Evaluation of older adult patients with falls in the emergency department: discordance with national guidelines

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Gregory TirrellShan W Liu

Abstract

The objective was to examine whether the emergency department (ED) evaluation of older adult fallers is concordant with the Geriatric Emergency Department Guidelines. This study was a chart review of randomly selected older adult ED fall patients from one urban academic teaching hospital. Patients 65 years and older who had ED fall visits in 2012 and who had primary care physicians within our hospital network during the past 3 years were included. Transferred patients were excluded. The data collection instrument was adapted from ED fall evaluation recommendations. There were 350 patients in this study. The mean (±SD) patient age was 80.1 (±8.8) years, 124 (35%) were male, 327 (93%) were white, and 298 (85%) were community dwelling. The range with which history and physical examination findings were concordant with fall guidelines was 1% to 85%. Cause and location of fall were the two most frequently reported history items (85 and 81%, respectively), while asking about baseline vision was only reported 1% of the time. Evaluating for sensory deficits and muscle strength were the two most frequently reported physical examinations (63 and 48%, respectively), while balance was evaluated with the lowest frequency (1%). Patients who ...Continue Reading

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Citations

Jan 23, 2016·The American Journal of Emergency Medicine·Jiraporn Sri-OnShan Woo Liu
Mar 17, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher R Carpenter, Alexander X Lo
Apr 23, 2016·Journal of the American Geriatrics Society·Lauren T SoutherlandJeffrey M Caterino
Nov 9, 2016·The American Journal of Emergency Medicine·Lauren T SoutherlandAnne Kloos
Mar 7, 2017·Journal of the American Geriatrics Society·Jane McCuskerEric Belzile
Mar 7, 2018·Journal of the American Geriatrics Society·Brian W PattersonManish N Shah
Mar 27, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jiraporn Sri-OnShan W Liu
Mar 25, 2018·Internal Medicine Journal·Desmond B TeoReshma A Merchant
Mar 7, 2020·Journal of the American Geriatrics Society·Richard D Shih, Joseph G Ouslander
Apr 27, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Alexander X Lo, Christopher R Carpenter
Jul 30, 2020·The Western Journal of Emergency Medicine·Kathleen DavenportShan W Liu
Aug 13, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·William Curran-GroomeJonathan Lubeck
Aug 10, 2018·Emergency Medicine Australasia : EMA·Guruprasad NagarajChristopher R Carpenter
May 2, 2020·International Emergency Nursing·Anne O' KeeffeCorina Naughton
Apr 18, 2021·Emergency Medicine Clinics of North America·Phillip D Magidson, Christopher R Carpenter
Aug 1, 2021·International Emergency Nursing·Marina FriščićBiljana Kurtović

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