ArticleThe New England journal of medicine2008
Effect of dissemination of evidence in reducing injuries from falls.
Article in The New England journal of medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
81 citing papers in PubMed, 2 syntheses or guidelines pooled it, 258 citations in OpenAlex.
- Evidence-based guidelines for fall prevention in Korea.The Korean journal of internal medicine · 2017Guideline
- Cost of falls in old age: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2010Pooled it
- Trial
- A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries.The New England journal of medicine · 2020Trial
- Translating a Fall Prevention Intervention Into Practice: A Randomized Community Trial.American journal of public health · 2015Trial
- Association between treatment or usual care region and hospitalization for fall-related traumatic brain injury in the Connecticut Collaboration for Fall Prevention.Journal of the American Geriatrics Society · 2013Trial
- Effects of a complex intervention on fall risk in the general practitioner setting: a cluster randomized controlled trial.Clinical interventions in aging · 2013Trial
- Keeping Patients on Their Feet: How Fall Prevention Clinics Can Be More Effective.Journal of general internal medicine · 2026Article
- Stage-specific Healthcare Burden of Fall-related Injuries Among Older Adults in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026Article
- Article
- Evaluation of falls detected by natural language processing algorithm and not coded external cause of morbidity.JAMIA open · 2025Article
- Validation of a Rule-Based ICD-10-CM Algorithm to Detect Fall Injuries in Medicare Data.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Review
- Rising incidence of stair-related upper extremity fractures among older adults in the United States: a 10-year nationwide analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Article
- Assessing the contributions of modifiable risk factors to serious falls and fragility fractures among older persons living with HIV.Journal of the American Geriatrics Society · 2023Article
- Requests for Compensation in Cases Involving Patients' Falls in Healthcare Settings: A Retrospective Analysis.Healthcare (Basel, Switzerland) · 2023Article
- Effect of the STRIDE fall injury prevention intervention on falls, fall injuries, and health-related quality of life.Journal of the American Geriatrics Society · 2022Article
- Qualitative research to inform economic modelling: a case study in older people's views on implementing the NICE falls prevention guideline.BMC health services research · 2021Article
- Chronoprevention in hospital falls of older people: protocol for a mixed-method study.BMC nursing · 2021Article
- RESEARCHComparing Strategies for Identifying Falls in Older Adult Emergency Department Visits Using EHR Data.Journal of the American Geriatrics Society · 2020Observational
21 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundFalling is a common and morbid condition among elderly persons. Effective strategies to prevent falls have been identified but are underutilized.
methodsUsing a nonrandomized design, we compared rates of injuries from falls in a region of Connecticut where clinicians had been exposed to interventions to change clinical practice (intervention region) and in a region where clinicians had not been exposed to such interventions (usual-care region). The interventions encouraged primary care clinicians and staff members involved in home care, outpatient rehabilitation, and senior centers to adopt effective risk assessments and strategies for the prevention of falls (e.g., medication reduction and balance and gait training). The outcomes were rates of serious fall-related injuries (hip and other fractures, head injuries, and joint dislocations) and fall-related use of medical services per 1000 person-years among persons who were 70 years of age or older. The interventions occurred from 2001 to 2004, and the evaluations took place from 2004 to 2006.
resultsBefore the interventions, the adjusted rates of serious fall-related injuries (per 1000 person-years) were 31.2 in the usual-care region and 31.9 in the intervention region. During the evaluation period, the adjusted rates were 31.4 and 28.6, respectively (adjusted rate ratio, 0.91; 95% Bayesian credibility interval, 0.88 to 0.94). Between the preintervention period and the evaluation period, the rate of fall-related use of medical services increased from 68.1 to 83.3 per 1000 person-years in the usual-care region and from 70.7 to 74.2 in the intervention region (adjusted rate ratio, 0.89; 95% credibility interval, 0.86 to 0.92). The percentages of clinicians who received intervention visits ranged from 62% (131 of 212 primary care offices) to 100% (26 of 26 home care agencies).
conclusionsDissemination of evidence about fall prevention, coupled with interventions to change clinical practice, may reduce fall-related injuries in elderly persons.
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Registered trials
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.