Journal of the American Medical Directors Association
Review ArticleFrailty as a Predictor of Future Falls Among Community-Dwelling Older People: A Systematic Review and Meta-Analysis
Section snippets
Methods
This study was conducted according to a protocol developed with adherence to Meta-analysis of Observational Studies in Epidemiology (MOOSE)21 statements by a clinician researcher who was trained for internal medicine and geriatric medicine and is currently working as a general practitioner.
Selection Processes
Figure 1 shows a flow chart of the literature search and study selection with numbers of studies at each stage. Of 2245 citations identified by the systematic review of the literature using 6 electronic databases, 1306 duplicated articles were excluded and 920 articles were excluded through review of titles and abstracts. One additional article18 was found by manual search and added, leaving 20 articles for full-text review. Of these, 9 articles were excluded because they were review articles
Discussion
This is, to the best of my knowledge, the first study to perform systematic review and meta-analyses on future fall risk associated with frailty among community-dwelling older people. Eleven studies with a total of 68,723 individuals presenting ORs and HRs as fall risk measures for frailty status were identified by this systematic review. A meta-analysis combining their findings consistently showed frailty was associated with higher future fall risk despite different frailty criteria and effect
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The author declares no conflicts of interest.