Evidence map›Paper›PMID 31937248›Full record

ArticleBMC geriatrics2020

Pain and recurrent falls in the older and oldest-old non-institutionalized population.

César Gálvez-Barrón, Francesc Formiga, Antonio Miñarro, Oscar Macho, Leire Narvaiza, María Dolores Dapena, Ramon Pujol, Alejandro Rodríguez-Molinero

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

César Gálvez-BarrónClinical Research Unit and Department of Geriatrics, Consorci Sanitari de l'Alt Penedès i Garraf, Ronda Sant Camil s/n, Sant Pere de Ribes, 08810, Barcelona, Spain. cgalvez@csg.cat.ORCID 0000-0001-5333-3317
Francesc FormigaGeriatric Unit. Department of Internal Medicine, IDIBELL, Universitat de Barcelona, Hospital Universitari de Bellvitge, Barcelona, Spain.
Antonio MiñarroDepartment of Genetics, Microbiology and Statistics, School of Biology, Universitat de Barcelona, Barcelona, Spain.
Oscar MachoDepartment of Geriatrics, Consorci Sanitari de l'Alt Penedès i Garraf, Barcelona, Spain.
Leire NarvaizaPsychogeriatric Unit, Hospital Benito Menni, Barcelona, Spain.
María Dolores DapenaDepartment of Geriatrics, Consorci Sanitari de l'Alt Penedès i Garraf, Barcelona, Spain.
Ramon PujolSchool of Medicine, Universitat de Vic-Universitat Central de Catalunya, Barcelona, Spain.
Alejandro Rodríguez-MolineroClinical Research Unit and Department of Geriatrics, Consorci Sanitari de l'Alt Penedès i Garraf, Ronda Sant Camil s/n, Sant Pere de Ribes, 08810, Barcelona, Spain.
Consorci Sanitari Garraf · ESBellvitge University Hospital · ESUniversitat de Barcelona · ESUniversitat de Vic - Universitat Central de Catalunya · ES

Funding

Sixth Framework Programme CAALYX
6 · The paper itself

Abstract

backgroundRecurrent falls represent a priority in geriatric research. In this study we evaluated the influence of pain as a risk factor for recurrent falls (two or more in 1 year) in the older (65-79 years) and oldest-old (80 or more years) non-institutionalized population.

methodsProspective cohort study. 772 non-institutionalized individuals with ages of 65 years or older (with overrepresentation of people aged 80 years or older [n = 550]) were included through randomized and multistage sampling, stratified according to gender, geographic area and habitat size. Basal evaluation at participant's home including pain evaluation by Face Pain Scale (FPS, range 0-6) and then telephonic contact every 3 months were performed until complete 12 months. Multivariate analysis by logistic regression (recurrent falls as outcome variable) for each age group (older and oldest-old group) were developed considering pain as a quantitative variable (according to FPS score). Models were adjusted for age, gender, balance, muscle strength, depressive symptoms, cognitive decline, number of drugs and number of drugs with risk of falls.

results114 (51.35%) and 286 (52%) participants of older and oldest-old group, respectively, reported pain; and recurrent falls occurred in 6.93% (n = 12) of the older group and 12.06% (n = 51) of the oldest-old group. In the older group, pain was associated with recurrent falls, with an associated odds ratio (OR) of 1.47 (95% CI 1.08-2.00; beta 0.3864) for each unit increase in pain intensity (thus, participants with the most severe pain [FPS 6] had OR of 10.16 regarding to participants without pain [FPS 0]). In the oldest-old group, pain was not associated with recurrent falls.

conclusionsPain, a potentially modifiable and highly prevalent symptom, is a risk factor for recurrent falls in the older people (65-79 years). However, we have not been able to demonstrate that this relationship is maintained in the oldest-old population (80 or more years).

Indexed as

Accidental FallsPainAged, 80 and overFemaleHumansLogistic ModelsMaleProspective StudiesRisk FactorsFallsOldest-old peopleRisk factors

Identifiers

PMID31937248
PMCPMC6961391
OpenAlexW3009291809

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LicenceCC BY
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Registered trials

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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.