ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2021
Moving the needle on fall prevention: A Geriatric Emergency Care Applied Research (GEAR) Network scoping review and consensus statement.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 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
- Pooled 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
- Effectiveness of Exercise in Older Adults Discharged From the ER After Minor Injuries: The CEDeComS Stepped-Wedge Trial.Journal of the American Geriatrics Society · 2026Trial
- On-site physiotherapy in older emergency department patients following a fall: a randomized controlled trial.European geriatric medicine · 2025Trial
- 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
- The Geriatric Emergency Care Applied Research Standardization Study (GEARSS): An Observational Study of Older Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Observational
- A Model for Developing Subspecialty Clinical Practice Guidelines: The Geriatric Emergency Department Guidelines 2.0.Journal of the American College of Emergency Physicians open · 2025Article
- 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
- Trends and Risk Factors for the Hospitalization of Older Adults Presenting to Emergency Departments After a Bed-Related Fall: A National Database Analysis.Journal of clinical medicine · 2025Article
- Analysis of long-term prognosis of older patients after a first fall according to economic status.European geriatric medicine · 2025Article
- Nonspecific stress biomarkers for mortality prediction in older emergency department patients presenting with falls: a prospective multicenter observational study.Internal and emergency medicine · 2025Observational
- Paramedics and emergency medical technicians' perceptions of geriatric trauma care in Saudi Arabia.BMC emergency medicine · 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
- Predicting posthospitalization falls in Brazilian older adults: External validation of the Carpenter instrument.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Timing of emergency medical services activations for falls.Archives of gerontology and geriatrics plus · 2024Article
- Risk of falls is associated with 30-day mortality among older adults in the emergency department.The American journal of emergency medicine · 2024Observational
- Hospitalization and readmission after single-level fall: a population-based sample.Injury epidemiology · 2023Article
- Automated referral to community paramedicine during 9-1-1 fall calls for resource activation.Journal of the American Geriatrics Society · 2022Article
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Authors and funding
14 authors at 10 institutions in 2 countries.
Funding
Abstract
backgroundAlthough falls are common, costly, and often preventable, emergency department (ED)-initiated fall screening and prevention efforts are rare. The Geriatric Emergency Medicine Applied Research Falls core (GEAR-Falls) was created to identify existing research gaps and to prioritize future fall research foci.
methodsGEAR's 49 transdisciplinary stakeholders included patients, geriatricians, ED physicians, epidemiologists, health services researchers, and nursing scientists. We derived relevant clinical fall ED questions and summarized the applicable research evidence, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews. The highest-priority research foci were identified at the GEAR Consensus Conference.
resultsWe identified two clinical questions for our review (1) fall prevention interventions (32 studies) and (2) risk stratification and falls care plan (19 studies). For (1) 21 of 32 (66%) of interventions were a falls risk screening assessment and 15 of 21 (71%) of these were combined with an exercise program or physical therapy. For (2) 11 fall screening tools were identified, but none were feasible and sufficiently accurate for ED patients. For both questions, the most frequently reported study outcome was recurrent falls, but various process and patient/clinician-centered outcomes were used. Outcome ascertainment relied on self-reported falls in 18 of 32 (56%) studies for (1) and nine of 19 (47%) studies for (2).
conclusionHarmonizing definitions, research methods, and outcomes is needed for direct comparison of studies. The need to identify ED-appropriate fall risk assessment tools and role of emergency medical services (EMS) personnel persists. Multifactorial interventions, especially involving exercise, are more efficacious in reducing recurrent falls, but more studies are needed to compare appropriate bundle combinations. GEAR prioritizes five research priorities: (1) EMS role in improving fall-related outcomes, (2) identifying optimal ED fall assessment tools, (3) clarifying patient-prioritized fall interventions and outcomes, (4) standardizing uniform fall ascertainment and measured outcomes, and (5) exploring ideal intervention components.
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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.