Evidence map›Paper›PMID 28605455›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2018

Risk Profiles for Injurious Falls in People Over 60: A Population-Based Cohort Study.

Stina Ek, Debora Rizzuto, Laura Fratiglioni, Kristina Johnell, Weili Xu, Anna-Karin Welmer

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
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  10. Distal radius fractures and risk of incident neurocognitive disorders in older adults: a retrospective cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. Chronic Pain and Risk of Injurious Falls in Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
  15. Risk Factors for Hospital Admission After a Fall: A Prospective Cohort Study of Community-Dwelling Older People.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Article
  16. Personality and Falls Among Older Adults: Evidence From a Longitudinal Cohort.The journals of gerontology. Series B, Psychological sciences and social sciences · 2020
    Article
  17. Review
  18. Article
  19. The Five W's of Falls: Weekly Online Health Survey of Community-Dwelling Older Adults: Analysis of 4 Years Prospective Follow-up.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Article
  20. When Will My Patient Fall? Sensor-Based In-Home Walking Speed Identifies Future Falls in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    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

6 authors.

Stina EkAging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
Debora RizzutoAging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
Laura FratiglioniAging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
Kristina JohnellAging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
Weili XuAging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
Anna-Karin WelmerAging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although falls in older adults are related to multiple risk factors, these factors have commonly been studied individually. We aimed to identify risk profiles for injurious falls in older adults by detecting clusters of established risk factors and quantifying their impact on fall risk. Methods: Participants were 2,566 people, aged 60 years and older, from the population-based Swedish National Study on Aging and Care in Kungsholmen. Injurious falls was defined as hospitalization for or receipt of outpatient care because a fall. Cluster analysis was used to identify aggregation of possible risk factors including chronic diseases, fall-risk increasing drugs (FRIDs), physical and cognitive impairments, and lifestyle-related factors. Associations between the clusters and injurious falls over 3, 5, and 10 years were estimated using flexible parametric survival models. Results: Five clusters were identified including: a "healthy", a "well-functioning with multimorbidity", a "well-functioning, with multimorbidity and high FRID consumption", a "physically and cognitively impaired", and a "disabled" cluster. The risk of injurious falls for all groups was significantly higher than for the first cluster of healthy individuals in the reference category. Hazard ratios (95% confidence intervals) ranged from 1.71 (1.02-2.66) for the second cluster to 12.67 (7.38-21.75) for the last cluster over 3 years of follow-up. The highest risk was observed in the last two clusters with high burden of physical and cognitive impairments. Conclusion: Risk factors for injurious fall tend to aggregate, representing different levels of risk for falls. Our findings can be useful to tailor and prioritize clinical and public health interventions.

Indexed as

Accidental FallsAgedAged, 80 and overAge FactorsAlcohol DrinkingBody Mass IndexChronic DiseaseCognitive DysfunctionCohort StudiesDepressionExerciseFemaleHumansMaleMiddle AgedPainCluster analysisCommunity-dwellingFall risk factorInjurySwedish National study on Aging and Care in Kungsholmen (SNAC-K)

Identifiers

PMID28605455
PMCPMC5861922

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.