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Text
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URL Address
<a href="http://doi.org/10.1111/j.1553-2712.2001.tb00214.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1553-2712.2001.tb00214.x</a>
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Pages
823-826
Issue
8
Volume
8
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Title
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Preventive care in the emergency department: Should emergency departments institute a falls prevention program for elder patients? A systematic review
Publisher
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Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
2001-08
Subject
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accidental falls; aged; community; elders; Emergency Medicine; emergency services; exercise; ficsit trials; fractures; frailty; hospital; injuries; medicine; practice guideline; preventive services; randomized controlled-trial; services; systematic review
Creator
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Weigand J V; Gerson L W
Description
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Objective: To perform a systematic review of the emergency medicine literature to assess the appropriateness of an intervention to identify, counsel, and refer emergency department (ED) patients > 64 years old who are at high risk for falls. Methods: The systematic review was facilitated through the use of a structured template, a companion explanatory piece, and a grading and methodological scoring system based on published criteria for critical appraisal. A reference librarian did two PubMed searches using the following: ED visits, patients > 64 years old, falls, high risk, and effectiveness of intervention. Emergency Medical Abstracts, Science Citation Index, and the Cochrane Collaboration database were searched. Two team members reviewed the abstracts and selected pertinent articles. References were screened for additional pertinent articles. Results: Twenty-six articles were reviewed. None were ED-based primary or secondary falls prevention in older patients. One randomized controlled trial of an intervention to decrease subsequent falls in elder community-dwelling patients who presented with a fall showed a structured interdisciplinary approach significantly reducing the number of falls. Two ED-based studies showed it was possible to identify ED patients at risk for falls. Conclusions: Based on one randomized controlled trial demonstrating a significant reduction in the risk of further falls, the burden of suffering caused by falls, and other studies demonstrating the value of interventions to reduce the risk of falling, the authors recommend that EDs conduct research to evaluate the effectiveness of clinical interventions to identify, counsel, and refer ED patients > 64 years old who are at high risk for an unintentional fall.
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<a href="http://doi.org/10.1111/j.1553-2712.2001.tb00214.x" target="_blank" rel="noreferrer noopener">10.1111/j.1553-2712.2001.tb00214.x</a>
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Journal Article
2001
Academic Emergency Medicine
Accidental Falls
Aged
Community
elders
Emergency Medicine
Emergency Services
Exercise
ficsit trials
Fractures
Frailty
Gerson L W
Hospital
Injuries
Journal Article
Medicine
practice guideline
preventive services
randomized controlled-trial
services
systematic review
Weigand J V