Falls in Patients With Heart Failure

A Systematic Review

Kayoung Lee, Susan Pressler, Marita Titler

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

BACKGROUND:: Many heart failure patients show fall-related signs/symptoms including postural hypotension, cerebellar injury, and cognitive impairments. Falls contribute to injuries, increased healthcare use, and death, but falls have been understudied in this population. OBJECTIVE:: The purpose of this review is to identify fall rates, fall injuries, and risk factors for falls in heart failure patients. METHODS:: A systematic literature review was conducted using MEDLINE, CINAHL, PubMed, PsycINFO, and Cochrane Library to identify publications from August 1973 to June 2013. Keywords were accidental falls, heart failure, fall rates, fall injuries, and fall risk. Inclusion criteria were publications that were primary data based, included heart failure sample, had falls/fall risk as study variables, and were written in English language. Exclusion criteria were quality improvement/evaluation, case reports/studies, news, opinions, narrative reviews, meeting reports, reflections, and letters to editors. Data were abstracted using a standardized data collection form. RESULTS:: Four publications met the inclusion criteria. In the first study, fall rate was 43%, which is higher than the fall rates among community-dwelling older adults. Fall-related injuries were not examined in any of studies. Benzodiazepines and digoxin were identified as medications that increased risk of falls in 1 case-control study. Loop diuretics were not significantly associated with falls in 1 cohort study. In the fourth study, patients who had poor gait and balance were at greater risk of falling. CONCLUSIONS:: Future studies are needed to determine factors associated with falls, characterize injuries resulting from falls, and most importantly design testable interventions to prevent falls in heart failure patients.

Original languageEnglish (US)
JournalJournal of Cardiovascular Nursing
DOIs
StateAccepted/In press - Sep 29 2015

Fingerprint

Heart Failure
Wounds and Injuries
Accidental Falls
Publications
Sodium Potassium Chloride Symporter Inhibitors
Independent Living
Orthostatic Hypotension
Digoxin
Quality Improvement
Benzodiazepines
Gait
PubMed
MEDLINE
Libraries
Signs and Symptoms
Case-Control Studies
Cohort Studies
Language
Delivery of Health Care
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Falls in Patients With Heart Failure : A Systematic Review. / Lee, Kayoung; Pressler, Susan; Titler, Marita.

In: Journal of Cardiovascular Nursing, 29.09.2015.

Research output: Contribution to journalArticle

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abstract = "BACKGROUND:: Many heart failure patients show fall-related signs/symptoms including postural hypotension, cerebellar injury, and cognitive impairments. Falls contribute to injuries, increased healthcare use, and death, but falls have been understudied in this population. OBJECTIVE:: The purpose of this review is to identify fall rates, fall injuries, and risk factors for falls in heart failure patients. METHODS:: A systematic literature review was conducted using MEDLINE, CINAHL, PubMed, PsycINFO, and Cochrane Library to identify publications from August 1973 to June 2013. Keywords were accidental falls, heart failure, fall rates, fall injuries, and fall risk. Inclusion criteria were publications that were primary data based, included heart failure sample, had falls/fall risk as study variables, and were written in English language. Exclusion criteria were quality improvement/evaluation, case reports/studies, news, opinions, narrative reviews, meeting reports, reflections, and letters to editors. Data were abstracted using a standardized data collection form. RESULTS:: Four publications met the inclusion criteria. In the first study, fall rate was 43{\%}, which is higher than the fall rates among community-dwelling older adults. Fall-related injuries were not examined in any of studies. Benzodiazepines and digoxin were identified as medications that increased risk of falls in 1 case-control study. Loop diuretics were not significantly associated with falls in 1 cohort study. In the fourth study, patients who had poor gait and balance were at greater risk of falling. CONCLUSIONS:: Future studies are needed to determine factors associated with falls, characterize injuries resulting from falls, and most importantly design testable interventions to prevent falls in heart failure patients.",
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