Trial reportJournal of the American Geriatrics Society2020
GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention in the Emergency Department: Preliminary Data.
Trial report in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03360305 (GAPcare), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
GAPcare: The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Multi-Factorial and Multi-Component Fall Prevention Interventions Initiated From the Emergency Department: A Systemic Review and Meta-Analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Pooled it
- Strategies to improve care for older adults who present to the emergency department: a systematic review.BMC health services research · 2024Pooled it
- Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.BMC health services research · 2023Pooled it
- Emergency Department Visit Outcomes of a Multicenter Randomized Trial of a Fall Prevention Intervention.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Trial
- A randomized control trial comparing Falls Reduction for Elderly Emergency Department (FREED) interventions and usual care.BMC emergency medicine · 2025Trial
- On-site physiotherapy in older emergency department patients following a fall: a randomized controlled trial.European geriatric medicine · 2025Trial
- Can an Emergency Department-Initiated Intervention Prevent Subsequent Falls and Health Care Use in Older Adults? A Randomized Controlled Trial.Annals of emergency medicine · 2020Trial
- Physical and Occupational Therapist Evaluations for Fall Prevention in the Emergency Department: A Geriatric ED Guidelines 2.0 Systematic Review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Adapting an emergency department fall prevention intervention for persons living with dementia through patient, caregiver, and expert interviews.Scientific reports · 2025Article
- Outcomes of Physical and Occupational Therapy Evaluation in the Emergency Department for Older Adults With Falls: A Retrospective Multicenter Cohort.Journal of the American College of Emergency Physicians open · 2025Article
- Application of Algorithm-Based Treatment Approach to Low Back Pain in the Emergency Department.Physical therapy · 2025Article
- Caring for older adults' social needs in emergency departments: Where to draw the line?Journal of the American Geriatrics Society · 2025Article
- Expanding the reach of a fall prevention intervention for older adult emergency department patients through telehealth: a trial protocol.Frontiers in public health · 2025Article
- A scoping review of geriatric emergency medicine research transparency in diversity, equity, and inclusion reporting.Journal of the American Geriatrics Society · 2024Article
- Strategies for implementation of a transmural fall-prevention care pathway for older adults with fall-related injuries at the emergency department.BMC emergency medicine · 2024Article
- Emergency Department-Based Physical Function Measures for Falls in Older Adults and Outcomes: A Secondary Analysis of GAPcare.Journal of geriatric physical therapy (2001) · 2024Article
- Implementation fidelity of a multifactorial in-hospital fall prevention program and its association with unit systems factors: a single center, cross-sectional study.BMC health services research · 2023Article
- Enhancing the quality of prescribing practices for older adults discharged from the emergency department in Rhode Island.Journal of the American Geriatrics Society · 2022Article
- Review
- Collaborative design and implementation of a clinical decision support system for automated fall-risk identification and referrals in emergency departments.Healthcare (Amsterdam, Netherlands) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesWe aimed to describe a new multidisciplinary team fall prevention intervention for older adults who seek care in the emergency department (ED) after having a fall, assess its feasibility and acceptability, and review lessons learned during its initiation.
designSingle-blind randomized controlled pilot study.
settingTwo urban academic EDs
participantsAdults 65 years old or older (n = 110) who presented to the ED within 7 days of a fall.
interventionParticipants were randomized to a usual care (UC) and an intervention (INT) arm. Participants in the INT arm received a brief medication therapy management session delivered by a pharmacist and a fall risk assessment and plan by a physical therapist (PT). INT participants received referrals to outpatient services (eg, home safety evaluation, outpatient PT). MEASUREMENTS: We used participant, caregiver, and clinician surveys, as well as electronic health record review, to assess the feasibility and acceptability of the intervention.
resultsOf the 110 participants, the median participant age was 81 years old, 67% were female, 94% were white, and 16.3% had cognitive impairment. Of the 55 in the INT arm, all but one participant received the pharmacy consult (98.2%); the PT consult was delivered to 83.6%. Median consult time was 20 minutes for pharmacy and 20 minutes for PT. ED length of stay was not increased in the INT arm: UC 5.25 hours vs INT 5.0 hours (P < .94). After receiving the Geriatric Acute and Post-acute Fall Prevention Intervention (GAPcare), 100% of participants and 97.6% of clinicians recommended the pharmacy consult, and 95% of participants and 95.8% of clinicians recommended the PT consult.
conclusionThese findings support the feasibility and acceptability of the GAPcare model in the ED. A future larger randomized controlled trial is planned to determine whether GAPcare can reduce recurrent falls and healthcare visits in older adults. J Am Geriatr Soc 68:198-206, 2019.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.