Evidence map›Paper›PMID 28873218›Full record

SynthesisJournal of the American Geriatrics Society2017

Associations Between Falls and Driving Outcomes in Older Adults: Systematic Review and Meta-Analysis.

Kenneth A Scott, Eli Rogers, Marian E Betz, Lilian Hoffecker, Guohua Li, Carolyn DiGuiseppi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Driving and Alzheimer's dementia or mild cognitive impairment: a systematic review of the existing guidelines emphasizing on the neurologist's role.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
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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

6 authors.

Kenneth A ScottDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.ORCID http://orcid.org/0000-0002-2192-5526
Eli RogersDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Marian E BetzDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Lilian HoffeckerHealth Sciences Library, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Guohua LiCenter for Injury Epidemiology and Prevention, Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, New York, New York.
Carolyn DiGuiseppiDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado.

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Columbia Injury Control Research CenterR49CE002096 · CE · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LI, GUOHUA · 2012 to 2018
$5.5M
Physician Screening of Older Drivers: Decision Rules for Geriatric Injury PreventK23AG043123 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2013 to 2017
$915k
ACL HHS R49CE002096NCATS NIH HHS UL1 TR001082NCIPC CDC HHS R49 CE002096NIA NIH HHS K23 AG043123
6 · The paper itself

Abstract

objectivesTo examine associations between falls and subsequent motor vehicle crashes (MVCs), crash-related injuries, driving performance, and driving behavior.

designSystematic review and metaanalysis.

participantsObservational studies including drivers aged 55 and older or with a mean age of 65 and older. MEASUREMENTS: Two authors independently extracted study and participant characteristics, exposures, and outcomes and assessed risk of bias. Pooled risk estimates for MVCs and MVC-related injuries were calculated using random-effects models. Other results were synthesized narratively.

resultsFrom 3,286 potentially eligible records, 15 studies (N = 27-17,349 subjects) met inclusion criteria. Risk of bias was low to moderate, except for cross-sectional studies (n = 3), which all had a high potential for bias. A fall history was associated with a significantly greater risk of subsequent MVC (summary risk estimate = 1.40, 95% confidence interval (CI) = 1.20-1.63; I

conclusionFalls in older adults appear to be a risk marker for subsequent MVCs and MVC-related injury. Given the nature of the evidence, which is limited to observational studies, the identified associations may also result at least partly from confounding or bias. Further research is needed to clarify the mechanisms linking falls to crash risk and to develop effective interventions to ensure driving safety in older adults with a history of falls.

Indexed as

Automobile DrivingAccidental FallsAccidents, TrafficAgedCross-Sectional StudiesHumansMiddle AgedObservational Studies as Topicdrivingfallmotor vehicle crasholder adultsystematic review

Identifiers

PMID28873218
PMCPMC5729077

What OpenQuestion holds

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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.