Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis
Objectives This study aims to systematically quantify the prevalence of falls in people on hemodialysis and to assess risk factors associated with falls by synthesizing emerging best evidence.Methods A comprehensive search was conducted across ten databases from their inception to February 27, 2025....
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2025.2485375 |
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| _version_ | 1850203679813009408 |
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| author | Jiayi Tang Bei Wang Qin Yuan Xiaobo Li |
| author_facet | Jiayi Tang Bei Wang Qin Yuan Xiaobo Li |
| author_sort | Jiayi Tang |
| collection | DOAJ |
| description | Objectives This study aims to systematically quantify the prevalence of falls in people on hemodialysis and to assess risk factors associated with falls by synthesizing emerging best evidence.Methods A comprehensive search was conducted across ten databases from their inception to February 27, 2025. The research team independently conducted study selection, quality assessments, data extraction, and analyses of all included studies. Meta-analysis was performed using random-effects and fixed-effects models. The PRISMA guidelines were used to report the systematic review and meta-analysis.Results A total of 31 studies, comprising 191,800 individuals, were included in the analysis. The pooled prevalence of falls in people on hemodialysis was 27.1%. The meta-analysis of risk factors included 19 studies. After controlling for confounding variables, 12 risk factors were associated with falls, including older age, female gender, longer dialysis duration, diabetes mellitus, peripheral vascular disease, paralysis, antidepressant use, frailty, use of walking aids, malnutrition, intradialytic hypotension, and low hemoglobin levels.Conclusions This study provides an updated, evidence-based assessment of the prevalence and risk factors of falls in people on hemodialysis, confirming their multifactorial etiology. Screening and interventions should be implemented promptly to mitigate the adverse outcomes of falls in people on hemodialysis.Registration number PROSPERO CRD42024525375. |
| format | Article |
| id | doaj-art-dd33044e32254cc085eeb1b928c4b89c |
| institution | OA Journals |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-dd33044e32254cc085eeb1b928c4b89c2025-08-20T02:11:26ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492025-12-0147110.1080/0886022X.2025.2485375Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysisJiayi Tang0Bei Wang1Qin Yuan2Xiaobo Li3The First Hospital of China Medical University, Shenyang, ChinaNursing School, China Medical University, Shenyang, ChinaNursing School, China Medical University, Shenyang, ChinaThe First Hospital of China Medical University, Shenyang, ChinaObjectives This study aims to systematically quantify the prevalence of falls in people on hemodialysis and to assess risk factors associated with falls by synthesizing emerging best evidence.Methods A comprehensive search was conducted across ten databases from their inception to February 27, 2025. The research team independently conducted study selection, quality assessments, data extraction, and analyses of all included studies. Meta-analysis was performed using random-effects and fixed-effects models. The PRISMA guidelines were used to report the systematic review and meta-analysis.Results A total of 31 studies, comprising 191,800 individuals, were included in the analysis. The pooled prevalence of falls in people on hemodialysis was 27.1%. The meta-analysis of risk factors included 19 studies. After controlling for confounding variables, 12 risk factors were associated with falls, including older age, female gender, longer dialysis duration, diabetes mellitus, peripheral vascular disease, paralysis, antidepressant use, frailty, use of walking aids, malnutrition, intradialytic hypotension, and low hemoglobin levels.Conclusions This study provides an updated, evidence-based assessment of the prevalence and risk factors of falls in people on hemodialysis, confirming their multifactorial etiology. Screening and interventions should be implemented promptly to mitigate the adverse outcomes of falls in people on hemodialysis.Registration number PROSPERO CRD42024525375.https://www.tandfonline.com/doi/10.1080/0886022X.2025.2485375Accidental fallshemodialysisrisk factorsprevalencemeta-analysis |
| spellingShingle | Jiayi Tang Bei Wang Qin Yuan Xiaobo Li Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis Renal Failure Accidental falls hemodialysis risk factors prevalence meta-analysis |
| title | Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis |
| title_full | Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis |
| title_fullStr | Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis |
| title_full_unstemmed | Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis |
| title_short | Prevalence and risk factors of falls in people on hemodialysis: a systematic review and meta-analysis |
| title_sort | prevalence and risk factors of falls in people on hemodialysis a systematic review and meta analysis |
| topic | Accidental falls hemodialysis risk factors prevalence meta-analysis |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2025.2485375 |
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