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Arch Gerontol Geriatr. 2005 Nov-Dec;41(3):311-7. Epub 2005 Jun 27.

Emergency department fall-related presentations do not trigger fall risk assessment: a gap in care of high-risk outpatient fallers.

Author information

1
Department of Health Care and Epidemiology, 5804 Fairview Ave., Vancouver, BC, Canada V6T 1Z3.

Abstract

We wanted to determine whether women aged 70 years and older, who presented to the emergency department (ED) with a fall and injury, received guideline care within 18 months of presentation. Women aged 70 years and older who presented to the ED with a fall were recorded prospectively from August 1, 2001 to May 1, 2002 (n=226). Structured telephone interviews were performed 18 months after the ED fall to obtain details of patient management (n=63). The most frequently reported referral was to the family physician (32%) and to physiotherapy (24%). We concluded that most older women who presented to the ED with a fall did not appear to be receiving current guideline care. We propose that future research use a prospective study design to assess whether or not guideline care is being delivered by a variety of health care providers after the patients leave the ED.

PMID:
15982758
DOI:
10.1016/j.archger.2005.04.008
[Indexed for MEDLINE]

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