{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T18:56:32Z","timestamp":1793559392457,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Dementia notably increases fall risk in older adults, leading to major injuries and considerable concerns from health\u2010care professionals. However, comprehensive evidence regarding the prevalence, incidence rate, and moderating factors of falls in institutional settings is limited. This study aimed to evaluate the prevalence, incidence rates, and moderating factors of falls among older adults with dementia in nursing homes and dementia\u2010specialized care units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We searched CINAHL, PubMed, Embase, ProQuest, Scopus, Web of Science, and PsycINFO from database inception to April 30, 2024. Older adults with dementia in nursing homes or dementia\u2010specialized care units were included. The pooled prevalence was analyzed using a generalized linear mixed model with random effects using R software. Incidence rates were reported per person\u2010year using comprehensive meta\u2010analysis software. Study quality was assessed using Hoy's criteria. Variations in the pooled prevalence of falls were explored through moderator analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This meta\u2010analysis included 21 studies involving 35,449 participants. The pooled prevalence of falls was 45.6%, with subtypes showing 39.2%, 35.2%, and 29.0% among Alzheimer's dementia, vascular dementia, and mixed dementia subtypes, respectively. Falls were more prevalent in dementia\u2010specialized care units (53.0%) than in nursing homes (42.6%). The overall incidence rate was 3.61 per person\u2010year, higher in dementia\u2010specialized care units (5.80) than in nursing homes (3.17). Subgroup analyses revealed higher fall prevalence in women (70.0%) than in men (30.6%). Meta\u2010regression indicated that comorbidities, including delirium, visual impairment, and arthritis, increased fall risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This meta\u2010analysis revealed a high incidence of falls in nearly half of older adults with dementia, particularly among those in dementia specialized care units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Relevance<\/jats:title><jats:p>Healthcare professionals should prioritize regular fall risk assessments, tailored interventions, and environmental safety modifications, particularly in dementia\u2010specialized care units, to reduce fall\u2010related injuries and improve patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.70012","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T05:38:23Z","timestamp":1744781903000},"page":"678-694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Global Prevalence, Incidence, and Factors Influencing Falls in Older Adults With Dementia: Implications for Nursing and Healthy Aging"],"prefix":"10.1111","volume":"57","author":[{"given":"Tiara","family":"Octary","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"School of Nursing, Politeknik Kesehatan Kementerian Kesehatan Pontianak  Pontianak Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Mei","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Nursing Fu Jen Catholic University Hospital, Fu Jen Catholic University  New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruey","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Taipei Medical University\u2010Shuang Ho Hospital  New Taipei City Taiwan"},{"name":"Post\u2010Baccalaureate Program in Nursing College of Nursing, Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010Jo","family":"Chiang","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Tri\u2010Service General Hospital  Taipei Taiwan"},{"name":"School of Nursing, National Defense Medical Center  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiu\u2010Kuei","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Taipei Medical University\u2010Shuang Ho Hospital  New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidayat","family":"Arifin","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Basic Nursing, Faculty of Nursing Universitas Airlangga  Surabaya Indonesia"},{"name":"Research Group in Medical\u2010Surgical Nursing Faculty of Nursing, Universitas Airlangga  Surabaya Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kondwani Joseph","family":"Banda","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Endoscopy Unit, Department of Surgery Kamuzu Central Hospital  Lilongwe Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4882-3503","authenticated-orcid":false,"given":"Kuei\u2010Ru","family":"Chou","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"},{"name":"Department of Nursing Taipei Medical University\u2010Shuang Ho Hospital  New Taipei City Taiwan"},{"name":"Research Center in Nursing Clinical Practice Wan Fang Hospital Taipei Medical University  Taipei Taiwan"},{"name":"Psychiatric Research Center, Department of Nursing Taipei Medical University Hospital  Taipei Taiwan"},{"name":"Research Center for Neuroscience Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0005521"},{"key":"e_1_2_13_3_1","unstructured":"Alzheimer's Association.2024.\u201cLong\u2010Term Care.\u201dhttps:\/\/www.alz.org\/help\u2010support\/caregiving\/care\u2010options\/long\u2010term\u2010care."},{"key":"e_1_2_13_4_1","volume-title":"Falls and Fall Prevention in Older Adults","author":"Appeadu M. 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