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Title: Falls prevalence and risk factors in people with chronic obstructive pulmonary disease: A systematic review.
Austin Authors: Oliveira, Cristino C;Annoni, Raquel;Lee, Annemarie L;McGinley, Jennifer;Irving, Louis B;Denehy, Linda
Affiliation: Institute for Breathing and Sleep
Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Frankston, VIC, Australia
Department of Physiotherapy, Federal University of Juiz de Fora, Governador Valadares, MG, Brazil
Department of Applied Physiotherapy, Federal University of Triangulo Mineiro, Uberaba, MG, Brazil
Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia
Department of Respiratory and Sleep Medicine, The Royal Melbourne Hospital, Melbourne, VIC, Australia
Issue Date: Jan-2021 2020-12-10
Publication information: Respiratory medicine 2021; 176: 106284.
Abstract: Falls are frequent in people with chronic obstructive pulmonary disease (COPD) and related to increased morbidity, mortality, and health care costs in older adults. This systematic review aims to synthesise the falls outcomes and to examine risk factors for falls in the COPD literature. The protocol was registered in the Prospective Register of Systematic Reviews (PROSPERO: CRD42015017257). Searches were updated and operated in five electronic databases in December 2019 for studies reporting falls outcomes and risk factors in people with COPD. Meta-analyses were conducted on the prevalence of fallers and frequent fallers. Quality assessment appraised the risk of bias of included articles. Twenty-three studies met the eligibility criteria and were retained after the full-text review. In the meta-analyses, the pooled prevalence of COPD fallers was 30% (95%CI 19%-42%), and the pooled prevalence of frequent fallers (≥2 falls in the analysed period of occurrence) was 24% (95%CI 2%-56%). The falls incidence rate in stable COPD varied from 1.17 to 1.49 falls/person-year. Different study methodologies were identified. Age, female gender, falls history, the number of medications, comorbidities, coronary heart disease, use of supplemental oxygen, impaired balance performance and smoking history were risk factors for falls identified in stable COPD. Prevalence of fallers, frequent fallers, and falls incidence rate have been reported in the COPD literature using a varying methodology. People with stable COPD present with ageing and disease-related risk factors for falls. Further research using the recommended prospective recording is needed in COPD.
DOI: 10.1016/j.rmed.2020.106284
ORCID: 0000-0002-8631-0135
Journal: Respiratory medicine
PubMed URL: 33338874
PubMed URL:
Type: Journal Article
Subjects: Accidental falls
Chronic obstructive
Pulmonary disease
Appears in Collections:Journal articles

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