Evidence map›Paper›PMID 29584895›Full record

SynthesisAge and ageing2018

Reducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis.

Chiara Naseri, Terry P Haines, Christopher Etherton-Beer, Steven McPhail, Meg E Morris, Leon Flicker, Julie Netto, Jacqueline Francis-Coad, Den-Ching A Lee, Ronald Shorr and 1 more

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Age and ageing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Falls After Hospital Discharge: A Randomized Clinical Trial of Individualized Multimodal Falls Prevention Education.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Predicting posthospitalization falls in Brazilian older adults: External validation of the Carpenter instrument.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Preservation of male fertility in patients undergoing pelvic irradiation.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Chiara NaseriSchool of Physiotherapy and Exercise Sciences, Faculty of Health Science, Curtin University, Perth, Western Australia.
Terry P HainesFaculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Christopher Etherton-BeerDepartment of Geriatric Medicine, School of Medicine and Pharmacology, Royal Perth Hospital Unit, University of Western Australia, Perth, Western Australia.
Steven McPhailSchool of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Australia.
Meg E MorrisHealthscope & La Trobe Centre for Sport & Exercise Medicine Research, La Trobe University, Victoria, Australia.
Leon FlickerWestern Australian Centre for Health & Ageing, Centre for Medical Research, University of Western Australia, Perth, Western Australia.
Julie NettoSchool of Occupational Therapy and Social Work, Faculty of Health Science, Curtin University, Perth, Western Australia.
Jacqueline Francis-CoadSchool of Physiotherapy, Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia.
Den-Ching A LeeFaculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Ronald ShorrMalcom Randall VA Medical Center, Geriatric Research Education and Clinical Center (GRECC), Florida, USA.
Anne-Marie HillSchool of Physiotherapy and Exercise Sciences, Faculty of Health Science, Curtin University, Perth, Western Australia.

Funding

Fall prevention in high-and low-fall hospital nursing unitsR56AG051799 · NIA · UNIVERSITY OF FLORIDA · PI SHORR, RONALD I · 2016 to 2016
$424k
6 · The paper itself

Abstract

backgroundolder adults are known to have increased falls rates and functional decline following hospital discharge, with substantial economic healthcare costs. This systematic review aimed to synthesise the evidence for effective falls prevention interventions in older adults recently discharged from hospital.

methodsliterature searches of six databases of quantitative studies conducted from 1990 to June 2017, reporting falls outcomes of falls prevention interventions for community-dwelling older adults discharged from hospital were included. Study quality was assessed using a standardised JBI critical appraisal tool (MAStARI) and data pooled using Rev-Man Review Manager®.

resultssixteen studies (total sample size N = 3,290, from eight countries, mean age 77) comprising 12 interventions met inclusion criteria. We found home hazard modification interventions delivered to those with a previous falls history (1 study), was effective in reducing the number of falls (RR 0.63, 95%CI 0.43, 0.93, Low GRADE evidence). Home exercise interventions (3 studies) significantly increased the proportion of fallers (OR 1.74, 95%CI 1.17, 2.60, Moderate GRADE evidence), and did not significantly reduce falls rate (RR 1.27, 95%CI 0.99, 1.62, Very Low GRADE evidence) or falls injury rate (RR 1.16, 95%CI, 0.83,1.63, Low GRADE evidence). Nutritional supplementation for malnourished older adults (1 study) significantly reduced the proportion of fallers (HR 0.41, 95% CI 0.19, 0.86, Low GRADE evidence).

conclusionthe recommended falls prevention interventions for older adults recently discharged from hospital are to provide home hazard minimisation particularly if they have a recent previous falls history and consider nutritional supplementation if they are malnourished.

Indexed as

AgingEnvironment DesignNutritional SupportPatient DischargeAccidental FallsAgedAged, 80 and overAge FactorsExercise TherapyGeriatric AssessmentHumansMalnutritionMiddle AgedNutritional StatusProtective FactorsRandomized Controlled Trials as Topicafter hospital dischargefalls outcomesfalls prevention interventionsolder peoplesystematic review

Identifiers

PMID29584895
PMCPMC7206858

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.