Specialty: Trauma and Emergency Care, Primary sub-specialty: Pre-hospital
Conditions
Interventions
Current methodology as of 12/11/2025:
This observational mixed-methods study will investigate the experiences and outcomes of adults who have fallen and were unable to get up from the floor for an ext
Sponsors
Yorkshire Ambulance Service NHS Trust
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 12/11/2025: WP3: Patients must have fallen, been unable to get up off the floor, and consequently called 999 for an ambulance. They must also have been transported (conveyed) to one of the four participating study hospitals within the Yorkshire and Humber region. WP4a: UK NHS 999 Emergency Operations Centre ambulance service clinical leads. WP4b: Residential and nursing home managers, and Home care Workers in the UK. WP4c: Those working in residential and nursing homes, providing home care support, and in other providers of social care. WP5: Health professionals involved in the management of individuals that are unable to get up from the floor for a long time after a fall, working in three ambulance service areas – South West, East Midlands and Yorkshire and Humber. Seeking individuals in a variety of organisations and roles such as Urgent Community Response (UCR); Frailty or falls services (community and acute settings), emergency departments, other relevant roles. WP6: Individuals (and their carers) who have fallen and been unable to get up off the floor for a long period of time, and help was contacted. Previous inclusion criteria: WP4 - UK NHS 999 Emergency Operations Centre ambulance service clinical leads (n=13) WP4b) residential and nursing home managers in the Yorkshire area (using the 18+ Wakefield Research Hub networked research-active residential homes) WP4c) UK-wide care and residential home managers WP5 n = 22-26. Key stakeholders across 3 ambulance service areas - a variety of roles in the ambulance service including frontline clinicians and 999 call handlers. Hospitals within the participating ambulance will identify staff that are involved throughout the process of care such as ED, frailty and acute medicine departments (dependent upon the findings from WP1). Residential and care home staff in the participating ambulance service areas.
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 12/11/2025: WP3: Registration with NHS Data Opt-out, or if they have already been approached to participate in the study. WP5: Health professionals working in the healthcare field who are not directly involved in the management of this patient cohort and does not work within the three specific geographical boundaries. Previous exclusion criteria: Not meeting the participant inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 12/11/2025: 1. Factors associated with length of lie (source: YAS automated free-text search/CUREd+ dataset linkage): 1.1. Length of lie in minutes (continuous) 2. Association between length of lie and patient care pathway outcomes (source: CUREd+ dataset linkage): 2.1. Ambulance conveyance (vs see and treat) at attendance (conveyance), 30 days and 6 months post-fall (mortality) 3. Operationalising a harmful length of lie (source: CUREd+ dataset linkage): 3.1. Standardised rate ratios (ratio of observed/expected events). Determined by analysis of outcomes (e.g., mortality) across intervals of lie duration. 4. Qualitative outcome measures (source: interviews and focus groups): 4.1. Stakeholder management and mitigation of long lies; patient/carer perspective, psychological impact, and advice needs. Previous primary outcome measure: The identification and evaluation of effective interventions and strategies used by healthcare and social care providers to manage and mitigate the impact of long lies for patients measured using data collected from surveys, interviews, and data analysis from multiple work packages (WP4a, WP4b, WP4c, and WP5), throughout the study, with final evaluation upon completion of all work packages | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 12/11/2025: 1. Factors associated with length of lie (source: YAS automated free-text search/CUREd+ dataset linkage): 1.1. Length of lie in minutes - 'short' vs 'long' lie (categorical with pre-defined cutoffs) 2. Association between length of lie and patient care pathway outcomes (source: CUREd+ dataset linkage): 2.1. Incidence of acute admission to hospital (binary) 2.2. Length of stay of the admission (continuous) 2.3. Number of investigations at ED (count) 2.4. Number of treatments received at ED (count) 2.5. Level of urgency/acuity of the ED attendance (categorical) 2.6. Discharge to care home or 'step down' or intermediate care (categorical) 2.7. Number of and time to first readmission within 12 months (count/time-to-event) 2.8. Number of and time to first unplanned ED attendance within 12 months (count/time-to-event) 2.9. Number of and time to first NHS 111 call within 12 months (count/time-to-event) 2.10. Number of and time to first ambulance callout within 12 months (count/time-to-event) 2.11. Number of and time to first outpatient contact within 12 months (count/time-to-event) 2.12. Corresponding measures of acuity/urgency for each healthcare re-contact Previous secondary outcome measures: There are no secondary outcome measures | — |
Countries
England, Northern Ireland, Scotland, United Kingdom, Wales
Contacts
Public ContactJoanne;Maxine Coster;Kuczawski
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Outcome results
None listed