Evidence map›Paper›PMID 37725607›Full record

ArticlePloS one2023

Identification of the simultaneous use of multiple hypnotics as a risk factor for falls in hospitalized patients by a matched case-control study.

Chihiro Morishita, Yu Tamada, Akiyoshi Shimura, Yoshiki Ishibashi, Motoki Higashiyama, Jiro Masuya, Shinji Higashi, Takeshi Inoue, Yota Fujimura

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 4 institutions in 1 country.

Chihiro MorishitaDepartment of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.ORCID 0000-0002-8480-9303
Yu TamadaDepartment of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Akiyoshi ShimuraDepartment of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Yoshiki IshibashiDepartment of Preventive Medicine and Public Health, School of Medicine, Keio University, Shinjuku-ku, Tokyo, Japan.
Motoki HigashiyamaDepartment of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Jiro MasuyaDepartment of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Shinji HigashiDepartment of Psychiatry, Tokyo Medical University Ibaraki Medical Center, Inashiki-gun, Ibaraki, Japan.
Takeshi InoueDepartment of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Yota FujimuraDepartment of Psychiatry, Tokyo Medical University Hachioji Medical Center, Hachioji-shi, Tokyo, Japan.
Tokyo Medical University · JPKeio University · JPTokyo Medical University Hachioji Medical Center · JPTokyo Medical University Ibaraki Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe risk of falls owing to simultaneous use of multiple hypnotics has not been clarified. The aim of this study was to assess the association between the simultaneous use of 2 hypnotics and the occurrence of falls in hospitalized patients.

methodsA matched case-control study was conducted at Tokyo Medical University Hospital in Tokyo, Japan, utilizing data from medical records. Cases were 434 hospitalized patients who experienced falls during their hospital stay between January 2016 and December 2016, and controls were 434 hospitalized patients without falls, individually matched by age, sex, and clinical department. The outcome was the occurrence of an in-hospital fall. The associations between the use of 1 hypnotic and falls, and between the use of 2 hypnotics and falls were assessed by conditional logistic regression analyses. The main multivariable conditional logistic regression model was adjusted for potential risk factors, including the use of other classes of psychotropics (antipsychotics, antidepressants, and anxiolytics), in addition to patient characteristics.

resultsThe main multivariable conditional logistic regression analyses showed that the simultaneous use of 2 hypnotics (odds ratio [OR] = 2.986; 95% confidence interval [CI], 1.041-8.567), but not the use of a single hypnotic (OR = 1.252; 95% CI, 0.843-1.859), was significantly associated with an increased OR of falls.

conclusionThe simultaneous use of 2 hypnotics is a risk factor for falls among hospitalized patients, whereas the use of a single hypnotic may not.

Indexed as

Accidental FallsHypnotics and SedativesCase-Control StudiesHospitals, UniversityHumansRisk FactorsHypnotics and Sedatives

Identifiers

PMID37725607
PMCPMC10508619
OpenAlexW4386859678

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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.