Evidence map›Paper›PMID 27412102›Full record

Observational studyBMJ open2016

Incidence, risk factors and the healthcare cost of falls postdischarge after elective total hip and total knee replacement surgery: protocol for a prospective observational cohort study.

Anne-Marie Hill, Gail Ross-Adjie, Steven M McPhail, Leanne Monterosso, Max Bulsara, Christopher Etherton-Beer, Sarah-Jayne Powell, Gerard Hardisty

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Risk Factors for Nonresilient Outcomes in Older Adults After Total Knee Replacement.The journals of gerontology. Series A, Biological sciences and medical sciences · 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

8 authors.

Anne-Marie HillSchool of Physiotherapy and Exercise Science, Curtin University, Bentley, Western Australia, Australia Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Gail Ross-AdjieCentre for Nursing and Midwifery Research, St John of God Murdoch Hospital, Perth, Western Australia, Australia School of Nursing and Midwifery, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Steven M McPhailInstitute of Health and Biomedical Innovation and School of Public Health & Social Work, Queensland University of Technology, Kelvin Grove, Queensland, Australia Centre for Functioning and Health Research, Metro South Health, Brisbane, Queensland, Australia.
Leanne MonterossoCentre for Nursing and Midwifery Research, St John of God Murdoch Hospital, Perth, Western Australia, Australia School of Nursing and Midwifery, The University of Notre Dame Australia, Fremantle, Western Australia, Australia School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.
Max BulsaraInstitute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
Christopher Etherton-BeerSchool of Medicine and Pharmacology, WA Centre for Health & Ageing, University of Western Australia, Perth, Western Australia, Australia.
Sarah-Jayne PowellCentre for Nursing and Midwifery Research, St John of God Murdoch Hospital, Perth, Western Australia, Australia.
Gerard HardistyCentre for Translational Orthopaedic Research, University of Western Australia, Perth, Western Australia, Australia Western Orthopaedic Clinic, St John of God Hospital Murdoch and Subiaco, Perth, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe number of major joint replacement procedures continues to increase in Australia. The primary aim of this study is to determine the incidence of falls in the first 12 months after discharge from hospital in a cohort of older patients who undergo elective total hip or total knee replacement. METHODS AND ANALYSES: A prospective longitudinal observational cohort study starting in July 2015, enrolling patients aged ≥60 years who are admitted for elective major joint replacement (n=267 total hip replacement, n=267 total knee replacement) and are to be discharged to the community. Participants are followed up for 12 months after hospital discharge. The primary outcome measure is the rate of falls per thousand patient-days. Falls data will be collected by 2 methods: issuing a falls diary to each participant and telephoning participants monthly after discharge. Secondary outcomes include the rate of injurious falls and health-related quality of life. Patient-rated outcomes will be measured using the Oxford Hip or Oxford Knee score. Generalised linear mixed modelling will be used to examine the falls outcomes in the 12 months after discharge and to examine patient and clinical characteristics predictive of falls. An economic evaluation will be conducted to describe the nature of healthcare costs in the first 12 months after elective joint replacement and estimate costs directly attributable to fall events. ETHICS AND DISSEMINATION: The results will be disseminated through local site networks and will inform future services to support older people undergoing hip or knee joint replacement and also through peer-reviewed publications and medical conferences. This study has been approved by The University of Notre Dame Australia and local hospital human research ethics committees. TRIAL REGISTRATION NUMBER: ACTRN12615000653561; Pre-results.

Indexed as

Accidental FallsHealth Care CostsAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeAustraliaCost-Benefit AnalysisElective Surgical ProceduresFemaleHip JointHumansIncidenceKnee JointMaleMiddle AgedPREVENTIVE MEDICINE

Identifiers

PMID27412102
PMCPMC4947758

What OpenQuestion holds

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LicenceCC BY-NC
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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.