Evidence map›Paper›PMID 31940406›Full record

ArticlePloS one2020

Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age.

Sergio Cordovilla-Guardia, Tania Bautista Molina, Cristina Franco-Antonio, Esperanza Santano-Mogena, Raquel Vilar-López

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 13 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

5 authors at 3 institutions in 1 country.

Sergio Cordovilla-GuardiaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.ORCID 0000-0001-7651-5017
Tania Bautista MolinaHospital Universitario Virgen de las Nieves, Granada, Spain.
Cristina Franco-AntonioNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.
Esperanza Santano-MogenaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.
Raquel Vilar-LópezMind, Brain and Behavior Research Centre, University of Granada, Granada, Spain.
Universidad de Extremadura · ESHospital Universitario Virgen de las Nieves · ESUniversidad de Granada · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe relationship between benzodiazepines, opioids and tricyclic antidepressants and trauma is of great importance because of increased consumption and the growing evidence of a positive association among older adults. The objective of this study was to determine the effect size of the association between the consumption of psychotropic medications /opioids and falls in patients who have suffered trauma by studying the role of other variables in this relationship.

methodFrom 2011 to 2016, the presence of benzodiazepines, opioids and tricyclic antidepressants and other drugs in 1060 patients admitted for trauma at a level I trauma hospital was analysed. Multivariate models were used to measure the adjusted effect size of the association between consumption of benzodiazepines, opioids and tricyclic antidepressants and falls, and the effect of age on this association was studied.

resultsA total of 192 patients tested positive for benzodiazepines, opioids and tricyclic antidepressants, with same-level falls being the most frequent mechanism of injury in this group (40.1%), with an odds ratio of 1.96 (1.40-2.75), p < 0.001. Once other covariates were introduced, this association was not observed, leaving only age, gender (woman) and, to a lesser extent, sensory conditions as variables associated with falls. Age acted as an effect modifier between benzodiazepines, opioids and tricyclic antidepressants and falls, with significant effect sizes starting at 51.9 years of age.

conclusionsThe association between the consumption of benzodiazepines, opioids and tricyclic antidepressants and falls in patients admitted for trauma is conditioned by other confounding variables, with age being the most influential confounding variable.

Indexed as

Accidental FallsAgedAge FactorsAnalgesics, OpioidAntidepressive Agents, TricyclicBenzodiazepinesConfounding Factors, EpidemiologicFemaleHospitalizationHumansMaleMiddle AgedOdds RatioRisk FactorsSpainWounds and InjuriesAnalgesics, OpioidAntidepressive Agents, TricyclicBenzodiazepines

Identifiers

PMID31940406
PMCPMC6961940
OpenAlexW2999933152

What OpenQuestion holds

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LicenceCC BY
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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.