Evidence map›Paper›PMID 34240282›Full record

ArticleJournal of general internal medicine2021

24-Months Cluster-Randomized Intervention Trial of a Targeted Fall Prevention Program in a Primary Care Setting.

Christian Hentschke, Martin Halle, Barbara Geilhof, Peter Landendoerfer, Wolfgang Blank, Cornel Christian Sieber, Monika Siegrist, Ellen Freiberger

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Exercise based reduction of falls in communitydwelling older adults: a network meta-analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023
    Review
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 2 institutions in 2 countries.

Christian HentschkeInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408, Nuremberg, Germany.
Martin HalleDepartment of Prevention and Sports Medicine, University Hospital 'rechts der Isar', Technical University of Munich, Munich, Germany.
Barbara GeilhofDepartment of Prevention and Sports Medicine, University Hospital 'rechts der Isar', Technical University of Munich, Munich, Germany.
Peter LandendoerferInstitute of General Practice, University Hospital 'rechts der Isar', Technical University of Munich, Munich, Germany.
Wolfgang BlankInstitute for General Practitioner, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nuremberg, Germany.
Cornel Christian SieberInstitute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408, Nuremberg, Germany.
Monika Siegrist *Department of Prevention and Sports Medicine, University Hospital 'rechts der Isar', Technical University of Munich, Munich, Germany.
Ellen Freiberger *Institute for Biomedicine of Aging, Friedrich-Alexander-Universität Erlangen-Nürnberg, Kobergerstr. 60, 90408, Nuremberg, Germany. Ellen.Freiberger@fau.de.ORCID http://orcid.org/0000-0002-6506-6276
Friedrich-Alexander-Universität Erlangen-Nürnberg · DETUM Klinikum · DE

Funding

Bayerisches Staatsministerium für Umwelt und Verbraucherschutz LP 00110, Pr.Nr. 09-10
6 · The paper itself

Abstract

backgroundFalls and fall-related injuries are common in community-dwelling older persons. Longitudinal data on effective fall prevention programs are rare.

objectiveTherefore, we evaluated a 4-months multi-component exercise fall prevention program in a primary care setting on long-term effects over 24 months on falls and concomitant injuries in older community-dwelling persons with high risk of falling. DESIGN AND

settingIn the Prevention of Falls (PreFalls) study, forty general practitioners in Germany were cluster-randomized (1:1) into an intervention group (IG) or control group (CG). Three hundred seventy-eight independently living people with high risk of falling (78.1 ± 5.9 years, 75% women) were assigned to IG (n = 222) or CG (n = 156). INTERVENTION AND MEASUREMENTS: Patients in IG took part in a 4-months multi-component exercise program comprising strength and balance exercises (28 sessions); patients in CG received no intervention. Primary outcome measure was number of falls over 24 months, analyzed by a patient-level, linear mixed Poisson model. Secondary endpoints were number of fall-related injuries, changes in physical function, fear of falling, and mortality.

resultsAfter 24 months, the IG demonstrated significantly fewer falls (IRR = 0.63, p = 0.021), injurious falls (IRR = 0.69, p = 0.034), and less fear of falling (p = 0.005). The mortality rate was 5.0% in IG and 10.3% in CG (HR = 0.51, 95% CI: 0.24 to 1.12; p = 0.094).

conclusionsIn older community-dwelling persons with high risk of falling, a short-term multi-component exercise intervention reduced falls and injurious falls, as well as fear of falling over 24 months.

Indexed as

agedexercisefallspreventionprimary care

Identifiers

PMID34240282
OpenAlexW3181944391

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.