دورية أكاديمية
أعرض في EDS

The impact of cardiovascular diagnostics and treatments on fall risk in older adults: a scoping review and evidence map.

التفاصيل البيبلوغرافية
العنوان: The impact of cardiovascular diagnostics and treatments on fall risk in older adults: a scoping review and evidence map.
المؤلفون: Pronk AC; Department of Internal Medicine, Section of Geriatrics, Amsterdam University Medical Centers, Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute, Aging and Later Life, Amsterdam, The Netherlands., Wang L; Department of Internal Medicine, Section of Geriatrics, Amsterdam University Medical Centers, Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute, Aging and Later Life, Amsterdam, The Netherlands., van Poelgeest EP; Department of Internal Medicine, Section of Geriatrics, Amsterdam University Medical Centers, Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands. e.p.vanpoelgeest@amsterdamumc.nl.; Amsterdam Public Health Research Institute, Aging and Later Life, Amsterdam, The Netherlands. e.p.vanpoelgeest@amsterdamumc.nl., Leeflang MMG; Department of Epidemiology and Data Science Section of Methodology, Amsterdam University Medical Centres, Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands., Daams JG; Medical Library, University of Amsterdam, Amsterdam, The Netherlands., Hoekstra AG; Computational Science Lab, Informatics Institute, University of Amsterdam, Amsterdam, The Netherlands., van der Velde N; Department of Internal Medicine, Section of Geriatrics, Amsterdam University Medical Centers, Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.; Amsterdam Public Health Research Institute, Aging and Later Life, Amsterdam, The Netherlands.
المصدر: GeroScience [Geroscience] 2024 Feb; Vol. 46 (1), pp. 153-169. Date of Electronic Publication: 2023 Oct 21.
نوع المنشور: Journal Article; Review; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101686284 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2509-2723 (Electronic) Linking ISSN: 25092723 NLM ISO Abbreviation: Geroscience Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Cham : Springer International Publishing, [2017]-
مواضيع طبية MeSH: Accidental Falls*/prevention & control, Blood Pressure
مستخلص: Background: We aimed to summarize the published evidence on the fall risk reducing potential of cardiovascular diagnostics and treatments in older adults.
Methods: Design: scoping review and evidence map.
Data Sources: Medline and Embase.
Eligibility Criteria: all available published evidence; Key search concepts: "older adults," "cardiovascular evaluation," "cardiovascular intervention," and "falls." Studies reporting on fall risk reducing effect of the diagnostic/treatment were included in the evidence map. Studies that investigated cardiovascular diagnostics or treatments within the context of falls, but without reporting a fall-related outcome, were included in the scoping review for qualitative synthesis.
Results: Two articles on cardiovascular diagnostics and eight articles on cardiovascular treatments were included in the evidence map. Six out of ten studies concerned pacemaker intervention of which one meta-analyses that included randomized controlled trials with contradictory results. A combined cardiovascular assessment/evaluation (one study) and pharmacotherapy in orthostatic hypotension (one study) showed fall reducing potential. The scoping review contained 40 articles on cardiovascular diagnostics and one on cardiovascular treatments. It provides an extensive overview of several diagnostics (e.g., orthostatic blood pressure measurements, heart rhythm assessment) useful in fall prevention. Also, diagnostics were identified, that could potentially provide added value in fall prevention (e.g., blood pressure variability and head turning).
Conclusion: Although the majority of studies showed a reduction in falls after the intervention, the total amount of evidence regarding the effect of cardiovascular diagnostics/treatments on falls is small. Our findings can be used to optimize fall prevention strategies and develop an evidence-based fall prevention care pathway. Adhering to the World guidelines on fall prevention recommendations, it is crucial to undertake a standardized assessment of cardiovascular risk factors, followed by supplementary testing and corresponding interventions, as effective components of fall prevention strategies. In addition, accompanying diagnostics such as blood pressure variability and head turning can be of added value.
(© 2023. The Author(s).)
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معلومات مُعتمدة: 3021 University of Amsterdam; 3549 Clementine Brigitta Maria Dalderup; 202007720083 China Scholarship Council
فهرسة مساهمة: Keywords: Cardiovascular; Evidence map; Fall prevention; Intervention; Older adults; Scoping review
تواريخ الأحداث: Date Created: 20231021 Date Completed: 20240131 Latest Revision: 20240718
رمز التحديث: 20240718
مُعرف محوري في PubMed: PMC10828261
DOI: 10.1007/s11357-023-00974-4
PMID: 37864713
قاعدة البيانات: MEDLINE
الوصف
تدمد:2509-2723
DOI:10.1007/s11357-023-00974-4