Evidence map›Paper›PMID 38730402›Full record

Observational studyBMC geriatrics2024

Trends in falls among older adults before and during the COVID-19 pandemic in Ontario, Canada: A retrospective observational study.

Ashini Weerasinghe, Justin Thielman, Ye Li, Varsha B Doguparty, Alexia Medeiros, Sue Keller-Olaman, Sarah Carsley, Sarah A Richmond

Abstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2024. 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
–field-weighted citation impact
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. New and emerging drivers of ambulance demand.BMC emergency medicine · 2026
    Article
  2. Article
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.

Ashini WeerasinghePublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada. ashini.weerasinghe@oahpp.ca.
Justin ThielmanPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.
Ye LiPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.
Varsha B DogupartyPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.
Alexia MedeirosPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.
Sue Keller-OlamanPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.
Sarah CarsleyPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.
Sarah A RichmondPublic Health Ontario, 661 University Ave, Suite 1701, Toronto, ON , M5G 1M1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe public health measures associated with the COVID-19 pandemic may have indirectly impacted other health outcomes, such as falls among older adults. The purpose of this study was to examine trends in fall-related hospitalizations and emergency department visits among older adults before and during the COVID-19 pandemic in Ontario, Canada.

methodsWe obtained fall-related hospitalizations (N = 301,945) and emergency department visit (N = 1,150,829) data from the Canadian Institute for Health Information databases from 2015 to 2022 for adults ages 65 and older in Ontario. Fall-related injuries were obtained using International Classification of Diseases, 10th edition, Canada codes. An interrupted time series analysis was used to model the change in weekly fall-related hospitalizations and emergency department visits before (January 6, 2015-March 16, 2020) and during (March 17, 2020-December 26, 2022) the pandemic.

resultsAfter adjusting for seasonality and population changes, an 8% decrease in fall-related hospitalizations [Relative Rate (RR) = 0.92, 95% Confidence Interval (CI): 0.85, 1.00] and a 23% decrease in fall-related emergency department visits (RR = 0.77, 95%CI: 0.59, 1.00) were observed immediately following the onset of the pandemic, followed by increasing trends during the pandemic for both outcomes.

conclusionsFollowing an abrupt decrease in hospitalizations and emergency department visits immediately following the onset of the pandemic, fall-related hospitalizations and emergency department visits have been increasing steadily and are approaching pre-pandemic levels. Further research exploring the factors contributing to these trends may inform future policies for public health emergencies that balance limiting the spread of disease among this population while supporting the physical, psychological, and social needs of this vulnerable group.

Indexed as

Accidental FallsCOVID-19Emergency Service, HospitalHospitalizationAgedAged, 80 and overFemaleHumansMaleOntarioPandemicsRetrospective StudiesCOVID-19 pandemicED visitsFallsHospitalizationOlder adultsTime series

Identifiers

PMID38730402
PMCPMC11088052

What OpenQuestion holds

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LicenceCC BY
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.