Emergencies, Fall
Conditions
Keywords
Emergency department, Elderly person, Physiotherapist, Fall
Brief summary
This study aims to evaluate the impact of assessment and early physiotherapy management on the care pathway of the elderly person who falls, their length of stay in hospital and their fall recurrence rate.
Interventions
OTHERPhysiotherapy in the emergency department after a fall
Realization of a physiotherapy assessment.
Sponsors
Laboratoire Motricité, Interactions, Performance (UR 4334) of Nantes University
Nantes University Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients aged 75 and over 2. Patients admitted to emergency for falls. 3. Clinically stable patient who may benefit from a gait assessment or fall risk assessment 4. Patients able to understand the protocol and not verbally object to participation.
Exclusion criteria
1. Patients with limb fractures requiring surgical treatment 2. Patients under guardianship or curatorship. 3. Patients already included in an interventional research protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient orientation (return home, short-term hospitalization unit, hospitalization) at discharge from the emergency department | up to 48 hours | The orientation of the patient on discharge from the emergency services, according to the three defined pathways (return home, short-term hospitalization unit, hospitalization). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Emergency discharge referral before and after assessment by the physical therapist. | up to 48 hours | For the Physiotherapy group : Description of changes in physician orientation decision (return home, acute care unit, hospitalization) of patients, before/after the physical therapist assessment |
| Length of stay in emergency departments and in the short stay hospital unit | up to 48 hours | Calculation of the duration in hours by recording the dates and times of admission and discharge from the service. |
| Total duration of hospitalization for each stay, all services combined | 1 week | Calculation of the duration in hours by recording the dates and times of admission to the emergency services and final discharge from the hospital. |
| Number of recurrence of emergency admission for the same reason (fall) | up to 9 days | Recurrence of a fall within seven days of returning home |
| Satisfaction of doctors in emergency services | 0 day | A satisfaction questionnaire will be sent to all doctors who participated in the study |
Countries
France
Outcome results
None listed