Evidence map›Paper›PMID 33021638›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2021

Risk Factors for Hospital Admission After a Fall: A Prospective Cohort Study of Community-Dwelling Older People.

Jessica G Abell, Camille Lassale, G David Batty, Paola Zaninotto

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 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

4 authors at 3 institutions in 3 countries.

Jessica G AbellDepartment of Behavioural Science and Health, University College London, UK.
Camille LassaleDepartment of Epidemiology and Public Health, University College London, UK.
G David BattyDepartment of Epidemiology and Public Health, University College London, UK.
Paola ZaninottoDepartment of Epidemiology and Public Health, University College London, UK.
University College London · GBHospital Del Mar · ESOregon State University · US

Funding

Project-001R01AG017644 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI Andrew Steptoe · 2000 to 2026
$56.2M
Healthy transitions from mid-life to early older age: biomedical follow-up of 1958 Birth Cohort Study members at age 60R01AG052519 · NIA · UNIVERSITY COLLEGE LONDON · PI BATTY, DAVID, GOODMAN, ALISSA · 2017 to 2021
$1.9M
Healthy transitions from mid-life to early older age: biomedical follow-up of 1958 Birth Cohort Study members at age 60R56AG052519 · NIA · UNIVERSITY COLLEGE LONDON · PI BATTY, DAVID, GOODMAN, ALISSA · 2016 to 2016
$500k
Department of HealthMedical Research Council MR/P023444/1NIA NIH HHS R01 AG017644NIA NIH HHS R01 AG052519NIA NIH HHS R56 AG052519
6 · The paper itself

Abstract

backgroundFalls in later life that require admission to hospital have well-established consequences for future disability and health. The likelihood and severity of a fall will result from the presence of one or more risk factors. The aim of this study is to examine risk factors identified for their ability to prevent falls and to assess whether they are associated with hospital admission after a fall.

methodsAnalyses of data from the English Longitudinal Study of Aging (ELSA), a prospective cohort study. In a sample of 3783 men and women older than 60 years old, a range of potential risk factors measured at Wave 4 (demographic, social environment, physical, and mental functioning) were examined as predictors of fall-related hospitalizations, identified using International Classification of Diseases, 10th Revision (ICD-10) code from linked hospital records in the United Kingdom. Subdistribution hazard models were used to account for competing risk of death.

resultsSeveral risk factors identified by previous work were confirmed. Suffering from urinary incontinence (subdistribution hazard ratio = 1.49; 95% CI: 1.14, 1.95) and osteoporosis (subdistribution hazard ratio = 1.48; 95% CI: 1.05, 2.07), which are not commonly considered at an early stage of screening, were found to be associated with hospital admission after a fall. Both low and moderate levels of physical activity were also found to somewhat increase the risk of hospital admission after a fall.

conclusionsSeveral predictors of having a fall, severe enough to require hospital admission, have been confirmed. In particular, urinary incontinence should be considered at an earlier point in the assessment of risk.

Indexed as

Accidental FallsIndependent LivingMental CompetencyActivities of Daily LivingAged, 80 and overFemaleHospitalizationHumansLongitudinal StudiesMaleOsteoporosisPrognosisProportional Hazards ModelsRisk AssessmentRisk FactorsUnited KingdomFallsHospital admissionRisk factorsUrinary incontinence

Identifiers

PMID33021638
PMCPMC8427733
OpenAlexW3090354709

What OpenQuestion holds

Textmetadata
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.