Evidence map›Paper›PMID 41646204›Full record

ArticleThe mental health clinician2026

Examining individual serotonin and norepinephrine reuptake inhibitors and fall-related hospitalizations in older adults.

Lakedra E White, Chelsea A Keedy, Jianing Xu, Kristen N Pierce, Daniel B Hall, Jinae Lee, Ashlee C Greene, Joshua Caballero

Abstract read
In one paragraph

Article in The mental health clinician, 2026. 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

8 authors.

Lakedra E WhitePGY-2 Ambulatory Care Pharmacy Resident, Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Savannah, Georgia.ORCID https://orcid.org/0009-0007-0790-5346
Chelsea A KeedyClinical Assistant Professor, Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Savannah, Georgia.ORCID https://orcid.org/0000-0001-8975-5634
Jianing XuStatistical Consultant, Department of Statistics Franklin College of Arts and Sciences, University of Georgia, Athens, Georgia.ORCID https://orcid.org/0000-0002-3891-8867
Kristen N PierceClinical Pharmacy Specialist, St. Joseph's Candler Health System, Savannah, Georgia.ORCID https://orcid.org/0009-0009-2442-7686
Daniel B HallProfessor and Director, Statistical Consulting Center, Department of Statistics, Franklin College of Arts and Sciences, University of Georgia, Athens, Georgia.ORCID https://orcid.org/0000-0003-2543-2400
Jinae LeeAssociate Director of the Statistical Consulting Center, Department of Statistics, Franklin College of Arts and Sciences, University of Georgia, Athens, Georgia.ORCID https://orcid.org/0000-0003-4280-8131
Ashlee C GreenePharmD Candidate 2026, College of Pharmacy, University of Georgia, Savannah, Georgia.ORCID https://orcid.org/0009-0006-4356-0026
Joshua Caballero(Corresponding author) Associate Professor, Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Athens, Georgia, joshua.caballero@uga.edu.ORCID https://orcid.org/0000-0003-4406-2425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: MDD is often managed with antidepressants that may carry a fall risk. Limited data exist comparing fall risk across individual SNRIs. Therefore, this study aimed to determine the fall rates associated with SNRIs. Methods: Data were drawn from Merative MarketScan Medicare Supplemental claims (January 1, 2015 to November 30, 2021), including adults 65 years and older prescribed an SNRI (ie, duloxetine, venlafaxine, desvenlafaxine, milnacipran, levomilnacipran). The index date was the first prescription claim. Patients were followed up to 1 month after their last prescription to identify falls, using International Classification of Diseases (ICD) 9 Results: A total of 79 256 patients met eligibility (68% female; mean age: 75 years). Duloxetine (66%) and venlafaxine (30%) were the most prescribed. The overall fall rate was approximately 1% with duloxetine having the highest (1.1%), and venlafaxine having the lowest rate (0.68%). Injuries occurred in 79% of fall cases. After adjusting for age, sex, and comorbidities, the odds ratio for falling with venlafaxine versus duloxetine was 0.69 (95% CI = 0.56, 0.83), indicating a 31% odds reduction with venlafaxine compared with duloxetine. Discussion: Venlafaxine appears to have a lower fall risk than duloxetine. Further studies are needed to determine clinical significance and assess fall-related costs to support safer SNRI use in older adults.

Indexed as

data claimsduloxetineelderlyfallsinjurymarketscanolder adultsserotonin norepinephrine reuptake inhibitorsvenlafaxine

Identifiers

PMID41646204
PMCPMC12872345

What OpenQuestion holds

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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.