An observational study in Fall Patients, sponsored by University Hospital, Angers. Completed at 1 site in France. Open to participants aged 75 Years and older. Per ClinicalTrials.gov, last updated 2018-04-05.
Sponsored by University Hospital, Angers · Observational
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.
From the database of URQUAL software available at the Emergencies of Angers Hospital and the "list of diagnostics for clinical research", inclusion (over a period arbitrarily defined from October 1, 2015 to November 1, 2015) of patients aged 75 and over with a diagnosis of fall or a related reason when they are admitted to the Emergencies Room.
During the initial consultation in the Emergency Department, documentary analysis with all the signs of seriousness of the falls stated in the report, as defined by HAS 2009:
Collection of the patient's care pathway following this passage to the ER:
Data collected one year after the emergency department visit, based on the information available in the URQUAL and CROSSWAY databases accessible at Angers Hospital, are:
This call-back makes it possible to collect data from patients readmitted for a fall in another center (clinic, hospital, etc.) or who have fallen again at home without admission to an emergency service with the aim of limiting the information and monitoring biases.
Patients are recruited during their passage to the Emergency Room of the University Hospital of Angers, France
Exclusion Criteria:
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.
Time frame: 1 year
Measure of proportion of fallers admitted to emergencies.
This outcome is assessed by the number of fallers admitted to emergencies.
Time frame: baseline
Measure of proportion of serious fallers admitted to emergencies.
This outcome is assessed by the number of serious fallers admitted to emergencies.
Time frame: baseline
Number of severity criteria most commonly encountered in emergencies.
This outcome is assessed by the emergencies data.
Time frame: baseline
Measure of the proportion of patients who fell again within one year of admission to ER.
This outcome is assessed by the number of patients who fell again within one year of admission to ER.
Time frame: 1 year
Measure of the proportion of patients included in the geriatric pathway readmitted for fall to the ER in the following year.
This outcome is assessed by the number of patients included in the geriatric pathway readmitted for fall to the ER.
Time frame: 1 year
This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.
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University Hospital, Angers