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A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty

BACKGROUND: Falls in the elderly have become a serious social problem worldwide. Approximately a third of persons fall at least once in the year after total joint arthroplasty (TJA), but preventing and treating falls is still challenging in clinical practice. Until now, no formal systematic review o...

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Autores principales: Liu, Yang, Yang, Yanjiang, Liu, Hao, Wu, Wenyuan, Wu, Xintao, Wang, Tao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738153/
https://www.ncbi.nlm.nih.gov/pubmed/33327354
http://dx.doi.org/10.1097/MD.0000000000023664
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author Liu, Yang
Yang, Yanjiang
Liu, Hao
Wu, Wenyuan
Wu, Xintao
Wang, Tao
author_facet Liu, Yang
Yang, Yanjiang
Liu, Hao
Wu, Wenyuan
Wu, Xintao
Wang, Tao
author_sort Liu, Yang
collection PubMed
description BACKGROUND: Falls in the elderly have become a serious social problem worldwide. Approximately a third of persons fall at least once in the year after total joint arthroplasty (TJA), but preventing and treating falls is still challenging in clinical practice. Until now, no formal systematic review or meta-analysis was performed to summarize the risk factors of falls after TJA. The present study aimed to quantitatively and comprehensively conclude the risk factors of falls after TJA in elderly patients. METHODS: The electronic databases to be searched include CNKI, Embase, Medline, and Cochrane central database (all up to November 2018). All studies on the risk factors of falls after TJA in elderly patients without language restriction were reviewed. Process of evaluation of identified studies and extraction of data were independently conducted by 2 reviewers, qualities of included studies were assessed using the Newcastle–Ottawa Scale. Data were pooled and a meta-analysis completed. All analyses were performed by the software Stata 11.0. RESULTS: A total of 14 studies were included, which altogether included 1284456 patients with TJA, of them 12879 cases of falls occurred after surgery, suggesting the accumulated incidence of 13.1% and the prevalence of in-hospital falls was 1.0%. This study has provided evidence for the preventing of falls in the elderly patients who were underwent TJA. Outcome measures include advanced age, female, Overweight (BMI≥25 kg/m(2)), falls history, use of walking aid, diabetes, cardiac disease, hypertension, COPD and depressive symptoms. The ABC Scale was significantly negatively correlated with falls after lower extremity joint replacement. CONCLUSIONS: Related prophylaxis strategies should be implemented in elderly patients involved with above-mentioned risk factors to prevent falls after TJA.
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spelling pubmed-77381532020-12-16 A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty Liu, Yang Yang, Yanjiang Liu, Hao Wu, Wenyuan Wu, Xintao Wang, Tao Medicine (Baltimore) 7100 BACKGROUND: Falls in the elderly have become a serious social problem worldwide. Approximately a third of persons fall at least once in the year after total joint arthroplasty (TJA), but preventing and treating falls is still challenging in clinical practice. Until now, no formal systematic review or meta-analysis was performed to summarize the risk factors of falls after TJA. The present study aimed to quantitatively and comprehensively conclude the risk factors of falls after TJA in elderly patients. METHODS: The electronic databases to be searched include CNKI, Embase, Medline, and Cochrane central database (all up to November 2018). All studies on the risk factors of falls after TJA in elderly patients without language restriction were reviewed. Process of evaluation of identified studies and extraction of data were independently conducted by 2 reviewers, qualities of included studies were assessed using the Newcastle–Ottawa Scale. Data were pooled and a meta-analysis completed. All analyses were performed by the software Stata 11.0. RESULTS: A total of 14 studies were included, which altogether included 1284456 patients with TJA, of them 12879 cases of falls occurred after surgery, suggesting the accumulated incidence of 13.1% and the prevalence of in-hospital falls was 1.0%. This study has provided evidence for the preventing of falls in the elderly patients who were underwent TJA. Outcome measures include advanced age, female, Overweight (BMI≥25 kg/m(2)), falls history, use of walking aid, diabetes, cardiac disease, hypertension, COPD and depressive symptoms. The ABC Scale was significantly negatively correlated with falls after lower extremity joint replacement. CONCLUSIONS: Related prophylaxis strategies should be implemented in elderly patients involved with above-mentioned risk factors to prevent falls after TJA. Lippincott Williams & Wilkins 2020-12-11 /pmc/articles/PMC7738153/ /pubmed/33327354 http://dx.doi.org/10.1097/MD.0000000000023664 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 7100
Liu, Yang
Yang, Yanjiang
Liu, Hao
Wu, Wenyuan
Wu, Xintao
Wang, Tao
A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
title A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
title_full A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
title_fullStr A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
title_full_unstemmed A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
title_short A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
title_sort systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738153/
https://www.ncbi.nlm.nih.gov/pubmed/33327354
http://dx.doi.org/10.1097/MD.0000000000023664
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