Evidence map›Paper›PMID 25558438›Full record

ArticleJournal of gerontology & geriatric research2014

Trends in Fall-Related Traumatic Brain Injury among Older Persons in Connecticut from 2000-2007.

Terrence E Murphy, Dorothy I Baker, Linda S Leo-Summers, Mary E Tinetti

Open access · hybridAbstract read
In one paragraph

Article in Journal of gerontology & geriatric research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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

4 authors at 1 institution in 1 country.

Terrence E MurphyDepartment of Internal Medicine, Section of Geriatrics, Yale University School of Medicine, New Haven, CT, USA.
Dorothy I BakerDepartment of Internal Medicine, Section of Geriatrics, Yale University School of Medicine, New Haven, CT, USA.
Linda S Leo-SummersDepartment of Internal Medicine, Section of Geriatrics, Yale University School of Medicine, New Haven, CT, USA.
Mary E TinettiDepartment of Internal Medicine, Section of Geriatrics, Yale University School of Medicine, New Haven, CT, USA.
Yale University · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Enhanced Evaluation of Second Stage Translational ResearchR21AG033130 · NIA · YALE UNIVERSITY · PI MURPHY, TERRENCE EDWARD · 2010 to 2010
$232k
NCRR NIH HHS UL1 RR024139NIA NIH HHS P30 AG021342NIA NIH HHS R21 AG033130
6 · The paper itself

Abstract

backgroundAnecdotal evidence suggests a rising trend in the occurrence of fall-related traumatic brain injuries (FR-TBI) among persons ≥ 70 years. To document this apparent trend on a more substantive basis, this report longitudinally describes overall and age-stratified rates of three outcomes attributed to FR-TBI among persons ≥ 70 years: emergency department visits (ED), hospitalizations, and terminal hospitalizations.

methodsEight years (2000-2007) of observational data from emergency departments and acute care hospitals serving a non-randomly selected, densely populated region in southern Connecticut, U.S.

resultsFrom 2000-2007 among persons 70 years and older, overall rates of FR-TBI visits to emergency departments more than doubled while corresponding rates of hospitalization and terminal hospitalization rose 58% each. The point estimate of growth in the rate of ED in the oldest stratum was nearly triple that of the younger stratum whereas point estimates of growth in rates of hospitalization and terminal hospitalization were nearly four times higher. Total Medicare costs for ED visits increased nearly four-fold while corresponding costs for hospitalizations and terminal hospitalizations rose by 64% and 76%. The most common discharge diagnoses for ED and hospitalization were unspecified head injury and intracranial hemorrhage.

conclusionsThe rapid rise in rates of FR-TBI and associated Medicare costs underscore the urgent need to prevent this burgeoning source of human suffering and health care utilization. We believe the rise in rates is at least partially due to a greater public awareness of the outcome that has been facilitated by increasing use of diagnostic imaging in the ED and hospital.

Indexed as

Anticoagulation therapyConnecticut collaboration for fall preventionEmergency departmentFall-related traumatic brain injuryHospitalization

Identifiers

PMID25558438
PMCPMC4280829
OpenAlexW2102276390

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.