Evidence map›Paper›PMID 26912129›Full record

ArticleBMC geriatrics2016

Risk factors for falls in older adults in a South African Urban Community.

Sebastiana Zimba Kalula, Monica Ferreira, George H Swingler, Motasim Badri

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Fall risk screening: Audiologists' perceived knowledge, views and reported practice.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  6. The Prevalence of Falls Among Older Adults Living in Long-Term Care Facilities in the City of Cape Town.International journal of environmental research and public health · 2025
    Article
  7. Article
  8. Risk Factors of Developing Dysmobility Syndrome in Elderly Patients with Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cultural adaptation and Sepedi translation of the Activities-specific Balance Confidence scale.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Fall-related injuries at home: Descriptive analysis from a Middle Eastern level 1 trauma center.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  18. Article
  19. Observational
  20. Prevalence and risk factors for Falls among older adults in a primary care facility in Ghana.Malawi medical journal : the journal of Medical Association of Malawi · 2022
    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.

Sebastiana Zimba KalulaDivision of Geriatric Medicine, The Albertina and Walter Sisulu Institute of Ageing in Africa, University of Cape Town, Cape Town, South Africa. Sebastiana.Kalula@uct.ac.za.
Monica FerreiraInternational Longevity Centre South Africa, Institute of Ageing in Africa, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. monicaferr@mweb.co.za.
George H SwinglerDepartment of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. George.Swingler@uct.ac.za.
Motasim BadriDepartment of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. motasimb@hotmail.com.
University of Cape Town · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies on falls in older adults have mainly been conducted in high income countries. Scant, if any, information exists on risk factors for falls in the older population of sub-Saharan African countries.

methodsA cross-sectional survey and a 12-month follow-up study were conducted to determine risk factors for falls in a representative multi-ethnic sample of 837 randomly selected ambulant community-dwelling subjects aged ≥65 years in three suburbs of Cape Town, South Africa. Logistic regression models were fitted to determine the association between (1) falls and (2) recurrent falls occurring during follow-up and their potential socio-demographic, self-reported medical conditions and physical assessment predictors.

resultsPrevalence rates of 26.4 % for falls and 11 % for recurrent falls at baseline and 21.9 % for falls and 6.3 % for recurrent falls during follow-up. In both prospective analyses of falls and recurrent falls, history of previous falls, dizziness/vertigo, ethnicity (white or mixed ancestry vs black African) were significant predictors. However, poor cognitive score was a significant predictor in the falls analysis, and marital status (unmarried vs married) and increased time to perform the timed Up and Go test in the recurrent fall analysis but not in both. Other than the timed Up and Go test in recurrent falls analysis, physical assessment test outcomes were not significant predictors of falls.

conclusionOur study provides simple criteria based on demographic characteristics, medical and physical assessments to identify older persons at increased risk of falls. History taking remains an important part of medical practice in the determination of a risk of falls in older patients. Physical assessment using tools validated in developed country populations may not produce results needed to predict a risk of falls in a different setting.

Indexed as

Urban PopulationAccidental FallsAgedCross-Sectional StudiesFemaleFollow-Up StudiesGeriatric AssessmentHumansMalePrevalenceProspective StudiesRisk FactorsSouth AfricaTime Factors

Identifiers

PMID26912129
PMCPMC4766747
OpenAlexW2280483162

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.