Evidence map›Paper›PMID 39327113›Full record

ArticleInjury2025

Identifying opportunities for community EMS fall prevention.

Tynan H Friend, Alexander J Ordoobadi, Zara Cooper, Ali Salim, Molly P Jarman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Tynan H FriendWarren Alpert Medical School of Brown University, Providence, RI, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA. Electronic address: tfriend@mgh.harvard.edu.
Alexander J OrdoobadiCenter for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Gillian Reny Stepping Strong Center for Trauma Innovation, Brigham and Women's Hospital, Boston, MA, USA; Department of Surgery, Harvard Medical School, Boston, MA, USA.
Zara CooperCenter for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Department of Surgery, Harvard Medical School, Boston, MA, USA.
Ali SalimCenter for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Gillian Reny Stepping Strong Center for Trauma Innovation, Brigham and Women's Hospital, Boston, MA, USA; Department of Surgery, Harvard Medical School, Boston, MA, USA.
Molly P JarmanCenter for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Gillian Reny Stepping Strong Center for Trauma Innovation, Brigham and Women's Hospital, Boston, MA, USA; Department of Surgery, Harvard Medical School, Boston, MA, USA.

Funding

Health Impacts of Prehospital Pain Management for Injured Older AdultsK01AG065414 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI JARMAN, MOLLY PRICE · 2020 to 2024
$582k
NIA NIH HHS K01 AG065414NIA NIH HHS L60 AG074600
6 · The paper itself

Abstract

backgroundFalls are a leading cause of morbidity and mortality among older adults in the United States. Current fall prevention interventions rely on provider referral or enrollment during inpatient admissions and require engagement and independence of the patient. Community emergency medical services (CEMS) are a unique opportunity to rapidly identify older adults at risk for falls and provide proactive fall prevention interventions in the home. We describe the demographics and treatment characteristics of the older adult population most likely to benefit from these interventions. MATERIALS AND

methodsWe linked 2019 Healthcare Cost and Utilization Project Massachusetts State Emergency Department (ED) and State Inpatient Databases with American Hospital Association survey data to query ED encounters and inpatient admissions for adults age ≥55 with ED encounters for fall-related injury between July 1, 2019 and December 31, 2019. Univariable descriptive statistics assessed participant characteristics and bivariable tests of significance compared diagnoses, disposition, and hospital characteristics between older adults with and without an EMS encounter in the six months prior to the presenting fall.

resultsOf 66,027 older adults who presented with a fall to a Massachusetts ED in July-December 2019, 7,942 (11%) had a prior encounter with EMS in the preceding six months, most of which included an injury diagnosis (99%). Compared to older adults without previous EMS encounters, those with previous EMS encounters were more often in poorer health (17% vs. 10% with multiple or complex comorbidities, p < 0.001) and of lower socioeconomic status (12% vs. 8% in lowest neighborhood income quartile, p < 0.001; 10% vs. 6% enrolled in Medicaid, p < 0.001) compared to those without a prior EMS encounter.

conclusionsA significant proportion of older adults presenting to the ED with fall related injury have encounters with EMS in the preceding months. These participants are predisposed to poorer health and economic outcomes worsened by their fall and thus demonstrate a population that would benefit from CEMS fall prevention programs.

Indexed as

Accidental FallsEmergency Medical ServicesAgedAged, 80 and overEmergency Service, HospitalFemaleHospitalizationHumansMaleMassachusettsMiddle AgedRisk AssessmentRisk FactorsUnited StatesWounds and InjuriesCommunity paramedicineEmergency medical servicesFallsSocial determinants of healthTrauma

Identifiers

PMID39327113
PMCPMC11695154

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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.