Evidence map›Paper›PMID 38418713›Full record

SynthesisEuropean geriatric medicine2024

Factors associated with concerns about falling and activity restriction in older adults after hip fracture: a mixed-methods systematic review.

Stefanny Guerra, Toby Ellmers, Ruqayyah Turabi, Magda Law, Aishwarya Chauhan, Rhian Milton-Cole, Emma Godfrey, Katie J Sheehan

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Observational
  6. 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 at 3 institutions in 1 country.

Stefanny GuerraDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK. stefanny.guerra@kcl.ac.uk.ORCID 0000-0001-6789-3040
Toby EllmersDepartment of Brain Sciences, Faculty of Medicine, Imperial College London, London, UK.
Ruqayyah TurabiDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.
Magda LawDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.
Aishwarya ChauhanDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.
Rhian Milton-ColeDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.
Emma GodfreyDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.
Katie J SheehanDepartment of Population Health Sciences, School of Life Course and Population Sciences, Kings College London, London, UK.
King's College London · GBQueen Mary University of London · GBImperial College London · GB

Funding

Medical Research Council MR/S032819/1
6 · The paper itself

Abstract

purposeTo investigate factors contributing to concerns about falling and activity restriction in the community among older adults who had a hip fracture.

methodsA mixed method systematic review with a convergent segregated approach. We searched Medline, Embase, PsycInfo, PEDRo, CINAHL and the Cochrane library. Results were synthesised narratively considering physical, psychological, environmental, care, and social factors and presented in tables. Critical appraisal was completed in duplicate.

resultsWe included 19 studies (9 qualitative, 9 observational, 1 mixed methods) representing 1480 individuals and 23 factors related to concerns about falling and activity restriction. Physical factors included falls history, comorbidities, balance, strength, mobility and functionality. Psychological factors included anxiety and neuroticism scores, perceived confidence in/control over rehabilitation and abilities, and negative/positive affect about the orthopaedic trauma, pre-fracture abilities and future needs. Environmental factors included accessibility in the home, outdoors and with transport. Social and care factors related to the presence or absence of formal and informal networks, which reduced concerns and promoted activity by providing feedback, advice, encouragement, and practical support.

conclusionThese findings highlight that to improve concerns about falling and activity restriction after hip fracture, it is important to: improve physical and functional abilities; boost self-confidence; promote positive affect; involve relatives and carers; increase access to clinicians, and; enhance accessibility of the home, outdoors and transport. Most factors were reported on by a small number of studies of varying quality and require replication in future research.

Indexed as

Accidental FallsHip FracturesActivities of Daily LivingAgedAged, 80 and overFemaleHumansMalePostural BalanceActivity avoidanceBalance confidenceFear avoidanceFear of fallingFragility fracture

Identifiers

PMID38418713
PMCPMC10997732
OpenAlexW4392230124

What Socratic holds

Textmetadata
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 Socratic graph.