Risk factors for fear of falling in stroke patients: a systematic review and meta-analysis

作者：Qi Xie, Juhong Pei, Ling Gou, Ya‐Bin Zhang, Juanping Zhong, Yujie Su, Xinglei Wang, Li Ma, Xinman Dou · 发表于：BMJ Open · 年份：2022 · DOI：10.1136/bmjopen-2021-056340 · 被引用次数：44 · 研究领域：Balance, Gait, and Falls Prevention、Stroke Rehabilitation and Recovery、Older Adults Driving Studies

Objective Even though 32%–83% for fear of falling (FoF) in patients with stroke, very little is known about the predictors of the problems. Therefore, we systematically reviewed the literature on risk factors for FoF in patients with stroke. Design A systematic review and meta-analysis Data sources PubMed, Embase, Cochrane Library database, Web of Science, CINAHL, PsycINFO, Grey literature and other relevant databases for related publications were searched (from inception to 17 July 2021). Results Eight studies involving 1597 participants were selected to analyse risk factors for patients with stroke with FoF. The quality of all included studies was assessed and categorised as medium or high quality. Review Manager V.5.3 merged the OR value and 95% CI of the potential risk factors. Meta-regression and Egger’s test were performed by Stata V.15.1. The risk factors for FoF in patients with stroke were women (OR=2.13, 95% CI 1.47 to 3.09), impaired balance ability (OR=5.54; 95% CI 3.48 to 8.81), lower mobility (OR=1.12; 95% CI 1.05 to 1.19), history of falls (OR=2.33; 95% CI 1.54 to 3.53) and walking aid (OR=1.98; 95% CI 1.37 to 2.88), anxiety (OR = 2.29; 95% CI 1.43 to 3.67), depression (OR=1.80; 95% CI 1.22 to 2.67), poor lower limb motor function ( OR =1.14; 95% CI 1.00 to 1.29) and physically inactiveness (OR=2.04; 95% CI 1.01 to 4.12). Measurement of heterogeneity between studies was high for all outcomes ( I 2 =0%–93%), indicating that the substantial interstudy heterogenei...