Table 2.
The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) assessment on the quality of the evidence at the outcome level.
Study information | Certainty assessment | Sample size | Effect | Quality of the evidence | |||||
---|---|---|---|---|---|---|---|---|---|
No. of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Publication bias | Absolute (95% confidence interval) | ||
Fall prevalence—Alzheimer’s disease | |||||||||
21 | RCT | S a | S b | NS | NS | NS | N = 5071 | 43.55% fall prevalence (38.78 lower to 48.33 higher) | ⊕⊕○○ |
OBS & NRS | S a | S b | NS | NS | NS | ⊕○○○ | |||
Fall prevalence—Mild cognitive impairment | |||||||||
12 | RCT | S a | S b | NS | NS | NS | N = 2537 | 35.26% fall prevalence (25.61 lower to 44.91 higher) | ⊕⊕○○ |
OBS & NRS | S a | S b | NS | NS | NS | ⊕○○○ | |||
Number of falls—Alzheimer’s disease | |||||||||
9 | RCT | S a | S b | NS | NS | NS | N = 358 | 1.30 number of falls (0.74 lower to 1.86 higher) | ⊕⊕○○ |
OBS & NRS | S a | S b | NS | NS | NS | ⊕○○○ | |||
Number of falls—Mild cognitive impairment | |||||||||
5 | RCT | S a | S b | NS | S c | NS | N = 321 | 0.77 number of falls (0.39 lower to 1.16 higher) | ⊕○○○ |
OBS & NRS | S a | S b | NS | S c | NS | ⊕○○○ |
Quality of the evidence legend: ⊕○○○: Very low; ⊕⊕○○: Low; ⊕⊕⊕○: Moderate; ⊕⊕⊕⊕: High. RCT: Randomized Control Trial. OBS: Observational Study. NRS: Non-randomized Controlled Study. S: Serious. NS: Not Serious. Explanations:
Majority of studies relied on self-report data.
High heterogeneity amongst studies as evidenced by χ2 and I2.
Small number of studies included.