ArticleWorld journal of surgery2018
Recurrent Falls Among Elderly Patients and the Impact of Anticoagulation Therapy.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis of Safety and Efficacy of Anticoagulation versus no Anticoagulation in Octogenarians and Nonagenarians with Atrial Fibrillation.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021Pooled it
- Short-term impact of preinjury antithrombotic therapy on outcomes in older trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- The Four-Square Step Test With and Without Dual Tasks Among Older Adults With and Without a Fall History: A Retrospective Cohort Study.Health science reports · 2026Article
- Risk of major bleeding in recurrent fallers receiving anticoagulation for atrial fibrillation: a prospective cohort study.Research and practice in thrombosis and haemostasis · 2025Article
- Association between personality traits and concerns about falling among older patients: the mediating role of subjective age.Frontiers in public health · 2024Article
- Incidence and Characteristics of Orbital Hemorrhages in the United States from 2006 to 2018.Clinical ophthalmology (Auckland, N.Z.) · 2022Article
- Smart homes for the older population: particularly important during the COVID-19 outbreak.Reumatologia · 2021Review
- Anticoagulant Therapy for Frail Patients with Atrial Fibrillation.Internal medicine (Tokyo, Japan) · 2021Article
- Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls.International journal of environmental research and public health · 2020Article
- Risk of Osteoporosis in Patients With Atrial Fibrillation Using Non-Vitamin K Antagonist Oral Anticoagulants or Warfarin.Journal of the American Heart Association · 2020Article
- Restarting and timing of oral anticoagulation after traumatic intracranial hemorrhage: a review and summary of ongoing and planned prospective randomized clinical trials.Trauma surgery & acute care open · 2020Review
- Article
- Left atrial appendage occlusion in patients with atrial fibrillation and high risk of fall: a clinical dilemma or a budgetary issue?Clinical research in cardiology : official journal of the German Cardiac Society · 2019Article
- Simultaneous cardio-cerebral embolization associated with atrial fibrillation: a case report.BMC neurology · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundFalls are the leading source of injury and trauma-related hospital admissions for elderly adults in the USA. Elderly patients with a history of a fall have the highest risk of falling again, and the decision on whether to continue anticoagulation after a fall is difficult. To inform this decision, we evaluated the rate of recurrent falls and the impact of anticoagulation on outcomes.
methodsAll patients of age ≥ 65 years and hospitalized for a fall in the first 6 months of 2013 and 2014 were identified in the nationwide readmission database, a nationally representative all-payer database tracking patient readmissions. Readmissions for a recurrent fall within 6 months, and mortality and bleeding injuries (intracranial hemorrhage, solid organ bleed, and hemothorax) during readmission were identified. Logistic regression evaluated factors associated with mortality on repeat falls.
resultsOf the 331,982 patients admitted for a fall, 15,565 (4.7%) were admitted for a recurrent fall within 6 months. The median time to repeat fall was 57 days (IQR 19-111 days), and 9.0% (1406) of repeat fallers were on anticoagulation. The rate of bleeding injury was similar regardless of anticoagulation status (12.8 vs. 12.7% not on anticoagulation, p = 0.97); however, among patients with a bleeding injury, those on anticoagulation had significantly higher mortality (21.5 vs. 6.9% not on anticoagulation, p < 0.01).
conclusionAmong patients hospitalized for a fall, 4.7% will be hospitalized for a recurrent fall within 6 months. Patients on anticoagulation with repeat falls do not have increased rates of bleeding injury but do have significantly higher rates of death with a bleeding injury. This information is essential to discuss with patients when deciding to restart their anticoagulation.
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