Evidence map›Paper›PMID 29534531›Full record

SynthesisInternational journal of environmental research and public health2018

Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis.

Peixia Cheng, Liheng Tan, Peishan Ning, Li Li, Yuyan Gao, Yue Wu, David C Schwebel, Haitao Chu, Huaiqiong Yin, Guoqing Hu

Registry-linked trialOpen access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05807724 (Geriatric Emergency Department Fall Injury Prevention Project), which is not on this map. Cited by 32 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 5 pooled it
19.3field-weighted citation impact, top 1% 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.

NCT05807724 nacompletednot on this mapstarted 2023, after this paper: background citation

Geriatric Emergency Department Fall Injury Prevention Project

TypeinterventionalSponsorFlorida Atlantic UniversityRan2023 to 2024Enrolled644ConditionsFall, Fall Injury, EmergenciesArmsPhone-based fall-prevention strategy, Home-visit fall prevention strategy
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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  19. Optimizing Post-Acute Care Patient Safety: A Scoping Review of Multifactorial Fall Prevention Interventions for Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
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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

10 authors at 3 institutions in 2 countries.

Peixia ChengDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. chengpeixia92@163.com.
Liheng TanDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. hersey.tan@foxmail.com.
Peishan NingDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. ningpeishan@csu.edu.cn.
Li LiDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. cslilee1009@gmail.com.
Yuyan GaoDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. gaoyuyangyy@foxmail.com.
Yue WuDepartment of Environmental and Occupational Health, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. wuyue7802@csu.edu.cn.ORCID 0000-0002-7365-0931
David C SchwebelDepartment of Psychology, University of Alabama, Birmingham, AL 35294, USA. schwebel@uab.edu.ORCID 0000-0002-2141-8970
Haitao ChuDivision of Biostatistics, The University of Minnesota, Minneapolis, MN 55455, USA. chux0051@umn.edu.
Huaiqiong YinCentral South University Library, 172 Tongzipo Rd., Changsha 410013, China. yinhuaiqionglib@mail.csu.edu.cn.
Guoqing HuDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. huguoqing009@gmail.com.ORCID 0000-0002-5002-8015
Central South University · CNUniversity of Alabama at Birmingham · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls are a major threat to older adults worldwide. Although various effective interventions have been developed, their comparative effectiveness remains unreported.

methodsA systematic review and network meta-analysis was conducted to determine the most effective interventions to prevent falls in community-dwelling adults aged 60 and over. Combined odds ratio (OR) and 95% credible interval (95% CrI) were calculated.

resultsA total of 49 trials involving 27,740 participants and 9271 fallers were included. Compared to usual care, multifactorial interventions (MFI) demonstrated the greatest efficacy (OR: 0.64, 95% CrI: 0.53 to 0.77) followed by interventions combining education and exercise (EDU + EXC) (OR: 0.65, 95% CrI: 0.38 to 1.00) and interventions combining exercise and hazard assessment and modification (EXC + HAM) (OR: 0.66, 95% CrI: 0.40 to 1.04). The effect of medical care performed the worst (OR: 1.02, 95% CrI: 0.78 to 1.34). Model fit was good, inconsistency was low, and publication bias was considered absent. The overall quality of included trials was high. The pooled odds ratios and ranking probabilities remained relatively stable across all sensitivity analyses.

conclusionsMFI and exercise appear to be effective to reduce falls among older adults, and should be considered first as service delivery options. Further investigation is necessary to verify effectiveness and suitableness of the strategies to at-risk populations.

Indexed as

Accidental FallsAgedAged, 80 and overHumansIndependent LivingMiddle AgedPreventive Health ServicesTreatment Outcomeelderlyfallsnetwork meta-analysisprevention

Identifiers

PMID29534531
PMCPMC5877043
OpenAlexW2791096890

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.