TY  - JOUR
PY  - 2013//
TI  - Older fallers attended to by an ambulance but not transported to hospital: a vulnerable population at high risk of future falls
JO  - Australian and New Zealand journal of public health
A1  - Tiedemann, Anne
A1  - Mikolaizak, A. Stefanie
A1  - Sherrington, Catherine
A1  - Segin, Kerrie
A1  - Lord, Stephen R.
A1  - Close, Jacqueline C. T.
SP  - 179
EP  - 185
VL  - 37
IS  - 2
N2  - Objective : This prospective cohort study describes older non-transported fallers seen by the Ambulance Service of New South Wales (ASNSW), quantifies the level of risk and identifies predictors of future falls and ambulance use. Methods : Participants were 262 people aged 70 years or older with a fall-related ASNSW attendance who were not transported to an emergency department. They completed a questionnaire about health, medical and physical factors previously associated with falling. Falls were monitored for six months after ambulance attendance with monthly fall calendars. Results : Participants had a high prevalence of chronic medical conditions, functional limitations and past falls. During follow-up, 145 participants (58%) experienced 488 falls. Significant predictors of falls during follow-up were three or more falls in the past year, being unable to walk more than 10 minutes without resting, and requiring assistance for personal-care activities of daily living (ADLs). Sixty-two participants (25%) required repeat, fall-related ambulance attendance during the study. Predictors of repeat ambulance use were: 3+ falls in past year, requiring assistance for personal-care ADLs and having disabling pain in past month. Conclusions : Older, non-transported fallers seen by the ASNSW are a vulnerable population with high rates of chronic health conditions. Implications : Onward referral for preventive interventions may reduce future falls and ambulance service calls.<p />  <p>Language: en</p>
LA  - en
SN  - 1326-0200
UR  - http://dx.doi.org/10.1111/1753-6405.12037
ID  - ref1
ER  -