Evidence map›Paper›PMID 27066988›Full record

Observational studyThe Annals of pharmacotherapy2016

Antidepressant Use and Recurrent Falls in Community-Dwelling Older Adults: Findings From the Health ABC Study.

Zachary A Marcum, Subashan Perera, Joshua M Thorpe, Galen E Switzer, Nicholas G Castle, Elsa S Strotmeyer, Eleanor M Simonsick, Hilsa N Ayonayon, Caroline L Phillips, Susan Rubin and 7 more

Abstract readObservational Study
In one paragraph

Observational study in The Annals of pharmacotherapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

53 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  8. Review
  9. Article
  10. Central nervous system medication use around hospitalization.Journal of the American Geriatrics Society · 2024
    Article
  11. Article
  12. Article
  13. Recurrent Falls over Three Years among Older Adults Age 70+: Associations with Physical and Mental Health Status, Exercise, and Hospital Stay.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  14. 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

17 authors.

Zachary A MarcumUniversity of Washington, Seattle, WA, USA zmarcum@uw.edu.
Subashan PereraUniversity of Pittsburgh, Pittsburgh, PA, USA.
Joshua M ThorpeUniversity of Pittsburgh, Pittsburgh, PA, USA VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Galen E SwitzerUniversity of Pittsburgh, Pittsburgh, PA, USA VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Nicholas G CastleUniversity of Pittsburgh, Pittsburgh, PA, USA.
Elsa S StrotmeyerUniversity of Pittsburgh, Pittsburgh, PA, USA.
Eleanor M SimonsickNational Institute on Aging, Baltimore, MD, USA.
Hilsa N AyonayonUniversity of California-San Francisco, CA, USA.
Caroline L PhillipsNational Institute on Aging, Baltimore, MD, USA.
Susan RubinUniversity of California-San Francisco, CA, USA.
Audrey R Zucker-LevinUniversity of Tennessee Health Sciences Center, Memphis, TN, USA.
Douglas C BauerUniversity of California-San Francisco, CA, USA.
Ronald I ShorrVeterans Affairs Medical Center, Gainesville, FL, USA.
Yihuang KangUniversity of Pittsburgh, Pittsburgh, PA, USA.
Shelly L GrayUniversity of Washington, Seattle, WA, USA.
Joseph T HanlonUniversity of Pittsburgh, Pittsburgh, PA, USA VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Health ABC Study

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Pitt Integrated Clinical and Geroscience Research Training ProgramT32AG021885 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Aditi U Gurkar · 2003 to 2026
$6.7M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
UPITT Program for Pharmaceutical Outcomes Research in AgingK07AG033174 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANLON, JOSEPH T · 2009 to 2013
$461k
NIA NIH HHS K07 AG033174NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG028050NIA NIH HHS T32 AG021885NINR NIH HHS R01 NR012459
6 · The paper itself

Abstract

backgroundFew studies have compared the risk of recurrent falls across various antidepressant agents-using detailed dosage and duration data-among community-dwelling older adults, including those who have a history of a fall/fracture.

objectiveTo examine the association of antidepressant use with recurrent falls, including among those with a history of falls/fractures, in community-dwelling elders.

methodsThis was a longitudinal analysis of 2948 participants with data collected via interview at year 1 from the Health, Aging and Body Composition study and followed through year 7 (1997-2004). Any antidepressant medication use was self-reported at years 1, 2, 3, 5, and 6 and further categorized as (1) selective serotonin reuptake inhibitors (SSRIs), (2) tricyclic antidepressants, and (3) others. Dosage and duration were examined. The outcome was recurrent falls (≥2) in the ensuing 12-month period following each medication data collection.

resultsUsing multivariable generalized estimating equations models, we observed a 48% greater likelihood of recurrent falls in antidepressant users compared with nonusers (adjusted odds ratio [AOR] = 1.48; 95% CI = 1.12-1.96). Increased likelihood was also found among those taking SSRIs (AOR = 1.62; 95% CI = 1.15-2.28), with short duration of use (AOR = 1.47; 95% CI = 1.04-2.00), and taking moderate dosages (AOR = 1.59; 95% CI = 1.15-2.18), all compared with no antidepressant use. Stratified analysis revealed an increased likelihood among users with a baseline history of falls/fractures compared with nonusers (AOR = 1.83; 95% CI = 1.28-2.63).

conclusionAntidepressant use overall, SSRI use, short duration of use, and moderate dosage were associated with recurrent falls. Those with a history of falls/fractures also had an increased likelihood of recurrent falls.

Indexed as

AgingAccidental FallsAdultAgedAged, 80 and overAntidepressive AgentsDose-Response Relationship, DrugDrug UtilizationFemaleFractures, BoneHumansLongitudinal StudiesMaleMultivariate AnalysisOdds RatioRecurrenceAntidepressive AgentsSelective Serotonin Reuptake Inhibitorsagingantidepressantsdrug-related problemsepidemiologygeriatricsoutcomes research/analysispharmacoepidemiology

Identifiers

PMID27066988
PMCPMC4892949

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.