Prehospital emergency services screening and referral to reduce falls in community-dwelling older adults: a systematic review

Zozula, Alexander; Carpenter, Christopher R.; Lipsey, Kim; Stark, Susan

doi:10.1136/emermed-2015-204815

Cited by 12 publications

(9 citation statements)

References 39 publications

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“…46 Because a substantial proportion of fallers never reach the ED, could EMS systems adapt to deliver fall interventions in the home? 59 For interventions to reach most older adults with falls in the United States, more attention will need to be paid on providing these assessments in the home. Expediency is important, and providing fall risk assessments early and consistently after a fall could be achieved through EMS training programs.…”

Section: Discussionmentioning

confidence: 99%

GAPcare: The Geriatric Acute and Post‐Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data

Goldberg

Marks

Ilegbusi

et al. 2019

J American Geriatrics Society

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OBJECTIVES We aimed to describe a new multidisciplinary team fall prevention intervention for older adults who seek care in the emergency department (ED) after having a fall, assess its feasibility and acceptability, and review lessons learned during its initiation. DESIGN Single‐blind randomized controlled pilot study. SETTING Two urban academic EDs PARTICIPANTS Adults 65 years old or older (n = 110) who presented to the ED within 7 days of a fall. INTERVENTION Participants were randomized to a usual care (UC) and an intervention (INT) arm. Participants in the INT arm received a brief medication therapy management session delivered by a pharmacist and a fall risk assessment and plan by a physical therapist (PT). INT participants received referrals to outpatient services (eg, home safety evaluation, outpatient PT). MEASUREMENTS We used participant, caregiver, and clinician surveys, as well as electronic health record review, to assess the feasibility and acceptability of the intervention. RESULTS Of the 110 participants, the median participant age was 81 years old, 67% were female, 94% were white, and 16.3% had cognitive impairment. Of the 55 in the INT arm, all but one participant received the pharmacy consult (98.2%); the PT consult was delivered to 83.6%. Median consult time was 20 minutes for pharmacy and 20 minutes for PT. ED length of stay was not increased in the INT arm: UC 5.25 hours vs INT 5.0 hours (P < .94). After receiving the Geriatric Acute and Post‐acute Fall Prevention Intervention (GAPcare), 100% of participants and 97.6% of clinicians recommended the pharmacy consult, and 95% of participants and 95.8% of clinicians recommended the PT consult. CONCLUSION These findings support the feasibility and acceptability of the GAPcare model in the ED. A future larger randomized controlled trial is planned to determine whether GAPcare can reduce recurrent falls and healthcare visits in older adults. J Am Geriatr Soc 68:198–206, 2019

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Section: Discussionmentioning

confidence: 99%

GAPcare: The Geriatric Acute and Post‐Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data

Goldberg

Marks

Ilegbusi

et al. 2019

J American Geriatrics Society

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“…26,42,44,59,61,65,67 Eight were prospective studies, 39,55,58,60,[62][63][64]66 and four were systematic reviews. 34,56,57,68 Risk stratification tools…”

Section: Study Characteristicsmentioning

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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“…Metaanalýzy, systematické přehledy a reviews zveřejněné v uplynulých dvou letech (2015-2016) [3][4][5][6][7][8][9][10][11][12][13][14][15] se zabývají výzkumy publikovanými v rozmezí let 1999-2015. Většina z uvedených přehledů zahrnuje studie, které se věnují efektivitě preventivních protipádových opatření v souvislosti s vybranými faktory (u osob se srdečním selháváním [7], u psychiatricky nemocných [6], u osob s ko-gnitivní poruchou [5,8] a další) nebo zohledňující demografické charakteristiky respondentů (starší 60 let [3,14] či 65 let [10]).…”

Section: úVodunclassified

The effectiveness of intervention programs for preventing patients from falls

Horová¹,

Brabcová²,

Krocová³

2017

Kontakt

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a Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, Ústav ošetřovatelství, porodní asistence a neodkladné péče, České Budějovice, Česká republika b Západočeská univerzita v Plzni, Fakulta zdravotnických studií, katedra ošetřovatelství a porodní asistence, Plzeň, Česká republikaThe goal was to write a review article which would summarize the conclusions of empirical studies on the effectiveness of preventive programs established in hospitals over the last 5 years. Incorporated research studies were found by using seven electronic databases on nursing and related health professional research (full text databases: Cinahl, Ebsco, Nursing Ovid, ProQuest STM+ Hospital Collection -Medline, Science Direct and citation databases PubMed and Scopus) entering keywords: accidental falls, effectiveness, fall prevention programs, institution. Other search criteria were: full text, reviewed publications, English language, human subject (human) and research results published within the last 5 years (namely 2011-2016).Twelve research studies meeting the required criteria were incorporated in the final review. The most often mentioned intervention strategy was the education of patients and staff. Whether the programs, which were focused on educational influence, are effective depends on areas involving the so called "soft-factors", i.e. compliance, leadership, and proper team training, along with information technology support, both with staff and -in certain fields -patients.Curriculums of the currently preferred multifaceted intervention program involve education. The focus and course of the education process should correspond with the information from the field of fall prevention, gained by evidence-based nursing, and respect the individual assessment of each patient, as is stated by most authors of related research studies. S O U H R N Cílem přehledové studie bylo shrnout závěry empirických výzkumů o efektivitě zavedených preventivních programů v oblasti pádů pacientů či klientů nemocničních zařízení s poskytovanou ošetřovatelskou péčí za uplynulých 5 let. * Korespondenční autor: PhDr. Jana Horová, Západočeská univerzita v Plzni, Fakulta zdravotnických studií, katedra ošetřovatelství a porodní asistence, Náměstí Odboje 18, 301 00 Plzeň, Česká republika, (Print) • ISSN 1804-7122 (Online) o š e t ř o v a t e l s t v í Článek citujte takto: Horová J, Brabcová I, Krocová J. The effectiveness of intervention programs for preventing patients from falls. Kontakt 2017; 19(2): e105-e115; http://dx.

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Prehospital emergency services screening and referral to reduce falls in community-dwelling older adults: a systematic review

Abstract: PROSPERO 2012:CRD42012002782.

Cited by 12 publications

References 39 publications

GAPcare: The Geriatric Acute and Post‐Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data

GAPcare: The Geriatric Acute and Post‐Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data

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

The effectiveness of intervention programs for preventing patients from falls

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