TY  - JOUR
PY  - 2013//
TI  - Risk factors associated with visiting or not visiting the accident & emergency department after a fall
JO  - BMC health services research
A1  - Scheffer, Alice C.
A1  - Vanhensbroek, Pieter Boele
A1  - van Dijk, Nynke
A1  - Luitse, Jan S. K.
A1  - Goslings, Johannes C.
A1  - Luigies, René H.
A1  - de Rooij, Sophia E.
SP  - 286
EP  - 286
VL  - 13
IS  - 1
N2  - BACKGROUND: Little is known about the prevalence of modifiable risk factors of falling in elderly persons with a fall-history who do not visit the Accident and Emergency (A&E) Department after one or more falls. The objective of this study was to determine the prevalence of modifiable risk factors in a population that visited the A&E Department after a fall (A&E group) and in a community-dwelling population of elderly individuals with a fall history who did not visit the A&E Department after a fall (non-A&E group). METHODS: Two cohorts were included in this study. The first cohort included 547 individuals 65 years and older who were visited at home by a mobile fall prevention team. The participants in this cohort had fall histories but did not visit the A&E Department after a previous fall. These participants were age- and gender-matched to persons who visited the A&E Department for care after a fall. All participants were asked to complete the CAREFALL Triage Instrument. RESULTS: The mean number of modifiable risk factors in patients who did not visit the A&E Department was 2.9, compared to 3.8 in the group that visited the A&E Department (p<0.01). All risk factors were present in both groups but were more prevalent in the A&E group, except for the risk factors of balance and mobility (equally prevalent in both groups) and orthostatic hypotension (less prevalent in the A&E group). The risk factors of polypharmacy, absence of orthostatic hypotension, fear of falling, impaired vision, mood and high risk of osteoporosis were all independently associated with visiting the A&E Department. CONCLUSION: All modifiable risk factors for falling were found to be shared between community-dwelling elderly individuals with a fall history who visited the A&E Department and those who did not visit the Department, although the prevalence of these factors was somewhat lower in the A&E group. Preventive strategies aimed both at patients presenting to the A&E Department after a fall and those not presenting after a fall could perhaps reduce the number of recurrent falls, the occurrence of injury and the frequency of visits to the A&E Department.<p />  <p>Language: en</p>
LA  - en
SN  - 1472-6963
UR  - http://dx.doi.org/10.1186/1472-6963-13-286
ID  - ref1
ER  -