Evidence map›Paper›PMID 32228478›Full record

ArticleBMC geriatrics2020

Prevalence of medication-related falls in 200 consecutive elderly patients with hip fractures: a cross-sectional study.

Charlotte Uggerhøj Andersen, Pernille Overgaard Lassen, Hussain Qassim Usman, Nadja Albertsen, Lars Peter Nielsen, Stig Andersen

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 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 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

6 authors at 1 institution in 1 country.

Charlotte Uggerhøj AndersenDepartment of Clinical Pharmacology, Aalborg University Hospital, Mølleparkvej 8, 9000, Aalborg, Denmark. c.uggerhoej@rn.dk.
Pernille Overgaard LassenDepartment of Geriatric and Internal Medicine, Aalborg University Hospital, Aalborg, Denmark.
Hussain Qassim UsmanDepartment of Geriatric and Internal Medicine, Aalborg University Hospital, Aalborg, Denmark.
Nadja AlbertsenDepartment of Geriatric and Internal Medicine, Aalborg University Hospital, Aalborg, Denmark.
Lars Peter NielsenDepartment of Clinical Pharmacology, Aalborg University Hospital, Mølleparkvej 8, 9000, Aalborg, Denmark.
Stig AndersenDepartment of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Aalborg University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip fractures constitute a major health problem in elderly people and are often fall-related. Several factors can contribute to a fall episode leading to hip fracture, including fall-risk-increasing drugs (FRIDs), which are often used by elderly people. We aimed to investigate the prevalence of medication-related falls and to assess the role of FRIDs and potentially inappropriate medications (PIMs) in a population of elderly patients hospitalized for a hip fracture.

methodsWe reviewed the patient records of 200 consecutive patients, aged ≥65 years, who were admitted for a hip fracture and evaluated whether medications were likely to have contributed to the fall episode. PIMs were identified using the Screening Tool of Older Persons' Prescriptions version 2 (STOPP) and by evaluating indications, contra-indications and interactions of the prescribed medications for each patient.

resultsFRIDs were used by 175 patients (87.5%). Medications were considered a likely contributor to the fall in 82 patients (41%). These were most often psychotropic medications alone or in combination with antihypertensives and/or diuretics. The 82 patients with suspected medication-related falls used more medications, FRIDs and PIMs than the rest of the patients, and in 74 (90%) of the 82 patients, at least one medication considered to be a contributor to the fall was also a PIM.

conclusionsThe prevalence of suspected medication-related falls was 41%. It seems likely that a medication review could have reduced, though not eliminated, the risk of falling in this group of patients.

Indexed as

Accidental FallsHip FracturesAgedAged, 80 and overCross-Sectional StudiesHumansInappropriate PrescribingPolypharmacyPotentially Inappropriate Medication ListPrevalenceFallFall-risk-increasing drugsGeriatricsPolypharmacyPotentially inappropriate medication

Identifiers

PMID32228478
PMCPMC7106700
OpenAlexW3014053149

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.