CoChat
Sign Up
Cited by 415Balance, Gait, and Falls PreventionPharmaceutical Practices and Patient OutcomesDementia and Cognitive Impairment Research

The DOI matches its Crossref record; 28 of the 29 references it cites were found in a registry or an index.

Multifactorial intervention after a fall in older people with cognitive impairment and dementia presenting to the accident and emergency department: randomised controlled trial

Open access
Shaw, Fiona E, Bond, John, Richardson, David A, Dawson, Pamela, Steen, I Nicholas, McKeith, Ian G, Kenny, Rose Anne·2003·BMJ
DOI 10.1136/bmj.326.7380.73PMC PMC139930
Open this paper in CoChat — free account

Abstract

Abstract Objective: To determine the effectiveness of multifactorial intervention after a fall in older patients with cognitive impairment and dementia attending the accident and emergency department. Design: Randomised controlled trial. Participants: 274 cognitively impaired older people (aged 65 or over) presenting to the accident and emergency department after a fall: 130 were randomised to assessment and intervention and 144 were randomised to assessment followed by conventional care (control group). Setting: Two accident and emergency departments, Newcastle upon Tyne. Main outcome measures: Primary outcome was number of participants who fell in year after intervention. Secondary outcomes were number of falls (corrected for diary returns), time to first fall, injury rates, fall related attendances at accident and emergency department, fall related hospital admissions, and mortality. Results: Intention to treat analysis showed no significant difference between intervention and control groups in proportion of patients who fell during 1 year's follow up (74% (96/130) and 80% (115/144), relative risk ratio 0.92, 95% confidence interval 0.81 to 1.05). No significant differences were found between groups for secondary outcome measures. Conclusions: Multifactorial intervention was not effective in preventing falls in older people with cognitive impairment and dementia presenting to the accident and emergency department after a fall. What is already known on this topic Multifactorial intervention prevents falls in cognitively normal older people living in the community and in those who present to the accident and emergency department after a fall Fall prevention strategies have not been tested by controlled trials in patients with cognitive impairment and dementia who fall What this study adds No benefit was shown from multifactorial assessment and intervention after a fall in patients with cognitive impairment and dementia presenting to the accident and emergency department The intervention was less effective in these patients than in cognitively normal older people

Overview

Integrity signals

Registry

Crossref · 10.1136/bmj.326.7380.73

Cites

28 of 28 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Flagged first, then by citations

Show all 29 references

1 of the 29 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Items 201–300 of 415

Related

See all

Metadata

Authors
Shaw, F. E., Bond, J., Richardson, D. A., Dawson, P., Steen, I. N., McKeith, I. G., & Kenny, R. A.
Affiliations
Royal Victoria Infirmary (GB)
Corresponding author
Shaw, Fiona E
ORCID
Kenny, Rose Anne
Venue
BMJ
Publisher
BMJ
Published
2003-01-11
Volume
326
Issue
7380
Pages
73
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
DOI
10.1136/bmj.326.7380.73
PMC
PMC139930
OpenAlex
W2118107628
Cited by
414
References
29
Citations by year
2026: 9 · 2025: 5 · 2024: 14 · 2023: 12 · 2022: 9 · 2021: 9 · 2020: 12 · 2019: 16 · 2018: 29 · 2017: 13 · 2016: 19 · 2015: 11 · 2014: 21 · 2013: 20 · 2012: 25
FWCI
67.70
Type
journal article
Language
en
Open access
Licence
www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations
  • BMJ (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords
multifactorial intervention, fall prevention, falls in older adults, cognitive impairment, dementia, emergency department, injury rates, mortality
MeSH terms
Accidental Falls, Aged, Cognition Disorders, Dementia, Emergencies, Emergency Service, Hospital, Humans, Prospective Studies, Geriatric Assessment, Treatment Outcome

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review