Risk factors for falls in people with a lower limb amputation: a systematic review
MetadataShow full item record
OBJECTIVE: To review the evidence connecting risk factors to falls in adults with a lower limb amputation (LLA) across the continuum of care settings. DESIGN: Systematic review. LITERATURE SURVEY: Electronic database searches were conducted in MEDLINE, Pubmed, CINAHL and EMBASE covering 01/1988 and 01/2016. Non-interventional studies, including cohort and cross-sectional studies were included. Two reviewers independently completed data extraction and quality evaluation. METHODOLOGY: Twelve studies met the inclusion criteria and quality of reporting of reporting was evaluated using the criteria by Tooth et al.. SYNTHESIS: The average quality of reporting score was 19.8, scores ranged from 16 to 29. Studies covered the acute hospital stay after the amputation, inpatient rehabilitation and community living. Falls were a common occurrence, with the cohort studies reporting 20.8% for acute hospital stay to 58% in the community years after the amputation. Injurious falls were also common, occurrence ranging from 40% to 60%. Risk factors that increase falls, and are shared with the general population of older adults, include lower extremity muscle weakness, increasing age, comorbidities and number of prescription medications. Risk factors for falls that are unique to adults with LLA are dysvascular etiology of the amputation, trans-tibial level of amputation in the post-operative period and trans-femoral level post-rehabilitation, and reduced vibration sense. CONCLUSIONS: Falls in adults with an LLA are common from the time of the amputation to years later living in the community. Risk factors vary across care settings after the amputation and this has implications for safety and fall prevention strategies.
Showing items related by title, author, creator and subject.
Apikomonkon, Hataichanok (2003)Numerous Thai older people fall each year. Although it has been shown that only 3.1% of fallers sustained fractures (Nevitt, Cumming, Kidd, & Black, 1989), injuries in older people are often more serious. For example, ...
Modelling the co-occurence of Streptococcus pneumoniae with other bacterial and viral pathogens in the upper respiratory tractJacoby, P.; Watson, K.; Bowman, J.; Taylor, A.; Riley, T.; Smith, D.; Lehmann, Deborah (2007)Go to ScienceDirect® Home Skip Main Navigation Links Brought to you by: The University of Western Australia Library Login: + Register Athens/Institution Login Not Registered? - User Name: Password: ...
Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysisSlade, S.; Carey, D.; Hill, Anne-Marie; Morris, M. (2017)Introduction: Falls are a major global public health problem and leading cause of accidental or unintentional injury and hospitalisation. Falls in hospital are associated with longer length of stay, readmissions and poor ...