk factors for falls in patients with spondyloarthritis: A systematic review

Cited by 6 publications

References 37 publications

Association between risk for fall and socio-demographic attributes among diabetic elderly patients

Association between risk for fall and socio-demographic attributes among diabetic elderly patients

Association of polypharmacy with falls among older Chinese inpatients: A nationwide cohort study

Occurrence and relative risks for non-vertebral fractures in patients with ankylosing spondylitis compared with the general population: a register-based study from Sweden

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