Older falleRs : From Emergency to Geriatric Network

NCT03488615 | Completed

• 1 other identifier: 2017-05
• Study Type: observational
• Target: 204
• Locations: 1 country
• Sites: 1

Brief Summary

The fall is a complex process associated with high morbidity and mortality, with an institutionalization rate of up to 40% and a major socio-economic impact. The prevalence of falls increases with age. In fact, it is estimated that one-third of people over 65 and 50% of those over 80 living at home fall at least once a year, half of whom fall repeatedly. For all these reasons, the fall is a frequent reason for emergency consultation, and is an integral part of geriatric syndromes at risk of early readmission. The care of the elderly patient has been the subject of good practice recommendations by the Health Authority (HAS) in 2009, with the aim of referring patients to specialized geriatric care. Among these recommendations is the need to look for signs of geriatric severity of falls. To our knowledge, few studies have investigated the applicability of HAS recommendations with the practice of emergencies; this study is part of a project to improve practices. \- Hypothesis : Due to the fast pace of emergency medicine, the complexity of elderly patients and the inherent limitations of the care system, we hypothesize that few serious fallers are included in the geriatric pathway after admission to the emergency room (ER).

Conditions

Fall Patients

Outcome Measures

Primary Outcomes (1)

• Measure of the proportion of serious fallers included in the geriatric pathway one year after passing the emergencies.

  This outcome is assessed by the number of serious faller patients in the geriatric pathway.

  1 year

Secondary Outcomes (5)

• Measure of proportion of fallers admitted to emergencies.

  baseline

• Measure of proportion of serious fallers admitted to emergencies.

  baseline

• Number of severity criteria most commonly encountered in emergencies.

  baseline

• Measure of the proportion of patients who fell again within one year of admission to ER.

  1 year

• Measure of the proportion of patients included in the geriatric pathway readmitted for fall to the ER in the following year.

  1 year

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients are recruited during their passage to the Emergency Room of the University Hospital of Angers, France

You may qualify if:

• Age ≥ 75 years
• Reason for emergency consultation: fall or a related cause (fracture, head trauma, etc.)

You may not qualify if:

• No one

Sponsors & Collaborators

• University Hospital, Angers: lead

Study Sites (1)

Angers University Hospital

Angers, 49933, France

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 26, 2018
• First Posted: April 5, 2018
• Study Start: October 1, 2015
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: April 5, 2018

Record last verified: 2018-01

Locations

FR (1)