Evidence map›Paper›PMID 27122741›Full record

ArticleActa Cardiologica Sinica2013

Falls and Atrial Fibrillation in Elderly Patients.

Chen-Ying Hung, Tsu-Juey Wu, Kuo-Yang Wang, Jin-Long Huang, El-Wui Loh, Yi-Ming Chen, Chu-Sheng Lin, Ching-Heng Lin, Der-Yuan Chen, Yih-Jing Tang

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PubMed Full text at PMC
In one paragraph

Article in Acta Cardiologica Sinica, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
0.6field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Cardiovascular Disorders and Falls Among Older Adults: A Systematic Review and Meta-Analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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  12. Atrial Fibrillation and the Risk of Subsequent Fracture.The American journal of medicine · 2020
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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 3 institutions in 1 country.

Chen-Ying HungCenter for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan;
Tsu-Juey WuCardiovascular Center, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; Department of Internal Medicine, Faculty of Medicine, Institute of Clinical Medicine, Cardiovascular Research Center, National Yang-Ming University School of Medicine, Taipei, Taiwan; ; School of Medicine, Chung Shan Medical University, Taichung, Taiwan;
Kuo-Yang WangCardiovascular Center, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; School of Medicine, Chung Shan Medical University, Taichung, Taiwan;
Jin-Long HuangCardiovascular Center, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; Department of Internal Medicine, Faculty of Medicine, Institute of Clinical Medicine, Cardiovascular Research Center, National Yang-Ming University School of Medicine, Taipei, Taiwan; ; School of Medicine, Chung Shan Medical University, Taichung, Taiwan;
El-Wui LohKaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan;
Yi-Ming ChenCenter for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; National Yang-Ming University, Taipei, Taiwan;
Chu-Sheng LinCenter for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan;
Ching-Heng LinDepartment of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan;
Der-Yuan ChenCenter for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; National Yang-Ming University, Taipei, Taiwan; ; National Chung-Hsing University, Taichung, Taiwan.
Yih-Jing TangCenter for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taichung, Taiwan; ; School of Medicine, Chung Shan Medical University, Taichung, Taiwan;
Taichung Veterans General Hospital · TWKaohsiung Municipal Kai-Syuan Psychiatric Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation is a common heart rhythm disorder in older adults, and its prevalence has increased rapidly in recent years. The health issues associated with atrial fibrillation are not limited to physiological problems, as it also contributes to an increased risk of falls, which may be related to cardiovascular co-morbidities and medication use. The aim of this study was to determine which cardiovascular co-morbidities and medication use are associated with falls in older adults with atrial fibrillation.

methodsFour hundred and one patients 75 years of age or older (82.2 ± 0.2 years) were enrolled in a geriatric evaluation and management unit in Taiwan. Events associated with patient falls and medication use were recorded, and comprehensive geriatric assessment was conducted during admission.

resultsAmong the study participants, 66 (16.5%) patients had atrial fibrillation and 234 (58.4%) patients had a history of fall. We found a significantly higher prevalence of falls in patients with atrial fibrillation [odds ration (OR) 1.98, 95% confidence interval (CI) 1.08-3.63, p = 0.026] compared with those without atrial fibrillation. Using multivariate logistic regression, we found that benzodiazepine use (OR 18.22, 95% CI 2.71-122.38, p = 0.003), a history of paroxysmal atrial fibrillation (OR 12.18, 95% CI 1.37-108.70, p = 0.025) and hypertension (OR 9.49, 95% CI 1.19-75.57, p = 0.034) were independent factors for falls in atrial fibrillation patients.

conclusionsA diagnosis of atrial fibrillation in elderly patients is associated with falls. Benzodiazepine use, history of paroxysmal atrial fibrillation, and hypertension were associated with a high falling prevalence among patients with atrial fibrillation. KEY WORDS: Atrial fibrillation; Benzodiazepine; Falls; Hypertension.

Identifiers

PMID27122741
PMCPMC4804793
OpenAlexW2146373199

What OpenQuestion holds

Textmetadata
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.