Guideline-based Evaluation and Screening Tool For Falls in Older Patients
Jiraporn Sri-on1, Natchapon Sinsuwan1
1Emergency Department, Vajira Hospital, Navamindradhiraj University, Thailand
Falls are one of a major public health problem among elderly patients. Fall-related morbidity and mortality have increased among older persons worldwide. Serious injuries after a fall such as hip fractures, rib fracture, subdural hematomas, serious soft tissue injury occur up to11% of older individuals.
The emergency department (ED) is often the first place where patients with fall-related injuries receive care. Overall, 20% of elderly ED fall patients experience adverse events (recurrent fall, ED revisits, subsequent hospitalization and death) within 30 days of discharge and 50% experience adverse events within 180 days.
In this session, we will discuss about the Geriatric Emergency Department Guidelines which recommend four key safety categories including: specific elements of the history taking, specific physical examination, diagnostic tests and key safety recommendations which should be given prior to discharge for fall evaluations and the adherence rate to these guidelines. Hence, the Centers for Disease Control and Prevention’s Injury Center (CDC) developed the Stopping Elderly Accidents, Death, and Injuries (STEADI) toolkit which includes a 12-question-screening guide for fall evaluations in a clinical setting to increase self-awareness of the fall risk in older people. We will discuss about in which specific questions from STEDI had predicted outcomes after an ED fall visited. In addition, we will demonstrate the ongoing project for multidisciplinary team prevention after an ED fall visits in one middle income country.