Bedside Assessment of Fall Risk in Emergency Department Elders

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Jeffrey Caterino, The Ohio State University
ClinicalTrials.gov Identifier:
NCT00590746
First received: December 26, 2007
Last updated: February 11, 2014
Last verified: February 2014
  Purpose

The purpose of this study is to assess the risk for falls among elderly Emergency Department (ED) patients.This study will use 2 tests of balance, the Bertec Balance Screening Test and the "Up and Go" test. These tests measure how steady a person is while standing, walking, and turning 180 degrees. After patients have returned home, they will be contacted at 7 days, 30 days and 6 months to determine if they have sustained a fall during these intervals in order to find out how predictive the balance tests are in determining the risk of future falls.


Condition
Accidental Falls

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Bedside Assessment of Fall Risk in Emergency Department Elders

Resource links provided by NLM:


Further study details as provided by Ohio State University:

Primary Outcome Measures:
  • To determine the accuracy of the timed Timed Up-and-go test in the ED [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
  • To determine the accuracy of the Bertec BalanceCheck Screener system in the ED. [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]

Enrollment: 53
Study Start Date: December 2007
Study Completion Date: September 2009
Primary Completion Date: October 2008 (Final data collection date for primary outcome measure)
Detailed Description:

Falls are one of the most significant health risks to older Americans. In the U.S., 30-60% of community dwelling elders will fall each year.Studies have found rates of serious injury among elders who fall to range from 5-24%. Five percent of those who fall are hospitalized. Among elders, falls cause 2/3 of the deaths due to unintentional injury, the 6th leading cause of death in this age group. Additional major morbidity due to falls includes loss of independence as well as anxiety due to fear of falling. This results in limitation of function and often in a requirement for long-term care. Up to 40% of nursing home admissions are due to falls or fear of falling. Expenditures for fall-related injuries account for 6% of all medical expenditures in geriatric patients. Several interventions have been proven effective to reduce rates of fall. Implementation of these interventions requires physician appreciation of the risk for falls in individual patients. The emergency department (ED) may provide a location to identify patients at increased risk of falling. Unfortunately, successful ED based studies to identify and intervene on at-risk elders have been rare and not widely reproducible. The results of these previous ED studies demonstrate that a rapid, efficient, measurable assessment of balance is required if emergency physicians are to regularly consider such factors in their care plans and disposition decisions. Development of a single, simple screening test to identify ED elders at who fall may improve falls screening in the ED and prevent unnecessary morbidity and mortality by facilitating early identification and intervention.

  Eligibility

Ages Eligible for Study:   60 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Patients aged 60 and older who present to the Ohio State University Medical Center Emergency Department

Criteria

Inclusion Criteria:

  • Age > 59 years
  • Discharge from Emergency Department
  • Self-reported weight < 300 pounds
  • Patient resides in the community or a personal care home
  • Patients must also confirm that they are able to walk 30 feet without help of another person.They may do this with use of an assistive device.

Exclusion Criteria:

  • Age <60 years
  • Subject is incarcerated
  • Non-English speaking
  • Lack of ability of patient to give consent or complete the study tasks
  • Patient resides in a nursing home or rehabilitation facility
  • Primary evaluation by the trauma team
  • Inability to walk 30 feet without assistance from another person
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00590746

Locations
United States, Ohio
The Ohio State University Medical Center Emergency Department
Columbus, Ohio, United States, 43210
Sponsors and Collaborators
Jeffrey Caterino
Investigators
Principal Investigator: Jeffrey M Caterino, MD Ohio State University
  More Information

No publications provided

Responsible Party: Jeffrey Caterino, Assistant Professor, The Ohio State University
ClinicalTrials.gov Identifier: NCT00590746     History of Changes
Other Study ID Numbers: 2007H0239
Study First Received: December 26, 2007
Last Updated: February 11, 2014
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on August 20, 2014