Longitudinal Outcome in a Veterans Geriatric Multifactorial Falls Assessment Clinic

NCT02356211 | Completed Results

• 1 other identifier: 840
• Study Type: interventional
• Target: 109
• Locations: 1 country
• Sites: 1

Brief Summary

Objective To reduce subsequent falls following Multifactorial Falls Assessment Design: Prospective Case Control Population: Frail elderly Veteran outpatient population referred for falls assessment Methods: Prospective controlled trial of Geriatric Multifactorial Falls Assessment Clinic patients followed for 1 year and outcomes compared to Acute Geriatric Evaluation and Management (GEM) Inpatient Unit discharge control group.

Conditions

Aging

Keywords

falls

Outcome Measures

Primary Outcomes (1)

• Number of Participants Who Experienced Falls

  Number of participants who experienced falls in 12 months, based on self-recall and telephone interview.

  12 months

Study Arms (2)

Treatment

EXPERIMENTAL

Geriatric Multifactorial Falls Assessment Clinic

Other: Multifactorial Falls Assessment

Control

NO INTERVENTION

Geriatric Evaluation and Management Service (GEM)

Interventions

Multifactorial Falls Assessment OTHER

The Geriatric Multifactorial Falls Assessment Clinic is a component of GERIATRIC-PACT, a frail-elderly primary care patient-centered medical home with care provided by an inter-professional teamlet consisting of a geriatrician, geriatric nurse practitioner, clinical pharmacist, licensed practical nurse, nurse care manager, social worker, and dietitian. GERIATRIC-PACT operates with increased ancillary support compared to Primary Care PACT. Falls assessment patients were referred by primary care providers and were evaluated and treated by the GERIATRIC-PACT teamlet, including ordering of tests and medication adjustment, with an average of two visits and active follow-up for one year.

Also known as: Falls Clinic

Treatment

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Community-dwelling frail elderly with history of fall

You may not qualify if:

• Severe dementia

Sponsors & Collaborators

• Powers, James S., M.D.: lead

Study Sites (1)

TVHS Nashville Campus

Nashville, Tennessee, 37232, United States

Location

Related Publications (5)

• Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R; US Preventive Services Task Force. Primary care-relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Ann Intern Med. 2010 Dec 21;153(12):815-25. doi: 10.7326/0003-4819-153-12-201012210-00008.

  PMID: 21173416 RESULT

• Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, Roth EA, Shekelle PG. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ. 2004 Mar 20;328(7441):680. doi: 10.1136/bmj.328.7441.680.

  PMID: 15031239 RESULT

• Moyer VA; U.S. Preventive Services Task Force. Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012 Aug 7;157(3):197-204. doi: 10.7326/0003-4819-157-3-201208070-00462.

  PMID: 22868837 RESULT

• Tinetti ME, Baker DI, McAvay G, Claus EB, Garrett P, Gottschalk M, Koch ML, Trainor K, Horwitz RI. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med. 1994 Sep 29;331(13):821-7. doi: 10.1056/NEJM199409293311301.

  PMID: 8078528 RESULT

• Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011 Jan;59(1):148-57. doi: 10.1111/j.1532-5415.2010.03234.x.

  PMID: 21226685 RESULT

Limitations and Caveats

Fall rates determined by patient recall at 1 year by telephone interview. All patients were consented so advanced demented patients were not included in the intervention. Falls e-consults were limited by EMR information and provider discretion

Results Point of Contact

• Title: James S. Powers MD, Clinical Associate Director, GRECC
• Organization: TVHS GRECC, Nashville TN

james.powers2@va.gov

615-873-8032

Study Officials

• James Powers, MD

  TVHS GRECC

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Masking Details: No masking
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDIV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Clinical Director, TVHS GRECC

Study Record Dates

• First Submitted: January 31, 2015
• First Posted: February 5, 2015
• Study Start: August 1, 2008
• Primary Completion: January 1, 2017
• Study Completion: January 1, 2017
• Last Updated: March 10, 2020
• Results First Posted: January 31, 2019

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)