Older adults at risk for falls who have a “fall plan of care” in place may be less likely to experience fall-related hospitalizations, according to a new study from Binghamton University, State University at New York.
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, published recently in The Gerontologist, was to determine the impact of a STEADI initiative on medically treated falls within a large healthcare system in Upstate New York, according to a media release.
“Fall prevention activities such as raising awareness about fall risk, identifying individual risk for fall, discussing fall risk prevention strategies, and providing referrals to fall risk reduction programs in the community for older adults were shown to reduce fall-related hospitalizations,” says Yvonne Johnston, research associate professor at the Binghamton University Decker School of Nursing and corresponding author of the paper, in the release.
“As a result of these interventions, older adults may be more conscious of conditions that contribute to falls, take steps to modify their home environment to reduce fall risk, and participate in falls prevention programs and physical activities that improve strength and balance. These steps, what we called development of a Fall Plan of Care, likely contributed to the observed lower rates of fall-related hospitalizations for older adults who were identified as being at risk for fall,” she adds.
In their study, the researchers classified older adults who were screened for fall risk into three groups: (a) At-risk and no Fall Plan of Care (FPOC), (b) At-risk with a FPOC, and (c) Not-at-risk. 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.
The researchers found that 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 and their post-intervention odds were similar to those who were not-at-risk, the release explains.
Healthcare systems can successfully implement fall prevention screening and referral for older adults in the primary care setting, Johnston shares regarding the project’s results.
“The STEADI initiative can be feasibly modified to streamline office workflow, and incorporation of a fall risk screening protocol in the electronic health record can provide a supportive infrastructure for addressing fall risk among older adults,” she adds.
“These system-wide changes—screening for fall risk among older adults in primary care and developing a plan of care for those identified as being at risk for fall—were shown to have a positive impact on reducing hospitalizations. These findings suggest benefit for patient health and well-being and potential reduction in health care costs associated with fall-related hospitalizations.”
[Source(s): Binghamton University, State University at New York; Newswise]