Brenton-Rule performed a systematic review of studies on falls in adults with rheumatoid arthritis. The authors are from AUT University in New Zealand.
Patient selection: adult with rheumatoid arthritis
Outcome: fall (defined as an unexpected event with the person coming to rest on the ground, floor or a lower level)
Major risk factors for falls:
(1) history of prior falls
(2) polypharmacy (increasing number of medications)
Additional contibutory factors:
(1) psychotropic medications
(2) anti-hypertensive medications
(3) anti-depressants
(4) multiple comorbid conditions
(5) swollen and tender joints in the lower extremity
(6) impaired static balance
(7) greater pain intensity
The risk of falls was independent of age and can occur in young adults with short disease duration.
