7 research outputs found
Risk Assessment and the Impact of Point of Contact Intervention Following Emergency Department Presentation with a Fall
<p><i>Aim:</i> To determine whether a multifactorial intervention can decrease the frequency of secondary falls in older patients presenting to an emergency department with a fall. <i>Methods:</i> 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. <i>Results:</i> Eight patients (14%) in the control group and 11 patients (20.8%) in the intervention group experienced falls (<i>p</i> = 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. <i>Conclusions:</i> There was no significant benefit of the intervention. Our findings support interdisciplinary collaboration, multifactorial intervention, and risk management for falls prevention.</p
Site ED characteristics, collection dates and CT types used.
<p>Site ED characteristics, collection dates and CT types used.</p
ED attendances, admits, yield; CTPA usage and PE diagnosis per 1000 ED adults.
<p>ED attendances, admits, yield; CTPA usage and PE diagnosis per 1000 ED adults.</p
Proportion of small, intermediate and large PE as % of all PE at each site.
<p>Proportion of small, intermediate and large PE as % of all PE at each site.</p
Rates of PE at different levels in total population of positive PE on CTPA (%).
<p>Rates of PE at different levels in total population of positive PE on CTPA (%).</p
CTPA utilisation vs no. of PE diagnoses per 1000/ ED adult attendances.
<p>CTPA utilisation vs no. of PE diagnoses per 1000/ ED adult attendances.</p
SSPE/ Large PE rates as % of positive AND total CTPA (small PE only as % of positive CTPA).
<p>SSPE/ Large PE rates as % of positive AND total CTPA (small PE only as % of positive CTPA).</p