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Centre for Policy on Ageing | |
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The role of cognitive impairment in fall risk among older adults
— a systematic review and meta-analysis | | Author(s) | Susan W Muir, Karen Gopaul, Manuel M Montero Odasso |
| Journal title | Age and Ageing, vol 41, no 3, May 2012 |
| Pages | pp 299-308 |
| Source | http://ageing.oxfordjournals.org/ http://www.bgs.org.uk/ |
| Keywords | Cognitive impairment ; Dementia ; Falls ; At risk ; Clinical surveys ; Literature reviews. |
| Annotation | The objective of the study was to evaluate the epidemiological evidence linking cognitive impairment and fall risk. Studies were identified through systematic searches of three electronic medical databases covering the period 1988-2009. Bibliographies of retrieved articles were also searched. A fixed-effects meta-analysis was performed using an inverse-variance method. 27 studies met the inclusion criteria. Impairment on global measures of cognition was associated with any fall, serious injuries and distal radius fractures in community-dwelling older adults. Executive function impairment, even subtle deficits in healthy community-dwelling older adults, was associated with an increased risk for any fall and falls with serious injury. A diagnosis of dementia was associated with risk for any fall but not serious fall injury in institution-dwelling older adults. There is strong evidence that global measures of cognition are associated with serious fall-related injury, although there is no consensus on threshold values. Executive function was also associated with increased risk, which supports its inclusion in fall risk assessment especially when global measures are within normal limits. (JL). |
| Accession Number | CPA-120511002 A |
| Classmark | E4: EA: OLF: CA3: 3G: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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