Evidence map›Paper›PMID 33327354›Full record

SynthesisMedicine2020

A systematic review and meta-analysis of fall incidence and risk factors in elderly patients after total joint arthroplasty.

Yang Liu, Yanjiang Yang, Hao Liu, Wenyuan Wu, Xintao Wu, Tao Wang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 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.

Yang LiuDepartment of Orthopaedics and Traumatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine , Cangzhou.ORCID 0000-0003-2966-5439
Yanjiang YangDepartment of Orthopaedic Surgery, the Second Hospital of Zhangjiakou City, Zhangjiakou, Hebei, PR China.
Hao LiuDepartment of Orthopaedics and Traumatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine , Cangzhou.
Wenyuan WuDepartment of Orthopaedics and Traumatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine , Cangzhou.
Xintao WuDepartment of Orthopaedics and Traumatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine , Cangzhou.
Tao WangDepartment of Orthopaedics and Traumatology, Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine , Cangzhou.
Zhangjiakou Academy of Agricultural Sciences · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls in the elderly have become a serious social problem worldwide. Approximately a third of persons fall at least once in the year after total joint arthroplasty (TJA), but preventing and treating falls is still challenging in clinical practice. Until now, no formal systematic review or meta-analysis was performed to summarize the risk factors of falls after TJA. The present study aimed to quantitatively and comprehensively conclude the risk factors of falls after TJA in elderly patients.

methodsThe electronic databases to be searched include CNKI, Embase, Medline, and Cochrane central database (all up to November 2018). All studies on the risk factors of falls after TJA in elderly patients without language restriction were reviewed. Process of evaluation of identified studies and extraction of data were independently conducted by 2 reviewers, qualities of included studies were assessed using the Newcastle-Ottawa Scale. Data were pooled and a meta-analysis completed. All analyses were performed by the software Stata 11.0.

resultsA total of 14 studies were included, which altogether included 1284456 patients with TJA, of them 12879 cases of falls occurred after surgery, suggesting the accumulated incidence of 13.1% and the prevalence of in-hospital falls was 1.0%. This study has provided evidence for the preventing of falls in the elderly patients who were underwent TJA. Outcome measures include advanced age, female, Overweight (BMI≥25 kg/m), falls history, use of walking aid, diabetes, cardiac disease, hypertension, COPD and depressive symptoms. The ABC Scale was significantly negatively correlated with falls after lower extremity joint replacement.

conclusionsRelated prophylaxis strategies should be implemented in elderly patients involved with above-mentioned risk factors to prevent falls after TJA.

Indexed as

Accidental FallsAgedAged, 80 and overAge FactorsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBody Mass IndexComorbidityFemaleHumansIncidenceMaleMiddle AgedRisk FactorsSex Factors

Identifiers

PMID33327354
PMCPMC7738153
OpenAlexW3111753101

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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.