ArticlePloS one2022
Feasibility of a new multifactorial fall prevention assessment and personalized intervention among older people recently discharged from the emergency department.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.
- Emergency department revisits and hospital readmissions following a fall-related emergency department presentation in older adults: a systematic review and meta-analysis.Age and ageing · 2026Pooled it
- Implementation science in care for older adults across healthcare settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Emergency department-initiated interventions to reduce risk of recurrent falls in older adults: a systematic review and meta-analysis.Age and ageing · 2026Pooled 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
- Context makes a difference: a qualitative study exploring how to implement a multifactorial falls prevention intervention in the community.BMC public health · 2025Article
- 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
- Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and importanceFalls among older people occur frequently and are a leading cause of Emergency department (ED) admissions, disability, death and rising health care costs. Multifactorial fall prevention programs that are aimed to target the population at risk have shown to effectively reduce the rate of falling and fall-related injuries in community-dwelling older people. However, the participation of and adherence to these programs in real life situation is generally low.
objectiveTo test the feasibility of a transitionally organized fall prevention assessment with accompanying personalized intervention initiated at the ED. DESIGN, SETTINGS AND
participantsA process evaluation, of a non-randomized controlled pilot trial for implementing a transitionally organized multifactorial fall prevention intervention, was performed using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to gain insight into the barriers and facilitators of implementation. Older fallers (>70yrs) presenting at the ED were selected based on ZIP-code and after obtaining informed consent, data for the evaluation was collected through questionnaires and interviews. Furthermore, feedback was collected from the healthcare providers. MAIN
resultsThe consent was obtained by 24 (70%) of the patients approached directly at the ED and 17 (26%) of the patients approached later by phone. Adherence to the protocol by the participants, clinical assessors and family practice were all more than 90%. After three months, nine (26%) of the participants had at least one recurrent fall: three (20%) patients in the intervention group and six (32%) in the control group.
conclusionED presentation due to a fall in older persons provides a window of opportunity for optimizing adherence to a multifactorial fall prevention program as willingness to participate was higher when the patients were approached at the ED during their stay. Implementing a transitionally organized multidisciplinary fall prevention program was successful with a high protocol adherence. THE NETHERLANDS TRIAL REGISTER: NTR NL8142, November 8, 2019.
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