Topic: Primary Care Research Network for England, Injuries and Emergencies
Conditions
Interventions
Calculate future fracture risk: Paramedics will calculate future fracture risk in patients that fall
Transmit fracture risk GP, Paramedics will transmit calculated future fracture risk to patients GPs
Study Entry : Single Randomisation only
Sponsors
University Hospitals Bristol NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Men and women aged over 50 who fall (inside or outside their place of residence), call an ambulance, and are attended by study paramedics
Exclusion criteria
Exclusion criteria: 1. Patients who, in the paramedic?s opinion, are medically unstable and for whom it would not be appropriate to delay treatment to ask study questions (for example where the paramedics suspect a cardiac incident). 2. Patients who have fallen in a public place and n the opinion of the treating paramedics should be conveyed without delay. 3. Patients who are deemed to lack capacity (according to the Mental Health Act [2005]) but for whom there is no available carer or consultee. 4. Patients who are admitted to hospital for 24 hours or more. These patients will need to be excluded by the RF prior to consent (pre-existing service arrangements cover inpatients and our principal target population is in primary care). We will continue to monitor patients who fall twice or more during the study period, but count the first fall as the index event. Only the first eligible fall will trigger entry to the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients on treatment; Timepoint(s): Proportion of patients taking new treatment to reduce future fracture risk | — |
Secondary
| Measure | Time frame |
|---|---|
| Appropriate investigations; Timepoint(s): The proportion of patients in control and intervention group that are referred for DXA or blood test | — |
Countries
United Kingdom
Outcome results
None listed