Evidence map›Paper›PMID 30354374›Full record

ArticleCirculation. Cardiovascular quality and outcomes2018

Fall Risk and Outcomes Among Patients Hospitalized With Cardiovascular Disease in the Community.

Sheila M Manemann, Alanna M Chamberlain, Cynthia M Boyd, Donna M Miller, Kimberly L Poe, Andrea Cheville, Susan A Weston, Ellen E Koepsell, Ruoxiang Jiang, Véronique L Roger

Abstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Demographic and clinical differences between individuals with and without DXA scans in Denmark.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. American Geriatrics Society response to the World Falls Guidelines.Journal of the American Geriatrics Society · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Factors Associated with Falls During Hospitalization for Coronavirus Disease 2019 (COVID-19).Medical science monitor : international medical journal of experimental and clinical research · 2022
    Observational
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Sheila M ManemannDepartment of Health Sciences Research (S.M.M., A.M.C., S.A.W., R.J., V.L.R.).
Alanna M ChamberlainDepartment of Health Sciences Research (S.M.M., A.M.C., S.A.W., R.J., V.L.R.).
Cynthia M BoydDivision of Geriatric Medicine and Gerontology, Johns Hopkins University, Baltimore, MD (C.M.B.).
Donna M MillerDepartment of Hospital Internal Medicine (D.M.M.).
Kimberly L PoeDivision of Cardiovascular Diseases (K.L.P., A.C., E.E.K., V.L.R.).
Andrea ChevilleDivision of Cardiovascular Diseases (K.L.P., A.C., E.E.K., V.L.R.).
Susan A WestonDepartment of Health Sciences Research (S.M.M., A.M.C., S.A.W., R.J., V.L.R.).
Ellen E KoepsellDivision of Cardiovascular Diseases (K.L.P., A.C., E.E.K., V.L.R.).
Ruoxiang JiangDepartment of Health Sciences Research (S.M.M., A.M.C., S.A.W., R.J., V.L.R.).
Véronique L RogerDepartment of Health Sciences Research (S.M.M., A.M.C., S.A.W., R.J., V.L.R.).

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
'Heart Failure in the Community: Multimorbidity and Outcomes'R01HL120859 · NHLBI · MAYO CLINIC ROCHESTER · PI ROGER, VERONIQUE LEE · 2014 to 2017
$3.2M
NHLBI NIH HHS R01 HL120859NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

Background As the population with cardiovascular disease ages, geriatric conditions are of increasing relevance. A possible geriatric prognostic indicator may be a fall risk score, which is mandated by The Joint Commission to be measured on all hospitalized patients. The prognostic value of a fall risk score on outcomes after dismissal is not well known. Thus, we aimed to determine whether a fall risk score is associated with death and hospital readmissions in patients with a recent incident cardiovascular disease event. Methods and Results In this retrospective cohort study, Olmsted County, MN patients with incident heart failure, myocardial infarction, or atrial fibrillation between August 1, 2005, and December 31, 2011, who were hospitalized within 180 days after the event were studied. Fall risk was measured by the Hendrich II fall risk model. Patients were followed for death or readmission within 30 days or 1 year. Among 2456 hospitalized patients with recent incident cardiovascular disease (549 heart failure, 784 myocardial infarction, 1123 atrial fibrillation; mean [SD] age, 71 [15] years; 55% men), the fall risk score was high in 22% of patients and moderate in 38%. The risk of death was increased if the fall risk score was increased, independent of age and comorbidities (moderate hazard ratio, 1.51; 95% CI, 1.09-2.08; high hazard ratio, 3.49; 95% CI, 2.52-4.85). Similarly, the risk of 30-day readmissions was substantially increased with a greater fall risk score (moderate hazard ratio, 1.29; 95% CI, 1.03-1.62; high hazard ratio, 1.63; 95% CI, 1.23-2.15). Results were similar for readmissions within 1 year. Conclusions More than half of hospitalized patients with recent incident cardiovascular disease have an elevated fall risk score, which is associated with an increased risk in readmissions and death. These results delineate an approach for risk stratification and management that may prevent readmissions and improve survival.

Indexed as

Accidental FallsPatient AdmissionAgedAged, 80 and overAge FactorsAtrial FibrillationComorbidityElectronic Health RecordsFemaleHeart FailureHumansIncidenceMaleMiddle AgedMinnesotaMyocardial Infarctioncardiovascular diseasesdeathhumanspatient readmissionrisk

Identifiers

PMID30354374
PMCPMC6205191

What OpenQuestion holds

Textmetadata
LicenceTDM
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.