ArticleJournal of the American Medical Directors Association2020
Risk of Hospitalized Falls and Hip Fractures in 22,103 Older Adults Receiving Mental Health Care vs 161,603 Controls: A Large Cohort Study.
Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Who cites it
14 citing papers in PubMed, 36 citations in OpenAlex.
- A Pilot Randomized Trial of a Program to Prevent Falls Among Community-Dwelling Adults Living with Mental Illness Demonstrates Feasibility.Inquiry : a journal of medical care organization, provision and financingTrial
- Integrated physical and mental healthcare for older adults in Europe: from concept to implementation-a joint EuGMS and EAGP perspectives paper.European geriatric medicine · 2026Article
- Implementation evaluation of a comprehensive CARE record to reduce hospital-acquired complications: a mixed-methods pre-post study.BMJ open · 2025Article
- Incidence and Risk Factors of Postoperative Delirium in Elderly Patients Following Hip Fracture Surgery: A Nationwide Retrospective Cohort Study in Taiwan.International journal of geriatric psychiatry · 2025Article
- Interaction effects of alcohol consumption and dizziness/vertigo on fall risk in psychiatric Inpatients: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Rate and risk factors for inpatient falls following single-level posterior lumbar fusion: A national registry study.North American Spine Society journal · 2024Article
- Severe mental illness as a risk factor for recorded diagnosis of osteoporosis and fragility fractures in people aged ≥50 years: retrospective cohort study using UK primary care data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Causal associations between genetically determined common psychiatric disorders and the risk of falls: evidence from Mendelian randomization.European journal of medical research · 2023Article
- Therapeutic dilemma's: antipsychotics use for neuropsychiatric symptoms of dementia, delirium and insomnia and risk of falling in older adults, a clinical review.European geriatric medicine · 2023Review
- Incidence of potentially disruptive medical and social events in older adults with and without dementia.Journal of the American Geriatrics Society · 2022Article
- Prospective association between depressive symptoms and hip fracture and fall among middle-aged and older Chinese individuals.BMC psychiatry · 2022Article
- Data Science Trends Relevant to Nursing Practice: A Rapid Review of the 2020 Literature.Applied clinical informatics · 2022Review
- Prevalence and characteristics of registered falls in a Belgian University Psychiatric Hospital.Frontiers in public health · 2022Article
- Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic.International orthopaedics · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 4 countries.
Funding
Abstract
objectivesTo investigate the risk of hospitalized fall or hip fracture among older adults using mental health services.
designRetrospective cohort study. SETTING AND
participantsResidents of a South London catchment aged >60 years receiving specialist mental health care between 2008 and 2016. MEASURES: Falls and/or a hip fracture leading to hospitalization were ascertained from linked national records. Incidence rates and incidence rate ratios (IRRs) were age- and gender-standardized to the catchment population. Multivariable survival analyses were applied investigating falls and/or hip fractures as outcomes.
resultsIn 22,103 older adults, incidence rates were 60.1 per 1000 person-years for hospitalized falls and 13.7 per 1000 person-years for hip fractures, representing standardized IRRs of 2.17 [95% confidence interval (CI) 2.07-2.28] and 4.18 (3.79-4.60), respectively. The IRR for falls was high in those with substance-use disorder [IRR = 6.72 (5.35-8.33)], bipolar disorder [IRR = 3.62 (2.50-5.05)], depression [IRR = 2.28 (2.00-2.59)], and stress-related disorders [IRR = 2.57 (2.10-3.11)]. Hip fractures were increased in all populations (IRR > 2.5), with greatest risk in substance use disorders [IRR = 12.64 (7.22-20.52)], dementia [IRR = 4.38 (3.82-5.00)], and delirium [IRR = 4.03 (3.00-5.29)]. Comparing mental disorder subgroups with each other, after the adjustment for 25 potential confounders, patients with dementia and substance use had a significantly increased risk of falls, and patients with dementia also had an increased risk of hip fractures. CONCLUSION AND IMPLICATIONS: Older people using mental health services have more than double the incidence of falls and 4 times the incidence of hip fractures compared to the general population. Although incidences differ between diagnostic subgroups, all groups have a higher incidence than the general population. Targeted interventions to prevent falls and hip fractures among older adult mental health service users are urgently needed.
Indexed as
Identifiers
What Socratic holds
Registered trials
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 Socratic graph.