Evidence map›Paper›PMID 31504057›Full record

ArticlePloS one2019

Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study.

Balamurugan Janakiraman, Melaku Hailu Temesgen, Gashaw Jember, Asmare Yitayeh Gelaw, Berihu Fisseha Gebremeskel, Hariharasudhan Ravichandran, Emnet Worku, Yohannes Abich, Fekadu Yilak, Misganaw Belay

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Balamurugan JanakiramanDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.ORCID 0000-0003-3866-9351
Melaku Hailu TemesgenDepartment of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia.
Gashaw JemberDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.
Asmare Yitayeh GelawDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.ORCID 0000-0002-7050-7961
Berihu Fisseha GebremeskelDepartment of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia.
Hariharasudhan RavichandranDepartment of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Ethiopia.
Emnet WorkuDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.
Yohannes AbichDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.
Fekadu YilakDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.
Misganaw BelayDepartment of Physiotherapy, School of Medicine College of Medicine and Health Sciences, University of Gondar and Gondar University Specialized Comprehensive Hospital, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls among older adults is a common precipitating factor for unintentional injuries and represent a major health problem associated with increased morbidity, mortality, and health care cost in low-and-middle-income countries. The burden of fall in this population is well established in high-income countries and scant attention is given to this precipitating factor in low-and-middle-income countries, including Ethiopia. Therefore, this study aimed to estimate the prevalence and factors associated with fall among community-dwelling older adults in Ethiopia.

methodsA community-based cross-sectional study was conducted among community-dwelling older adults of Gondar. Multi-stage random sampling technique was used across administrative areas. Six hundred and five households were selected proportionally using systematic random sampling technique. Physical measurement and face to face interview method were employed using a structured questionnaire for data collection. Data were analyzed descriptively and through uni- and multivariate logistic regression model.

resultsOne hundred and seventy (n = 170, 28.4%; 95% CI 24.7-32.1) community-dwelling older adults reported having experienced fall in the past 12 months. Sex (OR = 1.91, 95% CI: 1.24-2.95), low educational status (OR = 2.37, 95% CI: 1.19-4.74), uncomfortable home environment (OR = 2.02, 95% CI: 1.34, 3.04), having diagnosed medical condition (OR = 4.659, 95% CI: 1.20-18.02), and use of medication (OR = 5.57, 95% CI: 1.19-26.21) were significantly associated risk factors of self-reported fall in the past 12 months. Most outdoor falls are associated with females and participants aged below 66 years.

conclusionIn conclusion, more than 1/4th of the community-dwelling older adults experienced at least one episode of fall and about 60% of them reported recurrent falls. Identifying risk group and risk factors that could be modified so as to prevent falls in older adults deserves attention. Outdoor falls are usually attributable to modifiable environmental aspects and improvements in outdoor environment needed.

Indexed as

Accidental FallsAgedAged, 80 and overEthiopiaFemaleHumansIndependent LivingMaleMiddle Aged

Identifiers

PMID31504057
PMCPMC6736232

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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.