Barraco, Robert D, MD, MPH

Collins, Danielle, MD

Crowley, Lauren, BA

Day, Ryan, MD

Goodheart, Victoria, DO

Greenberg, Marna R, DO, MPH, FACEP

Jacoby, Jeanne L, MD

Kane, Bryan G, MD

Youngdahl, Alexander, DO

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of Emergency MedicineSex Specific Outcomes of an ED Stopping ElderlyAccidents, Deaths, and Injuries (ED-STEADI)ProgramMarna R. Greenberg DO, MPH, FACEPLehigh Valley Health Network, marna.greenberg@lvhn.orgJeanne L. Jacoby MDLehigh Valley Health Network, Jeanne_L.Jacoby@lvhn.orgRobert D. Barraco MD, MPHLehigh Valley Health Network, robert_d.barraco@lvhn.orgVictoria Goodheart DOLehigh Valley Health Network, Victoria.Goodheart@lvhn.orgAlexander Youngdahl DOLehigh Valley Health Network, Alexander.Youngdahl@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/emergency-medicinePart of the Emergency Medicine CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtGreenberg, M. Jacoby, J. Barraco, R. Goodheart, V. Youngdahl, A. Day, R. Collins, D. Crowley, L. Kane, R. (2019, April 10). SexSpecific Outcomes of an ED Stopping Elderly Accidents, Deaths, and Injuries (ED-STEADI) Program. Poster Presented at: PA AmericanCollege of Emergency Physicians (PA-ACEP), Scientific Assembly, Spivey Competition, King of Prussia, PA.AuthorsMarna R. Greenberg DO, MPH, FACEP; Jeanne L. Jacoby MD; Robert D. Barraco MD, MPH; VictoriaGoodheart DO; Alexander Youngdahl DO; Ryan Day MD; Danielle Collins MD; Lauren Crowley BA; andBryan G. Kane MDThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/emergency-medicine/548LVHN.org© 2019 Lehigh Valley Health NetworkSex Specific Outcomes of an ED Stopping Elderly  Accidents, Deaths, and Injuries (ED-STEADI) Program Marna Rayl Greenberg, DO, MPH,1 Jeanne L. Jacoby, MD,1 Robert D. Barraco, MD, MPH,2 Victoria Goodheart, DO,1 Alexander Youngdahl, DO,1 Ryan S. Day, MD,1 Danielle L. Collins, MD,1 Lauren M. Crowley, BA,1 Bryan G. Kane, MD1All authors affiliated with Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Lehigh Valley Campus, Allentown, PA 1Department of Emergency and Hospital Medicine, 2Department of SurgeryINTRODUCTIONWe set out to determine if a bedside decision aid used in the ED for mechanical fall prevention could increase patient participation in management options that decreased their fall risk. Additionally, we aimed to see if there were sex specific differences in patients’ choices in chosen options, accomplished goals, and/or falls at one-year follow-up.METHODSThis prospective RCT was conducted at a Level One Trauma Center ED with approximately 75,000 visits/yr. Those ≥65yo who were being discharged home and reported to have fallen in the last year, reported they worried about falling, or admitted that they felt unsteady when walking or standing were approached. Control arm subjects were given a CDC brochure about fall prevention. The active arm subjects received a personalized assessment with a bedside decision aid indicating specific activities they could do to decrease their risk. Both groups had phone follow-ups for a year to assess by self-report any falls and what actions subjects had taken to mitigate their risk.RESULTSA total of 200 subjects (88 males, 112 females) were enrolled. Genders were equally represented across the intervention group (51 males, 52 females). There was a statistically significant (SS) increase in number of women who reported worrying about falling (N 56, p=0.002). Nineteen percent of subjects chose to have their medications reviewed, 20% to have an eye exam, 38% to begin an exercise program, and the majority (74%) to have a home safety evaluation. There were no SS differences between males and females when it came to the decisions they made with the decision aid. There were also no SS differences in the 12-month analysis of decision tool choices completed per participant self-report. At study end, 136 subjects reported falls. There were no SS differences in falls between those that received the intervention and those that did not. Despite this, there were a large number of subjects who felt that participation in the study was helpful to them (137 Yes vs 48 No, p<0.05). At the end of the study, there was no SS difference between falls in males vs females. CONCLUSIONSubjects who had their fall risk intervention facilitated by a decision tool did not fall less often than their counterparts in the control arm at one-year follow-up. This pilot study suggests that CDC screening guidelines and interventions facilitated by a decision aid may not be preventive in the  ED population.ACKNOWLEDGMENT: This study was funded, in part, by an unrestricted community grant from The Anne and Carl Anderson Trust.

Sex Specific Outcomes of an ED Stopping Elderly Accidents, Deaths, and Injuries (ED-STEADI) Program

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1564&context=emergency-medicine

Sex Specific Outcomes of an ED Stopping Elderly Accidents, Deaths, and Injuries (ED-STEADI) Program

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