Evidence map›Paper›PMID 31711437›Full record

ArticleBMC geriatrics2019

Fall-related emergency department visits and hospitalizations among community-dwelling older adults: examination of health problems and injury characteristics.

Namkee G Choi, Bryan Y Choi, Diana M DiNitto, C Nathan Marti, Mark E Kunik

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
13.5field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Association of healthy sleep pattern with the risk of falls and fractures among individuals with cardiovascular disease: a UK Biobank study.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
  7. Article
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  10. Personality and falls: evidence from three samples.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  11. Article
  12. Article
  13. Economic modelling of fall prevention interventions delivered by community emergency medical services: a decision-tree analysis.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
    Article
  14. Article
  15. Association of Coprescribing of Gabapentinoid and Other Psychoactive Medications With Altered Mental Status and Falls in Adults Receiving Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025
    Observational
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  18. Bayesian semi-parametric inference for clustered recurrent events with zero inflation and a terminal event.Journal of the Royal Statistical Society. Series C, Applied statistics · 2024
    Article
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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

5 authors at 3 institutions in 1 country.

Namkee G ChoiThe University of Texas at Austin Steve Hicks School of Social Work, 1925 San Jacinto Blvd, Austin, TX, 78712, USA. nchoi@austin.utexas.edu.ORCID 0000-0002-8382-1191
Bryan Y ChoiDepartment of Emergency Medicine, Brown University Warren Alpert Medical School, Providence, RI, USA.
Diana M DiNittoThe University of Texas at Austin Steve Hicks School of Social Work, 1925 San Jacinto Blvd, Austin, TX, 78712, USA.
C Nathan MartiThe University of Texas at Austin Steve Hicks School of Social Work, 1925 San Jacinto Blvd, Austin, TX, 78712, USA.
Mark E KunikHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. Debakey VA Medical Center; VA South Central Mental Illness Research, Education and Clinical Center; and Baylor College of Medicine, Houston, TX, USA.
The University of Texas at Austin · USBrown University · USMichael E. DeBakey VA Medical Center · US

Funding

Telehealth Treatments for Depression with Low-Income Homebound SeniorsR01MD009675 · NIMHD · UNIVERSITY OF TEXAS AT AUSTIN · PI CHOI, NAMKEE G · 2015 to 2025
$5.3M
National Institutes on Minority Health and Health Disparities (US) 1R01MD009675NIMHD NIH HHS R01 MD009675
6 · The paper itself

Abstract

backgroundFall injuries and related healthcare use among older adults are increasing in the United States. This study examined chronic illnesses, sensory and memory problems, and injury characteristics that were associated with ED visits and hospitalizations among older adults who received medical attention for fall injuries within a 91-day reference period.

methodsData were from the publicly available 2013-2017 US National Health Interview Survey files (unweighted N = 1840 respondents aged > 60 years with fall injuries). We first described socioeconomic, health/mental health, healthcare utilization, and injury characteristics among three groups: those who neither visited an ED nor were hospitalized for their fall injury, those who visited an ED only, and those who were hospitalized. Then, using multinomial logistic regression analysis, we examined associations of healthcare utilization (ED visit only and hospitalization vs. no ED visit/hospitalization) with chronic illnesses, other health problems, and injury characteristics, controlling for socioeconomic factors.

resultsOf older adults who received medical attention for fall injuries, a little more than one-third had an ED visit only and a little less than a fifth had an overnight hospital stay. Multivariable analysis showed that lung disease and memory problems were associated with higher risk of ED visit only; hip and head injuries, facial injuries, and broken bones/fractures (from any type of injury) were more likely to result in hospitalization than other injuries. Fall injuries sustained inside the home, falls from loss of balance/dizziness, and living alone were also more likely to result in hospitalization.

conclusionsThese healthcare utilization findings indicate the significant toll that fall injuries exact on older adults and healthcare systems. Fall prevention should target risk factors that are specific to serious injuries requiring costly care. Strategies for implementing scalable, adaptable, and measurable fall prevention models by primary care and emergency medical service providers and ED staff are needed.

Indexed as

Accidental FallsPatient Acceptance of Health CareAgedAged, 80 and overCross-Sectional StudiesDizzinessEmergency Medical ServicesEmergency Service, HospitalFemaleFractures, BoneHealth SurveysHospitalizationHumansIndependent LivingMaleMiddle AgedEDFall injuryFallsHospitalization

Identifiers

PMID31711437
PMCPMC6849272
OpenAlexW2989528546

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.