Liu Jian, Wu Yu, Long Zongke, Zhang Simeng, Wu Shicai
School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
University of Health and Rehabilitation Sciences, Qingdao, Shandong, China.
Front Med (Lausanne). 2025 Feb 12;12:1537240. doi: 10.3389/fmed.2025.1537240. eCollection 2025.
Cognitive frailty increases the risk of fall occurrence. However, previous studies have shown inconsistent correlations between cognitive frailty and the risk of fall occurrence.
To systematically review studies and explore the association between cognitive frailty and the risk of fall occurrence.
Databases were systematically searched. Meta-analysis was performed using RevMan 5.4 software after evaluation of the quality of the included studies by 2 researchers.
A total of five studies including 16,962 patients were included. The results of Meta-analysis showed that the cognitive frailty group increased the risk of occurrence of falls in older adults [OR = 1.38, 95% CI (1.09, 1.73), = 0.006]. Subgroup analyses showed that cognitive frailty in older adults increased the risk of fall occurrence using different cognitive frailty assessment tools, study participants from the community, different regions, and different sample sizes.
The results of this study suggest that cognitive frailty in older adults is an independent risk factor for the occurrence of falls, and it is recommended that caregivers strengthen the assessment of cognitive aspects of older adults admitted to the hospital.
认知衰弱会增加跌倒发生的风险。然而，先前的研究表明认知衰弱与跌倒发生风险之间的相关性并不一致。
系统回顾相关研究，探讨认知衰弱与跌倒发生风险之间的关联。
对数据库进行系统检索。由两名研究人员对纳入研究的质量进行评估后，使用RevMan 5.4软件进行荟萃分析。
共纳入5项研究，涉及16962例患者。荟萃分析结果显示，认知衰弱组会增加老年人跌倒发生的风险[比值比（OR）=1.38，95%置信区间（CI）为（1.09，1.73），P = 0.006]。亚组分析表明，使用不同的认知衰弱评估工具、来自社区的研究参与者、不同地区以及不同样本量时，老年人的认知衰弱均会增加跌倒发生的风险。
本研究结果表明，老年人的认知衰弱是跌倒发生的独立危险因素，建议护理人员加强对入院老年人认知方面的评估。
