Evidence map›Paper›PMID 29545001›Full record

ArticleArchives of physical medicine and rehabilitation2018

Rehabilitation Utilization for Falls Among Community-Dwelling Older Adults in the United States in the National Health and Aging Trends Study.

Briana L Moreland, Laura L Durbin, Judith D Kasper, Thelma J Mielenz

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 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

4 authors.

Briana L MorelandColumbia University Mailman School of Public Health, Department of Epidemiology, New York, NY. Electronic address: blm2143@caa.columbia.edu.
Laura L DurbinColumbia University Mailman School of Public Health, Department of Epidemiology, New York, NY.
Judith D KasperJohns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD.
Thelma J MielenzColumbia University Mailman School of Public Health, Department of Epidemiology, New York, NY.

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
NCIPC CDC HHS R49 CE002096NIA NIH HHS U01 AG032947
6 · The paper itself

Abstract

objectiveTo determine the characteristics of community-dwelling older adults receiving fall-related rehabilitation.

designCross-sectional analysis of the fifth round (2015) of the National Health and Aging Trends Study (NHATS). Fall-related rehabilitation utilization was analyzed using weighted multinomial logistic regression with SEs adjusted for the sample design.

settingIn-person interviews of a nationally representative sample of community-dwelling older adults.

participantsMedicare beneficiaries from NHATS (N=7062).

interventionsNot applicable. MAIN OUTCOMES MEASURES: Rehabilitation utilization categorized into fall-related rehabilitation, other rehabilitation, or no rehabilitation.

resultsFall status (single fall: odds ratio [OR]=2.96; 95% confidence interval [CI], 1.52-5.77; recurrent falls: OR=14.21; 95% CI, 7.45-27.10), fear of falling (OR=3.11; 95% CI, 1.90-5.08), poor Short Physical Performance Battery scores (score 0: OR=6.62; 95% CI, 3.31-13.24; score 1-4: OR=4.65; 95% CI, 2.23-9.68), and hip fracture (OR=3.24; 95% CI, 1.46-7.20) were all associated with receiving fall-related rehabilitation. Lower education level (less than high school diploma compared with 4-y college degree: OR=.21; 95% CI, .11-.40) and Hispanic ethnicity (OR=.37; 95% CI, .15-.87) were associated with not receiving fall-related rehabilitation.

conclusionsHispanic older adults and older adults who are less educated are less likely to receive fall-related rehabilitation. Recurrent fallers followed by those who fell once in the past year were more likely to receive fall-related rehabilitation than are older adults who have not had a fall in the past year.

Indexed as

Accidental FallsAgedAged, 80 and overFemaleFractures, BoneHumansIndependent LivingMaleMedicarePatient Acceptance of Health CareRehabilitationUnited StatesAccidental fallsAgedRehabilitation

Identifiers

PMID29545001
PMCPMC6668351

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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.