Prevalence and risk factors of falls in patients with knee osteoarthritis:a Meta-analysis
10.3761/j.issn.0254-1769.2025.10.004
- VernacularTitle:膝关节骨性关节炎患者跌倒发生率及其危险因素的Meta分析
- Author:
Yueyue JIA
1
;
Zhilan YANG
;
Yanping ZHAI
;
Hongrui SHI
;
Huimin ZHAO
;
Yuanyuan JIN
;
Xingyu LIU
;
Zhili YAN
;
Ziwei TIAN
Author Information
1. 030619 山西省晋中市 山西中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Osteoarthritis,Knee;
Falls;
Risk Factors;
Meta-Analysis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(10):1177-1183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To clarify the evidence of the frequency and risk factors for falls in knee osteoarthritis(KOA)of adults by meta-analysis.Methods Computerized searches of the CNKI,VIP,Wanfang data,CBM,PubMed,Cochrane Library,Embase,Web of Science were conducted for literature on risk factors for falls in adults with KOA from the inception of the databases to August 2024.After literature screening,data extraction,and quality evaluation,RevMan 5.4 software was used for Meta-analysis.Results A total of 26 articles were involved.Meta-analysis result showed that the rate of falls was 29.0％.Factors associated with increased risk of falls included being female(OR=1.35),decreased lower limb muscle strength(OR=1.72),decreased knee flexion muscle strength(OR=7.05),decreased static posture stability(OR=1.28),opioid use(OR=1.79),antidepressant use(OR=1.69),frequent stair climbing(OR=7.58),combined neurological disease(OR=1.77),history of falls(OR=3.29)and fear of falling(OR=2.54).Conclusion The rate of falls of patients with KOA is high.The adults with KOA who are women,have lower muscle strength of lower limbs and knee flexion muscle strength,poorer static posture stability,use opioids,antidepressant,frequent stair climbing,combined neurological disorders,previous falls in the past year and fear of falls are at higher risk of falls.Healthcare professionals should dynamically assess and detect the risk of falls in the patients with KOA and adopt targeted,individualized interventions to prevent falls.
