Evidence map›Paper›PMID 28069623›Full record

ArticleBMJ open2017

Epidemiological survey of the feasibility of broadband ultrasound attenuation measured using calcaneal quantitative ultrasound to predict the incidence of falls in the middle aged and elderly.

Ling-Chun Ou, Yin-Fan Chang, Chin-Sung Chang, Ching-Ju Chiu, Ting-Hsing Chao, Zih-Jie Sun, Ruey-Mo Lin, Chih-Hsing Wu

Abstract readEvaluation Study
In one paragraph

Article in BMJ open, 2017. 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.

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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

8 authors.

Ling-Chun OuDepartment of Family Medicine, Antai Medical Cooperation, Tien Sheng Memorial Hospital, Pingtung, Taiwan.
Yin-Fan ChangDepartments of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Chin-Sung ChangDepartments of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Ching-Ju ChiuInstitutes of Gerontology, National Cheng Kung University College of Medicine, Tainan, Taiwan.
Ting-Hsing ChaoDepartments of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Zih-Jie SunDepartments of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Ruey-Mo LinDepartment of Orthopedics, Tainan Municipal An-Nan Hospital of China Medical University, Tainan, Taiwan.
Chih-Hsing WuDepartments of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe investigated whether calcaneal quantitative ultrasound (QUS-C) is a feasible tool for predicting the incidence of falls.

designProspective epidemiological cohort study.

settingCommunity-dwelling people sampled in central western Taiwan.

participantsA cohort of community-dwelling people who were ≥40 years old (men: 524; women: 676) in 2009-2010. Follow-up questionnaires were completed by 186 men and 257 women in 2012.

methodsStructured questionnaires and broadband ultrasound attenuation (BUA) data were obtained in 2009-2010 using QUS-C, and follow-up surveys were done in a telephone interview in 2012. Using a binary logistic regression model, the risk factors associated with a new fall during follow-up were analysed with all significant variables from the bivariate comparisons and theoretically important variables. PRIMARY OUTCOME MEASURES: The incidence of falls was determined when the first new fall occurred during the follow-up period. The mean follow-up time was 2.83 years.

resultsThe total incidence of falls was 28.0 per 1000 person-years for the ≥40 year old group (all participants), 23.3 per 1000 person-years for the 40-70 year old group, and 45.6 per 1000 person-years for the ≥70 year old group. Using multiple logistic regression models, the independent factors were current smoking, living alone, psychiatric drug usage and lower BUA (OR 0.93; 95% CI 0.88 to 0.99, p<0.05) in the ≥70 year old group.

conclusionsThe incidence of falls was highest in the ≥70 year old group. Using QUS-C-derived BUA is feasible for predicting the incidence of falls in community-dwelling elderly people aged ≥70 years.

Indexed as

Accidental FallsAgedBody CompositionCalcaneusCluster AnalysisFeasibility StudiesFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsTaiwanUltrasonographycalcaneal quantitative ultrasoundFallsincidenceliving alonesmoking

Identifiers

PMID28069623
PMCPMC5223632

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