Identification of fall risk factors in older adult emergency department patients

Academic Emergency Medicine

Volumn 16, Issue 3, 2009, Pages 211-219

  Carpenter, Christopher R ^a   Scheatzle, Mark D ^b   D'Antonio, Joyce A ^c   Ricci, Paul T ^b   Coben, Jeffrey H ^d  

^a WASHINGTON UNIVERSITY   (United States)

^b ALLEGHENY GENERAL HOSPITAL   (United States)

^c CHILDREN S HOSPITAL OF PITTSBURGH   (United States)

^d WEST VIRGINIA UNIVERSITY   (United States)

Author keywords

Emergency medicine; Falls; Geriatric; Injury prevention

Indexed keywords

ADULT; AGED; ARTICLE; CONFIDENCE INTERVAL; CONVENIENCE SAMPLE; DEPRESSION; EMERGENCY WARD; FALL RISK; FALLING; FEMALE; FOLLOW UP; FOOT ULCER; GERIATRIC PATIENT; HAZARD RATIO; HEALTH SURVEY; HOSPITAL ADMISSION; HUMAN; INCIDENCE; INTERVIEW; MAJOR CLINICAL STUDY; MALE; NAIL; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROPORTIONAL HAZARDS MODEL; PROSPECTIVE STUDY; RISK FACTOR; SELF CONCEPT; SELF REPORT; TEACHING HOSPITAL; UNIVARIATE ANALYSIS;

ACCIDENTAL FALLS; AGED; EMERGENCY SERVICE, HOSPITAL; FEMALE; GERIATRIC ASSESSMENT; HOSPITALS, TEACHING; HOSPITALS, URBAN; HUMANS; MALE; PHYSICAL EXAMINATION; PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; VIDEO RECORDING;

EID: 62249149482     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2009.00351.x     Document Type: Article

References (65)

1. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2003; 4:CD000340.
2. McClure R, Turner C, Peel N, Spinks A, Eakin E, Hughes K. Population-based interventions for the prevention of fall-related injuries in older people. Cochrane Database of Systematic Rev. 2005; 1:CD004441.
3. Sterling DA, O'Connor JA, Bonadies J. Geriatric falls: injury severity is high and disproportionate to mechanism. J Trauma. 2001; 50:116-9.
4. Centers for Disease Control and Prevention. Fatalities and injuries from falls among older adults- United States, 1993-2003 and 2001-2005. MMWR Morb Mortal Wkly Rep. 2006; 55:1222-4.
5. Carpenter CR. Will my patient fall? Ann Emerg Med. 2009; 53:398-400.
6. Stalenhoef PA, Crebolder HF, Knottnerus JA, Van Der Horst FG. Incidence, risk factors, and consequences of falls among elderly subjects living in the community: a criteria-based analysis. Eur J Pub Health. 1997; 7:328-34.
7. Downing A, Wilson R. Older people's use of accident and emergency services. Age Ageing. 2005; 34:24-30.
8. Roberts DC, McKay MP, Shaffer A. Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Ann Emerg Med. 2008; 51:769-74.
9. Perell KL, Nelson A, Goldman RL. Fall risk assessment measures: an analytic review. J Gerontol Med Sci. 2001; 56A:M761-6.
10. Stalenhoef PA, Diederiks JP, Knottnerus JA, Kester AD, Crebolder HF. A risk model for the prediction of recurrent falls in community-dwelling elderly: a prospective cohort study. J Clin Epidemiol. 2002; 55:1088-94.
11. Tromp AM, Pluijm SM, Smit JH, Deeg DJ, Bouter LM, Lips P. Fall-risk screening test: a prospective study on predictors for falls in community-dwelling elderly. J Clin Epidemiol. 2001; 54:837-44.
12. Baraff LJ, Della Penna R, Williams N, Williams N, Sanders A. Practice guideline for the ED management of falls in community-dwelling elderly persons. Kaiser Permanente Medical Group. Ann Emerg Med. 1997; 30:480-92.
13. Donaldson MG, Khan KM, Davis JC, et al. Emergency department fall-related presentations do not trigger fall risk assessment: A gap in care of high- risk outpatient fallers. Arch Gerontol Geriatr. 2005; 41:311-7.
14. Salter AE, Khan KM, Donaldson MG, et al. Community-dwelling seniors who present to the emergency department with a fall do not receive guideline care and their fall risk profile worsens significantly: a 6-month prospective study. Osteoporos Int. 2006; 17:672-83.
15. Rhodes KV, Gordon JA, Lowe RA. Preventive care in the emergency department, Part I: clinical preventive services-are they relevant to emergency medicine? Ann Emerg Med. 2000; 7:1036-41.
16. Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of Falls in the Elderly Trial (PROFET): a randomised controlled trial. Lancet. 1999; 353:93-7.
17. Ganz DA, Bao Y, Shekelle PG, Rubenstein LZ. Will my patient fall? JAMA. 2007; 297:77-86.
18. Teno J, Kiel DP, Mor V. Multiple stumbles: a risk factor for falls in community-dwelling elderly. A prospective study. J Am Geriatr Soc. 1990; 38:1321-5.
19. Close JC, Hooper R, Glucksman E, Jackson SH, Swift CG. Predictors of falls in a high risk population: results from the Prevention of Falls in the Elderly Trial (PROFET). Emerg Med J. 2003; 20:421-5.
20. Murray KJ, Hill K, Phillips B, Waterston J. A pilot study of falls risk and vestibular dysfunction in older fallers presenting to hospital emergency departments. Disability Rehab. 2005; 27:499-506.
21. Wiegand JV, Gerson LW. Preventive care in the emergency department: should emergency departments institute a falls prevention program for elder patients? A systematic review. Acad Emerg Med. 2001; 8:823-6.
22. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly person living in the community. N Engl J Med. 1988; 319:1701-7.
23. Society AG. Guidelines for prevention of falls in older persons. J Am Geriatr Soc. 2001; 49:664-72.
24. Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med. 1986; 80:429-34.
25. Robbins AL, Rubenstein LZ, Josephson KR. Predictors of falls among elderly people: results of two population-based studies. Arch Intern Med. 1989; 149:1628-33.
26. Campbell AJ, Reinken J, Allan BC, Martinez GS. Falls in old age: a study of frequency and related clinical factors. Age Ageing. 1981; 10:264-70.
27. Morris JC, Rubin EH, Morris EJ, Mandel SA. Senile dementia of the Alzheimer's type: an important risk factor for serious falls. J Gerontology. 1987; 42:412-7.
28. Buchner DM, Larson EB. Transfer bias and the association of cognitive impairment with falls. J Gen Intern Med. 1988; 3:254-9.
29. Gross YT, Shimamoto Y, Rose CL, Frank B. Why do they fall? Monitoring risk factors in nursing homes. J Gerontol Nurs. 1990; 16:20-25.
30. Jantti PO, Pyykko VI, Hervonen AL. Falls among elderly nursing home residents. Public Health. 1993; 107:89-96.
31. Asada T, Kariya T, Kinoshita T. Predictors of fall- related injuries among community-dwelling elderly people with dementia. Age Ageing. 1996; 25: 22-8.
32. Johansson C, Skoog I. A population-based study on the association between dementia and hip fractures in 85-year olds. Aging. 1996; 8:189-96.
33. Nevitt MC, Cummings SR, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA. 1989; 261:2663-8.
34. Cesari M, Landi F, Torre S, Onder G, Lattanzio F, Bernabei R. Prevalence and risk factors for falls in an older community-dwelling population. J Geront Med Sci. 2002; 57:M722-6.
35. Richardson JK, Ching C, Hurvitz EA. The relationship between electromyographically documented peripheral neuropathy and falls. J Am Geriatr Soc. 1992; 40:1008-12.
36. Cavanagh PR, Derr JA, Ulbrecht JS, Maser RE, Orchard TJ. Problems with gait and posture in neuropathic patients with insulin-dependent diabetes mellitus. Diabet Med. 1992; 9:469-74.
37. Simoneau GG, Ulbrecht JS, Derr JA, Becker MB, Cavanagh PR. Postural instability in patients with diabetic sensory neuropathy. Diabet Care. 1994; 17:1411-21.
38. Uccioli L, Giacomini P, Magrini A. Body sway in diabetic neuropathy. Diabet Care. 1995; 18:339-44.
39. Richardson JK, Hurvitz EA. Peripheral neuropathy: a true risk factors for falls. J Gerontol Med Sci. 1995; 50:M211-5.
40. Richardson JK, Ashton-Miller JA. Peripheral neuropathy: an often-overlooked cause of falls in the elderly. Postgrad Med. 1996; 99:161-72.
41. Richardson JK, Ashton-Miller JA, Lee SG, Jacobs K. Moderate peripheral neuropathy impairs weight transfer and unipedal balance in the elderly. Arch Phys Med Rehabil. 1996; 77:1152-6.
42. Tinetti ME, Liu WL, Claus EB. Predictors and prognosis of inability to get up after falls among elderly persons. JAMA. 1993; 269:65-70.
43. Prudham D, Grimley-Evans J. Factors associated with falls in the elderly: a community study. Age Ageing. 1981; 10:141-6.
44. Graafmans WC, Ooms ME, Hofstee HM, Bezemer PD, Bouter LM, Lips P. Falls in the elderly: a prospective study of risk factors and risk profiles. Am J Epidemiol. 1996; 143:1129-36.
45. Menz HB, Lord SR. The contribution of foot problems to mobility impairment and falls in community-dwelling older people. J Am Geriatr Soc. 2001; 49:1651-6.
46. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community- dwelling older adults. Phys Ther. 1997; 77:812-9.
47. Kalinowski MA. "Eye" dentifying vision impairment in the geriatric patient. Geriatr Nurs. 2008; 29:125-32.
48. Squirrell DM, Kenny J, Mawer N, et al. Screening for visual impairment in elderly patients with hip fracture: validating a simple bedside test. Eye. 2005; 19:55-9.
49. Macphee GJ, Crowther JA, McAlpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing. 1988; 17:347-51.
50. Covinsky KE, Kahana E, Kahana B, Kercher K, Schumacher JG, Justice AC. History and mobility exam index to identify community-dwelling elderly persons at risk of falling. J Gerontol Med Sci. 2001; 56A:M253-9.
51. Gibson MJ, Andres K, Isaacs B. Prevention of falls in later life. Danish Med Bull. 1987; 34:1-24.
52. Aminzadeh F, Dalziel WB. Older adults in the emergency department: a systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med. 2002; 39:238-47.
53. Speechley M, Tinetti M. Falls and injuries in frail and vigorous community elderly persons. J Am Geriatr Soc. 1991; 39:46-52.
54. Babcock-Irvin C, Wyer PC, Gerson LW. Preventive care in the emergency department, part II: clinical preventive services-an emergency medicine evidence-based review. Acad Emerg Med. 2000; 7:1042-54.
55. Baraff LJ, Lee TJ, Kader S, Della Penna R. Effect of a practice guideline for emergency department care of falls in elder patients on subsequent falls and hospitalizations for injuries. Acad Emerg Med. 1999; 6:1224-31.
56. Carpenter CR, Gerson L. Geriatric emergency medicine. In: LoCicero J, Rosenthal RA, Katic M, et al., eds. New Frontiers in Geriatrics Research: An Agenda for Surgical and Related Medical Specialties, 2nd ed. New York, NY: The American Geriatrics Society, 2008, pp 45-72.
57. Cummings SR, Nevitt MC, Kidd S. Forgetting falls: the limited accuracy of recall of falls in the elderly. J Am Geriatr Soc. 1988; 36:613-6.
58. Katzman R, Brown T, Fuld P. Validation of a short Orientation-Memory- Concentration test of cognitive impairment. Am J Psychiatry. 1983; 140:734-9.
59. Folstein MF, Folstein SE, McHugh PR. ''Mini-mental State'': a practical method of grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12:189-98.
60. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1983; 17:37-49.
61. Fabacher DA, Raccio-Robak N, McErlean MA. Validation of a brief screening tool to detect depression in elderly ED patients. Am J Emerg Med. 2002;20:99-102.
62. Holsinger T, Deveau J, Boustani M, Williams JW Jr. Does this patient have dementia? JAMA. 2007; 297:2391-404.
63. Hustey FM, Meldon SW. The prevalence and documentation of impaired mental status in elderly emergency department patients. Ann Emerg Med. 2002; 39:248-53.
64. Tolmie EP, Mungall MM, Louden G, Lindsay GM, Gaw A. Understanding why older people participate in clinical trials: the experience of the Scottish PROSPER participants. Age Ageing. 2004; 33:374-8.
65. Glickman SW, Anstrom KJ, Lin L, et al. Challenges in enrollment of minority, pediatric, and geriatric patients in emergency and acute care clinical research. Ann Emerg Med. 2008; 51:775-80.