ORs were generally higher for recurrent fallers than for all fallers .
This meta- analysis provides comprehensive evidence -based assessment of risk factors for falls in older people , confirming their multifactorial etiology .
Some nonspecific indicators of high baseline risk were also strong predictors of the risk of falling
BACKGROUND Falls are the main cause of accidental death in persons aged 65 years or older .
Clinical history and biologic age predicted falls better than objective functional tests.
OBJECTIVE Fall risk assessment is important because the consequences , such as a fracture , may be devastating . The objective of this study was to find the test or tests that best predicted falls in a population -based sample of elderly women . STUDY DESIGN AND SETTING The fall-predictive ability of a question naire , a subjective estimate of biologic age and objective functional tests ( gait , balance [ Romberg and sway test ] , thigh muscle strength , and visual acuity ) were compared in 984 r and omly selected women , all 75 years of age . RESULTS A recalled fall was the most important predictor for future falls . Only recalled falls and intake of  psycho-active drugs  independently predicted future falls . Women with at least five of the most important fall predictors ( previous falls , conditions affecting the balance , tendency to fall , intake of psychoactive medication , inability to st and on one leg , high biologic age ) had an odds ratio of 11.27 ( 95 % confidence interval 4.61 - 27.60 ) for a fall ( sensitivity 70 % , specificity 79 % ) . CONCLUSION The more time-consuming objective functional tests were of limited importance for fall prediction . A simple clinical history , the inability to st and on one leg , and a subjective estimate of biologic age were more important as part of the fall risk assessment
ORs were generally higher for recurrent fallers than for all fallers .
This meta- analysis provides comprehensive evidence -based assessment of risk factors for falls in older people , confirming their multifactorial etiology .
Some nonspecific indicators of high baseline risk were also strong predictors of the risk of falling
BACKGROUND Falls are the main cause of accidental death in persons aged 65 years or older .