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ArticleEuropean geriatric medicine2025

Sleep quality, daytime sleepiness, and risk of falling: results from an exploratory cross-sectional study.

Francesco Salis, Rosamaria Lecca, Maristella Belfiori, Michela Figorilli, Elisa Casaglia, Patrizia Congiu, Martina Mulas, Monica Maria Francesca Puligheddu, Antonella Mandas

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Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Francesco SalisSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy. francesco-salis@tiscali.it.ORCID http://orcid.org/0000-0002-4512-9161
Rosamaria LeccaSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Maristella BelfioriSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Michela FigorilliSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Elisa CasagliaSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Patrizia CongiuSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Martina MulasSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Monica Maria Francesca Puligheddu *Sleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.
Antonella MandasSleep Disorder Centre, Department of Medical Sciences, and Public Health, University of Cagliari, SS 554 Bivio Sestu, 09042 Monserrato, Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is growing recognition of the importance of managing sleep disorders in the elderly, particularly given their complexity within a multidimensional framework. The aim of the present study is to investigate whether sleep quality and daytime sleepiness are associated with the risk of falls in older adults.

methodsThis study included patients aged 75 years or older who were consecutively evaluated at the Geriatric Service, University Hospital of Monserrato, Cagliari, Italy. Participants underwent geriatric assessment, including sleep analysis using the Pittsburgh Sleep Quality Index (PSQI), and the Epworth Sleepiness Scale (ESS), as well as an assessment of risk of falls with Performance Oriented Mobility Assessment (POMA).

resultsThe study included 206 subjects, of whom 70.4% were women, with a median age of 83 years. A total of 141 participants (68.4%) had poor sleep quality, and 43 (20.9%) had excessive daytime sleepiness (EDS). Among people at high risk of falls, 85 participants had bad sleep quality, and 24 a satisfying one (χ

conclusionsOur study demonstrated that an increased estimated risk of falling is associated with poor sleep quality and EDS in older adults, independently of the confounders.

Indexed as

Accidental FallsDisorders of Excessive SomnolenceSleep QualitySleep Wake DisordersAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHumansItalyMaleRisk FactorsDaytime sleepinessElderlyRisk of fallsSleep quality

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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.