Missed Opportunities to Diagnose and Intervene in Modifiable Risk Factors for Older Emergency Department Patients Presenting After a Fall

Davenport, Kathleen; Alazemi, Mejbel; Sri‐on, Jiraporn; Liu, Shan

doi:10.1016/j.annemergmed.2020.06.020

Cited by 14 publications

(10 citation statements)

References 19 publications

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“…8 Although falls are common and costly, 9 and recent evidence suggest that falls may be preventable in the ED setting, 4,7,10 ED-initiated fall screening and prevention efforts are not widespread, 11 perhaps due to the ED environment; limited resources in time and staffing are barriers to implementing impactful change in ED management of falls. [12][13][14] Given the mortality and morbidity associated with falls, there has been interest within emergency medicine to address falls and initiate ED-based fall prevention efforts. The Society for Academic Emergency Medicine (SAEM) Geriatric Emergency Medicine Task Force recognized fall prevention as one of three priority areas over 10 years ago.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement

Hammouda

Carpenter

Hung

et al. 2021

Academic Emergency Medicine

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Background: Although falls are common, costly, and often preventable, emergency department (ED)-initiated fall screening and prevention efforts are rare. The Geriatric Emergency Medicine Applied Research Falls core (GEAR-Falls) was created to identify existing research gaps and to prioritize future fall research foci.Methods: GEAR's 49 transdisciplinary stakeholders included patients, geriatricians, ED physicians, epidemiologists, health services researchers, and nursing scientists.We derived relevant clinical fall ED questions and summarized the applicable research evidence, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews. The highest-priority research foci were identified at the GEAR Consensus Conference.

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Section: Backg Rou N Dmentioning

confidence: 99%

Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement

Hammouda

Carpenter

Hung

et al. 2021

Academic Emergency Medicine

Self Cite

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“…As individuals in the moderate and high risk category are recommended to be targeted for balance intervention programs [ 29 ], health care professionals may benefit their older patients with early diagnostics and active intervention to prevent bad outcomes that follows an episode of fall (e.g., head trauma, spine and hip fractures, hospitalization) [ 61 , 62 ]. Moreover, a comprehensive balance screening focused on the lower limb and trunk’s muscles is essential to target the segments in need of care, as the current protocol is performed using the ankle strategy.…”

Section: Discussionmentioning

confidence: 99%

Balance Differences between North and South American Older Adults: A Cross-Sectional, Age and Sex Matched Study

et al. 2022

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This study aimed to characterize the risk of falling in low-, moderate- and high-risk participants from two different geographical locations using a portable force-plate. A sample of 390 older adults from South and North America were matched for age, sex, height and weight. All participants performed a standardized balance assessment using a force plate. Participants were classified in low, moderate and high risk of falling. No differences were observed between South and North American men, nor comparing North American men and women. South American women showed the significantly shorter center of pressure path length compared to other groups. The majority of the sample was categorized as having low risk of falling (male: 65.69% and female: 61.87%), with no differences between men and women. Moreover, no differences were found between North vs. South Americans, nor between male and female groups compared separately. In conclusion, South American women had better balance compatible with the status of the 50–59 years’ normative age-range. The prevalence of low falls risk was~61–65%; the prevalence of moderate to high risk was~16–19%. The frequency of fall risk did not differ significantly between North and South Americans, nor between males and females.

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“…head trauma, spine and hip fractures, hospitalization). [55,56] Also, a comprehensive balance screening focused on the lower limb and trunk's muscles is essential to target the segments in need of care, as the current protocol is performed using the ankle strategy. Thus, the classification is also based on the level of COP displacement considering only this strategy.…”

Section: Discussionmentioning

confidence: 99%

Balance Differences between North and South American Older Adults: A Cross-Sectional, Age and Sex Matched Study

Souza¹,

Goble²,

Arney³

et al. 2021

Preprint

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This study aimed to characterize the risk of falling in low, moderate and high risk participants from two different geographical locations using a portable force-plate. A sample of 390 older adults from South and North America were matched for age, sex, height and weight. All participants performed a standardized balance assessment using a force plate. Participants were classified in low, moderate and high risk of falling. No differences were observed between South and North American men, nor comparing North American men and women. South American women showed the significantly shorter center of pressure path length compared to other groups. The majority of the sample was categorized as having low risk of falling (male: 65.69 % and female: 61.87 %), with no differences between men and women. Also, no differences were found between North vs. South Americans, nor for falls risk levels when male and female groups were compared separately. In conclusion, South American women had better balance compatible with the status of the 50-59 years’ normative age-range. The prevalence of low falls risk was ~ 61-65 % and the prevalence of moderate to high risk was ~ 16-19 %. The frequency of fall risk did not differ significantly between North and South Americans, nor between males and females.

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Missed Opportunities to Diagnose and Intervene in Modifiable Risk Factors for Older Emergency Department Patients Presenting After a Fall

Cited by 14 publications

References 19 publications

Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement

Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement

Balance Differences between North and South American Older Adults: A Cross-Sectional, Age and Sex Matched Study

Balance Differences between North and South American Older Adults: A Cross-Sectional, Age and Sex Matched Study

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