TY  - JOUR
PY  - 2018//
TI  - Implementation of the Stopping Elderly Accidents, Deaths, and Injuries initiative in primary care: an outcome evaluation
JO  - Gerontologist
A1  - Johnston, Yvonne A.
A1  - Bergen, Gwen
A1  - Bauer, Michael
A1  - Parker, Erin M.
A1  - Wentworth, Leah
A1  - McFadden, Mary
A1  - Reome, Chelsea
A1  - Garnett, Matthew
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND AND OBJECTIVES: Older adult falls pose a growing burden on the U.S. health care system. The Centers for Disease Control and Prevention's Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative was developed as a multifactorial approach to fall prevention that includes screening for fall risk, assessing for modifiable risk factors, and prescribing evidence-based interventions to reduce fall risk. The purpose of this study was to determine the impact of a STEADI initiative on medically treated falls within a large health care system in Upstate New York. RESEARCH DESIGN AND METHODS: This cohort study classified older adults who were screened for fall risk into 3 groups: (a) At-risk and no Fall Plan of Care (FPOC), (b) At-risk with a FPOC, and (c) Not-at-risk. Poisson regression examined the group's effect on medically treated falls when controlling for other variables. The sample consisted of 12,346 adults age 65 or older who had a primary care visit at one of 14 outpatient clinics between September 11, 2012, and October 30, 2015. A medically treated fall was defined as a fall-related treat-and-release emergency department visit or hospitalization. <br><br>RESULTS: Older adults at risk for fall with a FPOC were 0.6 times less likely to have a fall-related hospitalization than those without a FPOC (p =.041), and their postintervention odds were similar to those who were not at risk. <br><br>DISCUSSION AND IMPLICATIONS: This study demonstrated that implementation of STEADI fall risk screening and prevention strategies among older adults in the primary care setting can reduce fall-related hospitalizations and may lower associated health care expenditures.<p />  <p>Language: en</p>
LA  - en
SN  - 0016-9013
UR  - http://dx.doi.org/10.1093/geront/gny101
ID  - ref1
ER  -