Older Adult Falls in Emergency Medicine 2019 Update

被引：27

作者：

Carpenter, Christopher R. ^{[1
,2
]}

Cameron, Amy ^{[3
]}

Ganz, David A. ^{[4
]}

Liu, Shan ^{[5
]}

机构：

[1] Washington Univ, Sch Med, Dept Emergency Med, Campus Box 8072,660 South Euclid Ave, St Louis, MO 63110 USA

[2] Washington Univ, Sch Med, Emergency Care Res Core, Campus Box 8072,660 South Euclid Ave, St Louis, MO 63110 USA

[3] Massachusetts Gen Hosp, Dept Emergency Med, 55 Fruit St,5 Emerson,119 C, Boston, MA 02114 USA

[4] UCLA, David Geffen Sch Med, VA Greater Los Angeles Healthcare Syst, Dept Internal Med,Div Geriat, 11301 Wilshire Blvd 11G, Los Angeles, CA 90073 USA

[5] Harvard Med Sch, Massachusetts Gen Hosp, Dept Emergency Med, 5 Emerson,119C, Boston, MA 02114 USA

来源：

CLINICS IN GERIATRIC MEDICINE | 2019年 / 35卷 / 02期

关键词：

Emergency department; Accidental fall; Geriatric; Trauma; Implementation; Emergency medical services; SHARED DECISION-MAKING; MULTIFACTORIAL INTERVENTION; DEPARTMENT CARE; RISK; PREVENTION; PEOPLE; INJURY; MANAGEMENT; REDUCE; HOSPITALIZATION;

D O I：

10.1016/j.cger.2019.01.009

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Standing-level falls represent the most frequent cause of trauma-related death in older adults and a common emergency department (ED) presentation. However, these patients rarely receive guideline-directed screening and interventions during or following an episode of care. Reducing injurious falls in an aging society begins with prehospital evaluations and continues through definitive risk assessments and interventions that usually occur after ED care. Although ongoing obstacles to ED-initiated, evidence-based older adult fall-reduction strategies include the absence of a compelling emergency medicine evidence basis, innovations under way include validation of pragmatic screening instruments and incorporation of contemporary technology to improve fall detection rates.

引用

页码：205 / +

页数：16

共 72 条

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