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The association between the severity of cognitive impairment and the risk of falls in patients with dementia
Sofi Oktaviera Sinaga, Fasihah Irfani Fitri, Kiki Iqbal. Family Medicine & Primary Care Review, 2025-01-01
Topic: Risk, prevention and care in population studies
Background.Falls are a significant cause of morbidity and mortality in older individuals with dementia, presenting a complex and multifactorial challenge.Cognitive impairment in dementia further exacerbates this risk, as it impairs judgment, attention, and motor coordination, while also reducing the ability to recognize and avoid potential hazards in the environment.Objectives.To investigate the association between the severity of cognitive impairment and the risk of falls in patients with dementia.Material and methods.We conducted a cross-sectional study using a consecutive sampling method involving 30 dementia patients at the Neurology Clinic of USU Hospital in Medan Indonesia from January until July 2024.We assessed cognitive function using the Montreal Cognitive Indonesian Version (MoCA-INA) and the severity of cognitive impairment with the Clinical Dementia Rating Scale (CDR).The Timed Up and Go (TUG) test was used to evaluate the risk of falls.Data were analyzed using SPSS version 26 with a p-value < 0.05 considered significant.Results.We enrolled 30 dementia patients with a mean age of 64.3 ± 7.8 years.Half of the participants (50%) had mild dementia, and 56.7% were categorized as having a mild fall risk.We found a significant association between dementia severity and cognitive impairment with fall risk using the Kruskall-Wallis test (p = 0.036) and a one-way ANOVA test (p = 0.005), respectively. Conclusions.Our findings indicate that the severity of cognitive impairment was significantly associated with an increased risk of falls in patients with dementia.Fall risk screening should be an integral part of the management and prevention strategies for dementia patients.
Key findings
- Background.Falls are a significant cause of morbidity and mortality in older individuals with dementia, presenting a complex and multifactorial challenge.Cognitive impairment in dementia further exacerbates this risk, as it impairs judgment, attention, and motor coordination, while also reducing the
- Conclusions.Our findings indicate that the severity of cognitive impairment was significantly associated with an increased risk of falls in patients with dementia.Fall risk screening should be an integral part of the management and prevention strategies for dementia patients.
Why it matters
In this study of 30 dementia patients, the severity of cognitive impairment was significantly associated with increased risk of falls. The authors recommend fall risk screening for these patients.
Study details
- Study designcross-sectional
- Participants30
- Effect size56.7%
- Evidence strengthLow
How this study scored 40/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it. We have no data on senior author's track record, so that was left out: it earned 38 of the 96 points we could judge it on, which is 40 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Family Medicine & Primary Care Review) |
| Journal's citation record | 0 / 4 | Family Medicine & Primary Care Review: journal h-index 16 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 1 / 4 | 30 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 2.2× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | 0 / 3 | Universitas Sumatera Utara: institution h-index 115 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Points | 38 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 38 of the 96 points we could judge it on is 40 out of 100. |
| Total | 40 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.5114/fmpcr.2025.153093
- Original source →
- Free full text: Family Medicine & Primary Care Review →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Sinaga, S. O., Fitri, F. I., & Iqbal, K. (2025). The association between the severity of cognitive impairment and the risk of falls in patients with dementia. Family Medicine & Primary Care Review. https://doi.org/10.5114/fmpcr.2025.153093
Vancouver
Sinaga SO, Fitri FI, Iqbal K. The association between the severity of cognitive impairment and the risk of falls in patients with dementia. Family Medicine & Primary Care Review. 2025. doi:10.5114/fmpcr.2025.153093.
BibTeX
@article{sinaga2025-67355c95,
author = {Sinaga, Sofi Oktaviera and Fitri, Fasihah Irfani and Iqbal, Kiki},
title = {{The association between the severity of cognitive impairment and the risk of falls in patients with dementia}},
journal = {Family Medicine \& Primary Care Review},
year = {2025},
doi = {10.5114/fmpcr.2025.153093},
url = {https://doi.org/10.5114/fmpcr.2025.153093}
}
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