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Titolo:
Preventive care in the emergency department: Should emergency departments institute a falls prevention program for elder patients? A systematic review
Autore:
Weigand, JV; Gerson, LW;
Indirizzi:
NE Ohio Univ, Coll Med, Div Community Hlth Sci, Rootstown, OH 44272 USA NEOhio Univ Rootstown OH USA 44272 ity Hlth Sci, Rootstown, OH 44272 USA Summa Hlth Syst, Dept Emergency Med, Akron, OH USA Summa Hlth Syst Akron OH USA lth Syst, Dept Emergency Med, Akron, OH USA
Titolo Testata:
ACADEMIC EMERGENCY MEDICINE
fascicolo: 8, volume: 8, anno: 2001,
pagine: 823 - 826
SICI:
1069-6563(200108)8:8<823:PCITED>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; PRACTICE GUIDELINE; FICSIT TRIALS; COMMUNITY; EXERCISE; FRACTURES; INJURIES; SERVICES; MEDICINE; FRAILTY;
Keywords:
accidental falls; emergency services; hospital; preventive services; systematic review; aged; elders;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Gerson, LW NE Ohio Univ, Coll Med, Div Community Hlth Sci, POB 95, Rootstown, OH 44272 USA NE Ohio Univ POB 95 Rootstown OH USA 44272 tstown, OH 44272 USA
Citazione:
J.V. Weigand e L.W. Gerson, "Preventive care in the emergency department: Should emergency departments institute a falls prevention program for elder patients? A systematic review", ACAD EM MED, 8(8), 2001, pp. 823-826

Abstract

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, andthe 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 recommendthat 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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Documento generato il 26/11/20 alle ore 11:26:14