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Falls as a complication of diabetes mellitus in older people
Tilling LM, Darawil K, Britton M.. Journal of diabetes and its complications, 2006-05-01
Topic: Risk, prevention and care in population studies
Objectives The aims of this study were to determine the incidence of falls in a group of elderly patients with diabetes and to assess for the prevalence of risk factors for falls in this population. Design This is a population-based study with questionnaire-based interviews. Setting The setting for this study was the London District General Hospital outpatient department. Participants Seventy-seven patients with diabetes, aged over 65 years, randomly selected whilst attending for general diabetic annual review. Patients with dementia, blindness, and immobility and those who were unable to give informed consent were excluded from this study. Measurements The incidence of falls in the last 12 months was used. Information was collected on the incidence of hypoglycaemic episodes, the presence of other medical conditions, visual impairment, and peripheral neuropathy, the use of medications and walking aids, and HbA1C and blood pressure control. Results The incidence of falls was 39%. Falls occurred more frequently in female patients and patients of increasing age. Falls occurred more frequently in patients with poor diabetic control [risk ratio (RR)=7.83 (2.948-20.799), chi2 value=6.422]; patients requiring assistance with mobility: for those mobile with a stick [RR=1.839 (1.048-3.227), chi2=4.619]; and those who had previously suffered a stroke [RR=1.929 (1.143-3.257), chi2=4.615]. Conclusion We provide evidence that poorly controlled diabetes and conditions associated with complications of diabetes are associated with an increased risk of falling in older people. We recommend early recognition of the multiple causes of falls in the older diabetic patient and prompt referral of this group of patients to a specialist falls clinic.
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APA 7th
Tilling, L. M., Darawil, K., & Britton, M. (2006). Falls as a complication of diabetes mellitus in older people. Journal of diabetes and its complications. https://doi.org/10.1016/j.jdiacomp.2005.06.004
Vancouver
Tilling LM, Darawil K, Britton M. Falls as a complication of diabetes mellitus in older people. Journal of diabetes and its complications. 2006. doi:10.1016/j.jdiacomp.2005.06.004. PMID: 16632235.
BibTeX
@article{tilling2006-16632235,
author = {Tilling, L. M. and Darawil, K. and Britton, M.},
title = {{Falls as a complication of diabetes mellitus in older people}},
journal = {Journal of diabetes and its complications},
year = {2006},
doi = {10.1016/j.jdiacomp.2005.06.004},
pmid = {16632235},
url = {https://doi.org/10.1016/j.jdiacomp.2005.06.004}
}
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Key findings
- Conclusion We provide evidence that poorly controlled diabetes and conditions associated with complications of diabetes are associated with an increased risk of falling in older people.
Study details
- Effect sizeRR=1.839; RR=1.929
- Evidence strengthLow
How this study scored 41/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomized / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multicenter collaboration, so those were left out: it earned 24 of the 58 points we could judge it on, which is 41 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of diabetes and its complications) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2006 — older than 20 years, still counted |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 3 / 3 | Effect reported with a statistic (interval, p-value, ratio or similar) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multicenter collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 16632235) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 24 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 24 of the 58 points we could judge it on is 41 out of 100. |
| Total | 41 / 100 | — |
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