Evidence map›Paper›PMID 24596458›Full record

Trial reportClinical interventions in aging2014

Multifactorial assessment and targeted intervention to reduce falls among the oldest-old: a randomized controlled trial.

Assumpta Ferrer, Francesc Formiga, Héctor Sanz, Oscar J de Vries, Teresa Badia, Ramón Pujol, OCTABAIX Study Group

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07139678 (Turkish Reliability and Validity of the Safe Use of Mobility Aids Checklist), which is not on this map. Cited by 16 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 9 pooled it
4.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07139678 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Turkish Reliability and Validity of the Safe Use of Mobility Aids Checklist (SUMAC) For 4-wheeled Walker Use

Typeobservational_patient_registrySponsorAnkara Yildirim Beyazıt UniversityRan2025 to 2026Enrolled50ConditionsDementiaArmsSUMAC
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 9 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Assumpta FerrerPrimary Healthcare Centre "El Plà" CAP-I, Sant Feliu de Llobregat, Spain.
Francesc FormigaGeriatric Unit, Internal Medicine Service, Hospital Universitari de Bellvitge, Spain ; Bellvitge Biomedical Research Institute, IDIBELL, L'Hospitalet de Llobregat, Spain.
Héctor SanzSupport Research Unit, Primary Health Department Costa Ponent, IDIAP Jordi Gol, Barcelona, Spain.
Oscar J de VriesDepartment of Internal Medicine, VU University Medical Center, Amsterdam, the Netherlands.
Teresa BadiaPrimary Healthcare Centre Martorell, Barcelona, Spain.
Ramón PujolGeriatric Unit, Internal Medicine Service, Hospital Universitari de Bellvitge, Spain ; Bellvitge Biomedical Research Institute, IDIBELL, L'Hospitalet de Llobregat, Spain.
OCTABAIX Study Group
General Department of Preventive Medicine · VNInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to assess the effectiveness of a multifactorial intervention to reduce falls among the oldest-old people, including individuals with cognitive impairment or comorbidities.

methodsA randomized, single-blind, parallel-group clinical trial was conducted from January 2009 to December 2010 in seven primary health care centers in Baix Llobregat (Barcelona). Of 696 referred people who were born in 1924, 328 were randomized to an intervention group or a control group. The intervention model used an algorithm and was multifaceted for both patients and their primary care providers. Primary outcomes were risk of falling and time until falls. Data analyses were by intention-to-treat.

resultsSixty-five (39.6%) subjects in the intervention group and 48 (29.3%) in the control group fell during follow-up. The difference in the risk of falls was not significant (relative risk 1.28, 95% confidence interval [CI] 0.94-1.75). Cox regression models with time from randomization to the first fall were not significant. Cox models for recurrent falls showed that intervention had a negative effect (hazard ratio [HR] 1.46, 95% CI 1.03-2.09) and that functional impairment (HR 1.42, 95% CI 0.97-2.12), previous falls (HR 1.09, 95% CI 0.74-1.60), and cognitive impairment (HR 1.08, 95% CI 0.72-1.60) had no effect on the assessment.

conclusionThis multifactorial intervention among octogenarians, including individuals with cognitive impairment or comorbidities, did not result in a reduction in falls. A history of previous falls, disability, and cognitive impairment had no effect on the program among the community-dwelling subjects in this study.

Indexed as

Accidental FallsAged, 80 and overAlgorithmsFemaleHealth Services for the AgedHumansKaplan-Meier EstimateMaleProgram EvaluationProportional Hazards ModelsRisk AssessmentRisk FactorsSingle-Blind Methodelderlyfallsintervention

Identifiers

PMID24596458
PMCPMC3940644
OpenAlexW2072591913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.