Evidence map›Paper›PMID 28482268›Full record

ArticleArchives of gerontology and geriatrics2017

The role of the environment in falls among stroke survivors.

Jeffrey J Wing, James F Burke, Philippa J Clarke, Chunyang Feng, Lesli E Skolarus

Open access · greenAbstract read
In one paragraph

Article in Archives of gerontology and geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
7.9field-weighted citation impact, top 3% 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

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

  1. Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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  8. Polypharmacy and deprescribing attitudes among stroke survivors: Opportunities for enhanced patient centered care.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
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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

5 authors at 2 institutions in 1 country.

Jeffrey J WingDepartment of Public Health, College of Health Professions, Grand Valley State University, Grand Rapids, MI, United States. Electronic address: wingje@gvsu.edu.
James F BurkeDepartment of Neurology, Stroke Program, University of Michigan, Ann Arbor, MI, United States.
Philippa J ClarkeDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, United States; Institute for Social Research, University of Michigan, Ann Arbor, MI, United States.
Chunyang FengDepartment of Neurology, Stroke Program, University of Michigan, Ann Arbor, MI, United States.
Lesli E SkolarusDepartment of Neurology, Stroke Program, University of Michigan, Ann Arbor, MI, United States.
University of Michigan–Ann Arbor · USGrand Valley State University · US

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Reducing Racial Disparities in Post-Stroke Disability in the ElderlyR01MD008879 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURKE, JAMES FRANCIS, SKOLARUS, LESLI ELIZABETH · 2014 to 2018
$1.9M
NIA NIH HHS U01 AG032947NIMHD NIH HHS R01 MD008879
6 · The paper itself

Abstract

backgroundStroke survivors' risk of falls may be particularly sensitive to the environment due to deficits such as visuospatial neglect or homonymous hemianopia. We sought to identify the prevalence of falls among stroke survivors and investigate the possible role of the environment in falling. MATERIALS AND

methodsData from the National Health and Aging Trends Study (NHATS), a nationally representative population of community-dwelling adults over 65, were used. We compared the prevalence of falling in the past month between stroke survivors and demographic and comorbidity matched controls using sequential Poisson regression models.

resultsThe proportion of stroke survivors reporting a fall in the previous month was 18.8% compared to 10.8% among matched controls (PR: 1.74; 95% CI: 1.36-2.25). These differences were attenuated after adjusting for known confounders, mediators and aspects of the environment (PR: 1.17; 95% CI: 0.86-1.60). Indoor tripping hazards were associated with falls (PR: 1.24; 95% CI: 1.01-1.53). The association between stroke and falls was modified by neighborhood social disorder, such that in areas of low social disorder, falls in the previous month were more common in stroke survivors compared to non-stroke controls.

conclusionsThe difference in falls among stroke survivors and matched controls is largely explained by known risk factors and physical capacity. Indoor tripping hazards were associated with falls among stroke survivors and matched controls. Explanations of why the association between stroke and falls was protective in areas of high social disorder are unclear, but may warrant additional research.

Indexed as

Accidental FallsSurvivorsAgedAged, 80 and overEnvironmentFemaleHumansMaleRisk FactorsStrokeEpidemiologyFallsOutcome after strokeStrokeStroke in elderly

Identifiers

PMID28482268
PMCPMC5817372
OpenAlexW2610680660

What OpenQuestion holds

Textmetadata
LicenceTDM
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.