Evidence map›Paper›PMID 39293812›Full record

SynthesisAge and ageing2024

Association between dizziness and future falls and fall-related injuries in older adults: a systematic review and meta-analysis.

Yuxiao Li, Rebecca M Smith, Susan L Whitney, Barry M Seemungal, Toby J Ellmers

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Article
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  3. Perception of health-related quality of life in people with vestibular disorders: a phenomenological approach from lived experience and belief systems.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuxiao LiCentre for Vestibular Neurology, Department of Brain Sciences, Imperial College London, Laboratory Block, Charing Cross Campus, London W6 8RF, UK.ORCID 0000-0002-7499-7638
Rebecca M SmithCentre for Vestibular Neurology, Department of Brain Sciences, Imperial College London, Laboratory Block, Charing Cross Campus, London W6 8RF, UK.ORCID 0000-0003-2628-9861
Susan L WhitneyDepartment of Physical Therapy, School of Health and Rehabilitation Science, University of Pittsburgh, 4200 Fifth Ave, Pittsburgh, PA 15260, USA.ORCID 0000-0003-4271-8718
Barry M SeemungalCentre for Vestibular Neurology, Department of Brain Sciences, Imperial College London, Laboratory Block, Charing Cross Campus, London W6 8RF, UK.ORCID 0000-0002-6578-0904
Toby J EllmersCentre for Vestibular Neurology, Department of Brain Sciences, Imperial College London, Laboratory Block, Charing Cross Campus, London W6 8RF, UK.ORCID 0000-0001-9595-6360

Funding

Wellcome Trust 222747/Z/21/Z
6 · The paper itself

Abstract

backgroundDizziness is common in older adults, especially in those attending falls services. Yet, the extent to which dizziness is associated with future falls has not been reviewed. This systematic review and meta-analysis assessed the association between dizziness and future falls and related injuries in older adults.

methodsEMBASE, CINAHL Plus, SCOPUS and PsycINFO databases were searched from inception to 5 February 2024. The review was registered on PROSPERO (registration ID: CRD42022371839). Meta-analyses were conducted for the associations of dizziness with future falls (including recurrent and injurious falls). Three meta-analyses were performed on different outcomes: any-type falls (≥1 falls), recurrent falls (≥2 falls) and injurious falls.

resultsTwenty-nine articles were included in the systematic review (N = 103 306 participants). In a meta-analysis of 14 articles (N = 46 795 participants), dizziness was associated with significantly higher odds of any-type future falls (OR = 1.63, 95% CI = 1.44-1.84). In another meta-analysis involving seven articles (N = 5630 participants), individuals with dizziness also had significantly higher odds of future recurrent falls (OR = 1.98, 95% CI = 1.62-2.42). For both meta-analyses, significant overall associations were observed even when adjusted for important confounding variables. In contrast, a meta-analysis (three articles, N = 46 631 participants) revealed a lack of significant association between dizziness and future injurious falls (OR = 1.12, 95% CI = 0.87-1.45).

conclusionsDizziness is an independent predictor of future falls in older adults. These findings emphasise the importance of recognising dizziness as a risk factor for falls and implementing appropriate interventions.

Indexed as

Accidental FallsDizzinessAgedAged, 80 and overAge FactorsFemaleHumansMaleRecurrenceRisk AssessmentRisk FactorsWounds and Injuriesbenign paroxysmal positional vertigo (BPPV)fallsolder peopleorthostatic hypotensionprospectivesystematic reviewvertigo

Identifiers

PMID39293812
PMCPMC11410394

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.