Evidence map›Paper›PMID 29882059›Full record

ArticleInternational journal of legal medicine2018

Fatal falls in the elderly and the presence of proximal femur fractures.

Sylvia Schick, Daniela Heinrich, Matthias Graw, Raúl Aranda, Uta Ferrari, Steffen Peldschus

Abstract read
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In one paragraph

Article in International journal of legal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.9field-weighted citation impact, top 4% 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.

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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
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  9. Screening tool for identification of hip fractures in the prehospital setting.OTA international : the open access journal of orthopaedic trauma · 2021
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  12. Review
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  14. The "Elderly" in Medicine: Ethical Issues Surrounding This Outdated and Discriminatory Term.Inquiry : a journal of medical care organization, provision and financing
    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 at 2 institutions in 1 country.

Sylvia SchickInstitute of Legal Medicine, Ludwig-Maximilians-University (LMU) Munich, Nussbaumstrasse 26, 80336, Munich, Germany. sylvia.schick@med.lmu.de.ORCID http://orcid.org/0000-0002-5631-328X
Daniela HeinrichInstitute of Legal Medicine, Ludwig-Maximilians-University (LMU) Munich, Nussbaumstrasse 26, 80336, Munich, Germany.
Matthias GrawInstitute of Legal Medicine, Ludwig-Maximilians-University (LMU) Munich, Nussbaumstrasse 26, 80336, Munich, Germany.
Raúl ArandaInstitute of Legal Medicine, Ludwig-Maximilians-University (LMU) Munich, Nussbaumstrasse 26, 80336, Munich, Germany.
Uta FerrariDepartment of Medicine IV, University Hospital, LMU Munich Ziemssenstrasse 1, 80336, Munich, Germany.
Steffen PeldschusInstitute of Legal Medicine, Ludwig-Maximilians-University (LMU) Munich, Nussbaumstrasse 26, 80336, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fatal falls are frequent and seem to be an increasing problem in the elderly. Especially ground level falls (GLFs) and falls on or from stairs and steps (stairs falls) are worth examining for forensic classification and in order to improve the development of preventive measures. We retrospectively analyzed 261 fatal falls of elderly age 65 + years, which were autopsied at the Institute of Legal Medicine in Munich between 2008 and 2014. After careful screening, the sub-set of all 77 GLFs and 39 stairs falls were analyzed towards socio-demographic characteristics, fall circumstances, injuries, and circumstances of death. A subsequent analysis of GLF cases regarding the presence of proximal femur fractures (PFF) was performed. The injury pattern of the GLFs and the stairs falls clearly differ with a higher share of injuries to the lower extremities in the GLFs. However, the most severely injured body region was the head in both groups (62% of the stairs cases, 49% of the GLF cases). Alcohol as contributing to the fall was seen more frequently in the stairs falls. PFF were not seen in the stairs falls, but then in 18 GLF cases. Yet, for 17 among them (22% of 77), their hip fracture was the only serious injury leading to hospitalization and death. Only one GLF case was already found dead. This finding indicates a potential of avoiding up to 22% of the GLF fatalities by preventing hip fractures by optimized hip protectors or other measures, especially for the elderly aged 75 + years.

Indexed as

Accidental FallsAgedAged, 80 and overAlcohol DrinkingBrain InjuriesCardiovascular DiseasesFemaleFemoral FracturesGermanyHospitalizationHumansInjury Severity ScoreMaleMobility LimitationRegistriesRetrospective StudiesElderlyFalls on or from stairs or stepsGround level fallsHip protectionProximal femur fracture

Identifiers

PMID29882059
OpenAlexW2807709026

What OpenQuestion holds

Textmetadata
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.