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Risk Assessment and the Impact of Point of Contact Intervention Following Emergency Department Presentation with a Fall

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posted on 2017-04-04, 18:31 authored by Kristie J. Harper, Annette D. Barton, Chrianna Bharat, Antonio C. Petta, Deborah G. Edwards, Glenn Arendts, Antonio Celenza

Aim: To determine whether a multifactorial intervention can decrease the frequency of secondary falls in older patients presenting to an emergency department with a fall. Methods: A randomized control design comparing multifactorial follow-up intervention to standard care. Risk assessments included Falls Risk for Older Persons—Community Setting Screening Tool (FROP Com Screen) and the Two Item Screening Tool, which were compared for sensitivity. Results: Eight patients (14%) in the control group and 11 patients (20.8%) in the intervention group experienced falls (p = 0.373). The proportion of those identified as high risk that fell was similar between the FROP Com Screen (17%) and the Two Item Screening Tool (17%). Patients on average waited 35 days in the control group and 40 days in the intervention group for an outpatient appointment. Conclusions: There was no significant benefit of the intervention. Our findings support interdisciplinary collaboration, multifactorial intervention, and risk management for falls prevention.

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    Physical & Occupational Therapy in Geriatrics

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