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

Show simple item record Brenton-Rule, A en Dalbeth, Nicola en Bassett, S en Menz, HB en Rome, K en 2015-07-24T02:59:41Z en 2015-02 en
dc.identifier.citation Seminars in Arthritis and Rheumatism, 2015, 44 (4), pp. 389 - 398 en
dc.identifier.issn 0049-0172 en
dc.identifier.uri en
dc.description.abstract 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. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.publisher WB Saunders en
dc.relation.ispartofseries Seminars in Arthritis and Rheumatism en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title The incidence and risk factors for falls in adults with rheumatoid arthritis: a systematic review en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.semarthrit.2014.08.001 en
pubs.issue 4 en
pubs.begin-page 389 en
pubs.volume 44 en
dc.rights.holder Copyright: WB Saunders en
dc.identifier.pmid 25216947 en
pubs.end-page 398 en
dc.rights.accessrights en
pubs.subtype Journal Article en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Article en
pubs.elements-id 456493 en Medical and Health Sciences en School of Medicine en Medicine Department en
dc.identifier.eissn 1532-866X en
pubs.record-created-at-source-date 2015-07-24 en
pubs.dimensions-id 25216947 en

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