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Impact of cardiovascular evaluations and interventions on fall risk in older adults: a protocol for a scoping review
Liping Wang1, Eveline P van Poelgeest2, Anouschka C Pronk1
1Section of Geriatric Medicine, Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
Insights
Cardiovascular issues are a key fall risk in older adults. This review synthesizes evidence on how cardiovascular assessments and treatments can prevent falls in this population.
Area of Science:
- Gerontology
- Cardiology
- Public Health
Background:
- Cardiovascular disorders are significant, yet often overlooked, risk factors for falls in older adults.
- Falls pose a major public health challenge, necessitating effective prevention strategies for the elderly.
- Existing research often focuses narrowly on specific cardiovascular tests or treatments for fall prevention, lacking a comprehensive overview.
Purpose of the Study:
- To conduct a scoping review and evidence map of the comparative effectiveness of cardiovascular assessments and interventions on fall risk reduction in older individuals.
- To identify and summarize the existing body of evidence regarding cardiovascular health and fall prevention in the elderly.
- To highlight gaps in current research and guide future studies on this topic.
Main Methods:
- A systematic literature search will be performed in MEDLINE and Embase.
- Key search terms include 'older adults', 'cardiovascular evaluation', 'cardiovascular intervention', and 'falls'.
- An evidence map will be created to visualize the quantity and quality of evidence from observational studies, randomized controlled trials, and reviews.
Main Results:
- The review will synthesize findings on the effectiveness of various cardiovascular assessments and treatments in reducing fall risk.
- The evidence map will illustrate the current state of research, identifying areas with robust evidence and research gaps.
- Comparative effectiveness of different cardiovascular strategies for fall prevention will be analyzed.
Conclusions:
- This comprehensive overview will provide valuable insights into managing cardiovascular-related fall risk in older adults.
- The findings will inform clinical practice and public health initiatives aimed at fall prevention.
- The study will identify critical areas for future research in cardiovascular health and geriatric fall prevention.
Introduction:
Cardiovascular disorders are increasingly recognised as important fall risk factors in older adults. Falls are a major public health problem in older adults, and therefore, effective interventions for reducing falls are essential for this population. Cardiovascular disease is a clinically relevant (but often overlooked) and potentially modifiable risk factor for falls. Literature describing the effects of cardiovascular assessments and treatments on fall prevention has generally focused on only one specific test or treatment. A comprehensive, comparative overview surrounding the effectiveness of available assessments and treatments on cardiovascular related fall risk is currently lacking.
Methods And Analysis:
A scoping review and evidence map will be conducted to summarise the available evidence regarding the (comparative) effectiveness of cardiovascular assessments and therapeutic interventions on reducing fall risk in older individuals. A systematic and comprehensive literature search will be performed in MEDLINE and Embase using the key components 'older adults', 'cardiovascular evaluation', 'cardiovascular intervention' and 'falls'. Furthermore, we will create an evidence map to summarise the quantity and quality of currently available evidence identified in the scoping review. The evidence map will consider, but will not be limited to, observational studies, randomised controlled trials and reviews evaluating cardiovascular tests and treatments (vs controls) on fall risk in older adults.
Ethics And Dissemination:
The scoping review and evidence map will only include data that are publicly available and, therefore, ethical approval is not required. The results will be submitted for publication in a peer-reviewed journal and presented at scientific conferences.
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