Evidence map›Paper›PMID 24723797›Full record

ArticleTheScientificWorldJournal2014

Fall-related emergency department admission: fall environment and settings and related injury patterns in 6357 patients with special emphasis on the elderly.

Carmen A Pfortmueller, Mirco Kunz, Gregor Lindner, Athanasios Zisakis, Stefan Puig, Aristomenis K Exadaktylos

Open access · goldAbstract read
In one paragraph

Article in TheScientificWorldJournal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
10.5field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 54 citations in OpenAlex.

  1. When Pedestrian Crossings Become Danger Zones: Trauma and Mortality Risks in Elderly Pedestrians.International journal of environmental research and public health · 2025
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  8. Sensor-Based Fall Risk Assessment: A Survey.Healthcare (Basel, Switzerland) · 2021
    Review
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  11. Influence of fall environment and fall direction on risk of injury among pre-frail and frail adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
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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

6 authors at 2 institutions in 1 country.

Carmen A PfortmuellerDepartment of General Internal Medicine, University Hospital and University of Bern, 3010 Bern, Switzerland ; Department of Emergency Medicine, University Hospital and University of Bern, 3010 Bern, Switzerland.
Mirco KunzDivision of Anesthesiology, Cantonal Hospital of Winterthur, 8400 Winterthur, Switzerland.
Gregor LindnerDepartment of General Internal Medicine, University Hospital and University of Bern, 3010 Bern, Switzerland ; Department of Emergency Medicine, University Hospital and University of Bern, 3010 Bern, Switzerland.ORCID 0000-0001-5551-8227
Athanasios ZisakisDepartment of Emergency Medicine, University Hospital and University of Bern, 3010 Bern, Switzerland.
Stefan PuigUniversity Institute of Diagnostic, Interventional and Pediatric Radiology, University Hospital and University of Bern, 3010 Bern, Switzerland.
Aristomenis K ExadaktylosDepartment of Emergency Medicine, University Hospital and University of Bern, 3010 Bern, Switzerland.
University of Bern · CHKantonsspital Winterthur · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

principalsThroughout the world, falls are a major public health problem and a socioeconomic burden. Nevertheless there is little knowledge about how the injury types may be related to the aetiology and setting of the fall, especially in the elderly. We have therefore analysed all patients presenting with a fall to our Emergency Department (ED) over the past five years.

methodsOur retrospective data analysis comprised adult patients admitted to our Emergency Department between January 1, 2006, and December 31, 2010, in relation to a fall.

resultsOf a total of 6357 patients 78% (n = 4957) patients were younger than 75 years. The main setting for falls was patients home (n = 2239, 35.3%). In contrast to the younger patients, the older population was predominantly female (56.3% versus 38.6%; P < 0.0001). Older patients were more likely to fall at home and suffer from medical conditions (all P < 0.0001). Injuries to the head (P < 0.0001) and to the lower extremity (P < 0.019) occurred predominantly in the older population. Age was the sole predictor for recurrent falls (OR 1.2, P < 0.0001).

conclusionFalls at home are the main class of falls for all age groups, particularly in the elderly. Fall prevention strategies must therefore target activities of daily living. Even though falls related to sports mostly take place in the younger cohort, a significant percentage of elderly patients present with falls related to sporting activity. Falls due to medical conditions were most likely to result in mild traumatic brain injury.

Indexed as

EnvironmentAccidental FallsAdolescentAdultAgedAged, 80 and overAge DistributionChildChild, PreschoolCraniocerebral TraumaEmergency Service, HospitalFemaleHumansInfantLeg InjuriesMale

Identifiers

PMID24723797
PMCPMC3958756
OpenAlexW2078014816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.