Research Article: Exploring Population Characteristics and Recruitment Challenges in Older People Experiencing Falls at Home without Hospitalization or with an Emergency Department Visit: Insights from the RISING-DOM Experience
Abstract:
Falls in older people are a major public health issue leading to death, functional decline and an increased need for institutionalization and cause substantial burden worldwide. Despite a considerable number of falls leading to Emergency Medical Services (EMS) calls for assistance, it is concerning that approximately half of older people involved in such incidents are not conveyed to the hospital or are swiftly discharged from Emergency Departments (ED) without a thorough assessment of the underlying factors contributing to the fall and the provision of appropriate fall referrals., This highlights the potential gaps in the current healthcare system’s response to fall-related incidents among older individuals. In addition, this group has been specifically identified as a vulnerable population that faces a high risk of future falls and mortality, as well as an increased likelihood of utilizing health services in an unplanned manner, such as through frequent health care contact, ED visits, and hospital admissions.,– Therefore, this population represents an interesting target for delivering appropriate fall prevention interventions.,, Even though, there is an emerging evidence that personalized multifactorial fall prevention programs are successful in decreasing fall rate,– results in particular from randomized controlled trials are mixed, and evidence of implementing appropriate fall prevention interventions in community-dwelling is limited. In addition, the recruitment of older people in fall prevention trials and strategies is a critical step and could result in limiting data on assessing their effectiveness.–
Introduction:
Falls in older people are a major public health issue leading to death, functional decline and an increased need for institutionalization and cause substantial burden worldwide. Despite a considerable number of falls leading to Emergency Medical Services (EMS) calls for assistance, it is concerning that approximately half of older people involved in such incidents are not conveyed to the hospital or are swiftly discharged from Emergency Departments (ED) without a thorough assessment of the underlying factors…
Read more