Evidence map›Paper›PMID 25226820›Full record

ArticleEuropean journal of clinical nutrition2015

Hyponatremia and hypokalemia as risk factors for falls.

T Tachi, T Yokoi, C Goto, M Umeda, Y Noguchi, M Yasuda, M Minamitani, T Mizui, T Tsuchiya, H Teramachi

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Article in European journal of clinical nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  11. Hyponatremia and the Brain.Kidney international reports · 2018
    Review
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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

10 authors at 2 institutions in 1 country.

T Tachi1] Laboratory of Clinical Pharmacy, Gifu Pharmaceutical University, Gifu, Japan [2] Department of Pharmacy, Gifu Municipal Hospital, Gifu, Japan.
T YokoiLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, Gifu, Japan.
C GotoDepartment of Pharmacy, Gifu Municipal Hospital, Gifu, Japan.
M UmedaDepartment of Pharmacy, Gifu Municipal Hospital, Gifu, Japan.
Y NoguchiLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, Gifu, Japan.
M YasudaDepartment of Pharmacy, Gifu Municipal Hospital, Gifu, Japan.
M MinamitaniDepartment of Nursing, Gifu Municipal Hospital, Gifu, Japan.
T MizuiDepartment of Pharmacy, Gifu Municipal Hospital, Gifu, Japan.
T TsuchiyaCommunity Health Support and Research Center, Gifu, Japan.
H TeramachiLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, Gifu, Japan.
Gifu Municipal Hospital · JPGifu Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesFall accidents may reduce an individual's quality of life and ability to perform the activities of daily life, and may delay recovery from illness. Consequently, medical institutions need to take measures to prevent falls. There are various risk factors for falls, including advanced age, illness and medication effects. Although hyponatremia and hypokalemia have been reported to increase the rate of falls, how they affect falls is not fully understood. SUBJECTS/

methodsWe retrospectively examined 2948 patients, ⩾18 years old who had been hospitalized for ⩾3 days at Gifu (Japan) Municipal Hospital between May 2012 and April 2013 to determine the effects of hyponatremia and hypokalemia on the risk of falls. After the patients had been divided into fall and non-fall groups, their data were subjected to univariate and multiple regression analysis to identify significant differences.

resultsThe univariate analysis results revealed significant differences between the groups in terms of age (⩾65 years); the presence of hyponatremia, hypokalemia, central nervous system disease, cardiovascular disease and/or peripheral nerve/muscular disease; intake of medications that increase the risk of falls; and increased sedative dosage. The multivariate analysis results revealed significant differences between the groups in terms of the presence of hyponatremia (odds ratio (OR), 1.751; 95% confidence interval (CI), 1.020-3.005), hypokalemia (OR, 2.209; 95% CI, 1.280-3.813), central nervous system disease (OR, 2.492; 95% CI, 1.629-3.814) and/or age ⩾65 years (OR, 2.180; 95% CI, 1.242-3.826).

conclusionsThe results indicated that the presence of hyponatremia or hypokalemia increases the risk of falls.

Indexed as

Accidental FallsAdolescentAdultAgedAged, 80 and overAge FactorsCentral Nervous System DiseasesFemaleHumansHypokalemiaHyponatremiaMaleMiddle AgedOdds RatioPotassiumRisk FactorsPotassiumSodium

Identifiers

PMID25226820
OpenAlexW1996222153

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Registered trials

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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.