Evidence map›Paper›PMID 38002746›Full record

ArticleJournal of clinical medicine2023

A Multicomponent Primary-Care Intervention for Preventing Falls in Older Adults Living in the Community: The PREMIO Study.

Walter Marrocco, Antonella Galli, Silvestro Scotti, Nicola Calabrese, Paolo Misericordia, Alessandro Dalle Vedove, Gianmarco Marrocco, Antonio Pio D'Ingianna, Andrea Pizzini, Massimo Fini and 3 more

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

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 3 institutions in 1 country.

Walter MarroccoFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.ORCID 0000-0002-3834-2247
Antonella GalliFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Silvestro ScottiFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Nicola CalabreseFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Paolo MisericordiaFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Alessandro Dalle VedoveNETMEDICA ITALIA, 00125 Rome, Italy.
Gianmarco MarroccoFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Antonio Pio D'IngiannaFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.
Andrea PizziniFederazione Italiana Medici di Medicina Generale-F.I.M.M.G. (Italian Federation of General Practitioners), 00125 Rome, Italy.ORCID 0000-0001-8184-7534
Massimo FiniIRCCS San Raffaele, 00166 Rome, Italy.
Carlo TominoIRCCS San Raffaele, 00166 Rome, Italy.ORCID 0000-0003-1823-2195
Stefano BonassiIRCCS San Raffaele, 00166 Rome, Italy.ORCID 0000-0003-3833-6717
On Behalf Of The F I M M G Research Premio Group
Società Italiana di Medicina Generale · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITSan Raffaele University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls are a common cause of morbidity and functional impairment in the elderly and represent a significant health problem. General practitioners (GPs) are the first point of contact for health issues and may provide preventive services. The randomized clinical trial PREMIO was conducted by GPs to evaluate the effects of a multicomponent intervention for the prevention of falls in older adults aged ≥ 65 years at high risk of falling.

methods117 GPs enrolled 1757 patients (1116 F, 641 M) and randomized them into 2 groups (intervention and control). The intervention group received medical and behavioral counseling, home risk-factor assessment, a physical-activity program and nutritional counseling. The control group received only the nutritional counseling. Both groups were followed for one year. The primary outcome was the rate of falls at home over 12 months.

results1225 patients completed the study. Subjects receiving the intervention had, on average, fewer falls at home (percentage change -31.2%,

conclusionsFuture studies and public-health interventions to prevent domestic falls among community-dwelling older people at high risk of falling could benefit from a multicomponent approach including medication review, physical exercise and home risk assessment and should include assessment of risk factors for fractures.

Indexed as

elderly peoplefallsfracturesprevention

Identifiers

PMID38002746
PMCPMC10672084
OpenAlexW4388722774

What OpenQuestion holds

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LicenceCC BY
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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.