Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis

IntroductionStudies suggest that the prevalence of food allergy may be increasing worldwide. Results regarding the prevalence and features of adverse food reactions older people have, however, scarcely been analysed in the literature. Thus, the objective of the present systematic review will be to describe the prevalence of food allergy in older individuals, its risk factors, clinical features, as well as the most frequently and commonly involved foods.Methods and analysisWe will conduct a systematic review and meta-analysis of the incidence, prevalence and risk factors for food allergy in older individuals. We will search international electronic databases including MEDLINE, EMBASE, Cochrane Library, CINAHL, AMED and ISI Web of Science for published, unpublished and ongoing studies from 1980 toJanuary 2019. There will be no restriction on the language or geography of publication. We will use the critical appraisal skills programme quality assessment tool to appraise the methodological quality of included studies. A descriptive summary with data tables will be elaborated, and if deemed clinically relevant and statistically adequate, meta-analysis using random-effects modelling will be carried out, given the expected clinical, methodological and statistical heterogeneity of studies. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist will guide reporting of the systematic review.Ethics and disseminationSince this systematic review will be solely based on published and retrievable literature, no ethics approval will be obtained. This study will allow us to draw up-to-date estimates of the prevalence of adverse food reactions in older individuals, worldwide, besides allowing the identification of its major risk factors, clinical manifestations and predominant foods responsible for such reactions. A multidisciplinary team has been assembled for this systematic review and will participate in relevant dissemination activities, namely reports, publications and presentations.PROSPERO registration numberCRD42018102140

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Risk factors for incident delirium among older people in acute hospital medical units: a systematic review and meta-analysis

Age and Ageing ◽

10.1093/ageing/afu022 ◽

2014 ◽

Vol 43 (3) ◽

pp. 326-333 ◽

Cited By ~ 185

Author(s):

S. Ahmed ◽

B. Leurent ◽

E. L. Sampson

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Older People ◽

Meta Analysis ◽

Acute Hospital ◽

Hospital Medical

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Risk factors for falls in patients with total hip arthroplasty and total knee arthroplasty: a systematic review and meta-analysis

Osteoarthritis and Cartilage ◽

10.1016/j.joca.2019.04.006 ◽

2019 ◽

Vol 27 (7) ◽

pp. 979-993 ◽

Cited By ~ 6

Author(s):

C.W.T. Lo ◽

W.W.N. Tsang ◽

C.H. Yan ◽

S.R. Lord ◽

K.D. Hill ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Total Knee Arthroplasty ◽

Total Hip Arthroplasty ◽

Knee Arthroplasty ◽

Hip Arthroplasty ◽

Meta Analysis ◽

Total Hip ◽

Total Knee ◽

Risk Factors For Falls

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Risk Factors for Falls in Community Stroke Survivors: A Systematic Review and Meta-Analysis

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2017.06.032 ◽

2018 ◽

Vol 99 (3) ◽

pp. 563-573.e5 ◽

Cited By ~ 39

Author(s):

Tianma Xu ◽

Lindy Clemson ◽

Kate O'Loughlin ◽

Natasha A. Lannin ◽

Catherine Dean ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Meta Analysis ◽

Stroke Survivors ◽

Risk Factors For Falls

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Prevalence and risk factors of frailty among people in rural areas: a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2020-043494 ◽

2021 ◽

Vol 11 (4) ◽

pp. e043494

Author(s):

Rui Xu ◽

Qiufang Li ◽

Feifei Guo ◽

Maoni Zhao ◽

Luyao Zhang

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Cognitive Impairment ◽

Depressive Symptom ◽

Older People ◽

Rural Areas ◽

Meta Analysis ◽

Pooled Prevalence ◽

Adl Disability ◽

Perception Of Health

ObjectiveOlder people in rural areas are possibly more frail due to the limited medical resources and lower socioeconomic status. Given the negative healthy outcomes caused by frailty, knowing the epidemiology of frailty in rural areas is of great importance. We tried to synthesise the existing evidences for the prevalence and risk factors of frailty in rural areas.DesignA systematic review and meta-analysis.Data sourcesPubMed, Embase, MEDLINE, Cochrane Library, Web of Science and Scopus were used to identify the articles from inception to 30 April 2019.Eligibility criteriaObservational studies providing cross-sectional data on the prevalence of frailty in rural elderly were extracted.Data extraction and synthesisTwo independent investigators selected studies, extracted data and assessed the methodological quality of included studies. The pool prevalence of frailty was calculated by the random effects model and the OR and 95% CI were used to calculate the risk factors.ResultsThe literature search yielded 2219 articles, of which 23 met the study criteria and were included in this analysis. The pooled prevalence of frailty and pre-frailty were 18% (95% CI 15% to 21%, I2=98.5%, p<0.001) and 50% (95% CI 45% to 56%, I2=98.4%, p<0.001), respectively. The pooled frailty prevalence was 15% for the Fried Phenotype, 18% for the Frailty Index and 23% for other criteria. The pooled prevalence of frailty was 17% for males and 26% for females. The pooled prevalence of frailty was 17% in developing countries and 23% in developed countries. Age, cognitive impairment, depressive symptom, risk of malnutrition, activity of daily living (ADL) disability and poor self-perception of health were associated with frailty. There was no publication bias.ConclusionsFrailty influences almost one in five older people in rural areas, and increasing age, cognitive impairment, depressive symptom, risk of malnutrition, ADL disability and poor self-perception of health were all risk factors for frailty. We should be cautious about the research results due to the heterogeneity between studies.

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Web-Based Interventions Targeting Cardiovascular Risk Factors in Middle-Aged and Older People: A Systematic Review and Meta-Analysis

Journal of Medical Internet Research ◽

10.2196/jmir.5218 ◽

2016 ◽

Vol 18 (3) ◽

pp. e55 ◽

Cited By ~ 46

Author(s):

Cathrien RL Beishuizen ◽

Blossom CM Stephan ◽

Willem A van Gool ◽

Carol Brayne ◽

Ron JG Peters ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Cardiovascular Risk ◽

Older People ◽

Cardiovascular Risk Factors ◽

Meta Analysis ◽

Middle Aged ◽

Web Based

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Faculty Opinions recommendation of Identification of risk factors for falls in multiple sclerosis: a systematic review and meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717969292.793471131 ◽

2013 ◽

Author(s):

Giancarlo Comi

Keyword(s):

Risk Factors ◽

Multiple Sclerosis ◽

Systematic Review ◽

Meta Analysis ◽

Risk Factors For Falls

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The prevalence of and risk factors for dysphagia among elderly residents in nursing homes: a systematic review and meta-analysis

10.21203/rs.3.rs-808140/v1 ◽

2021 ◽

Author(s):

Zhao Hu ◽

Baohua Zheng ◽

Atipatsa Chiwanda Kaminga ◽

Huilan Xu

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Nursing Homes ◽

English Language ◽

Meta Analysis ◽

Functional Limitation ◽

Significant Risk ◽

Assessment Tools ◽

Significant Difference ◽

Prevalence Estimates

Abstract Background Elderly residents in nursing homes are at high risk for dysphagia. However, the prevalence estimates of this condition and its risk factors among this population were inconsistent. Objective To estimate the prevalence of dysphagia and examine its risk factors among the elderly in nursing homes. Methods Electronic database of PubMed, Web of science, Embase for English language, Wangfang, VIP and CNKI for Chinese language were systematically searched to identify relevant observational studies published not later than July 4, 2021. Studies conducted in nursing homes and reported dysphagia assessment methods were included. Results In total, 43 studies involving 56,746 participants were included in this systematic review and meta-Analysis. The overall pooled crude prevalence of dysphagia was 35.9% (95%CI: 29.0%, 43.4%), with high heterogeneity (I2 = 99.5%). There was a statistically significant difference in prevalence estimates with respect to study locations, methods of assessment of dysphagia, dysphagia assessment staff, representativeness of samples, and validity of assessment tools. Pooled estimates indicated that male (OR = 1.13, 95%CI: 1.00, 1.27), cognitive impairment (OR = 2.47, 95%CI: 1.59, 3.84), functional limitation (OR = 2.59, 95% CI: 1.75, 3.84), cerebrovascular disease (OR = 2.90, 95%CI: 1.73,4.87), dementia (OR = 1.50, 95%CI: 1.15, 1.96) and Parkinson’s disease (OR = 1.81, 95%CI: 1.06, 3.08) were significant risk factors for dysphagia. Conclusions The prevalence of dysphagia in nursing homes is relatively high, and with high heterogeneity. Also, many factors were associated with the risk of dysphagia. Further research is needed to identify strategies for management and interventions targeted at these disorders in this population.

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