Lack of Fall Concern and Primary Care Physician Follow-Up in Geriatric Emergency Department Patients with Head Trauma from a Fall-Advances in Geriatric Medicine and Research-CSCIED科技核心评价数据库-手机版

Lack of Fall Concern and Primary Care Physician Follow-Up in Geriatric Emergency Department Patients with Head Trauma from a Fall

Lack of Fall Concern and Primary Care Physician Follow-Up in Geriatric Emergency Department Patients with Head Trauma from a Fall

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DOI	10.20900/agmr20250014
刊名	Advances in Geriatric Medicine and Research AGMR
年，卷(期)	2025, 7(3)
作者	Maya Khazem,Gabriella Engstrom,Mike Wells,Scott M. Alter,Lisa M. Clayton,Timothy P. Buckley,Joshua J. Solano,Patrick G. Hughes,Vibhor Agrawal,Richard D. Shih*,
作者单位	Charles E. Schmidt College of Medicine, Florida Atlantic University, FL 33431, USA ;
摘要	Background: Falls are the leading cause of fatal and nonfatal injuries in the United States for adults aged 65 years and older. The objective of this study was to determine the impact of patient self-perceived concern about falling on subsequent primary care provider (PCP) follow-up in older emergency department (ED) adults who sustained a head injury from a fall. Methods: This was a secondary analysis of a large prospective study which included patients aged ≥65 years who had sustained head trauma from a fall. Patients with penetrating injuries, injury >24 h prior to presentation, and transfer from another hospital were excluded. Participants were telephonically followed up 14 days after ED presentation. They were asked about their concern for a repeat fall and whether they had followed-up with their PCP since discharge. Results: Of 1527 participants surveyed, 769 (50.4%) were concerned about falling again and 758 (49.6%) were slightly or not at all concerned. There was an overall low PCP follow-up rate. The follow up rate was slightly higher for those concerned vs. not concerned about falling (62% vs 56%, p = 0.035; OR = 1.25, 95% CI: 1.01–1.53). Conclusions: Geriatric ED patients who suffered head injury from a fall and expressed concern about future falls were more likely to follow up with their PCP. Fifty percent of participants with a self-reported fall expressed little to no concern for falling again. This suggests that many ED patients that have fallen are vulnerable to deficient PCP follow-up and fall prevention strategies. We suggest increased physician and patient education to emphasize fall prevention and PCP follow-up.
Abstract	Background: Falls are the leading cause of fatal and nonfatal injuries in the United States for adults aged 65 years and older. The objective of this study was to determine the impact of patient self-perceived concern about falling on subsequent primary care provider (PCP) follow-up in older emergency department (ED) adults who sustained a head injury from a fall. Methods: This was a secondary analysis of a large prospective study which included patients aged ≥65 years who had sustained head trauma from a fall. Patients with penetrating injuries, injury >24 h prior to presentation, and transfer from another hospital were excluded. Participants were telephonically followed up 14 days after ED presentation. They were asked about their concern for a repeat fall and whether they had followed-up with their PCP since discharge. Results: Of 1527 participants surveyed, 769 (50.4%) were concerned about falling again and 758 (49.6%) were slightly or not at all concerned. There was an overall low PCP follow-up rate. The follow up rate was slightly higher for those concerned vs. not concerned about falling (62% vs 56%, p = 0.035; OR = 1.25, 95% CI: 1.01–1.53). Conclusions: Geriatric ED patients who suffered head injury from a fall and expressed concern about future falls were more likely to follow up with their PCP. Fifty percent of participants with a self-reported fall expressed little to no concern for falling again. This suggests that many ED patients that have fallen are vulnerable to deficient PCP follow-up and fall prevention strategies. We suggest increased physician and patient education to emphasize fall prevention and PCP follow-up.
关键词	fall; geriatric; head trauma; primary care physician; emergency department; follow up; fall prevention
KeyWord	fall; geriatric; head trauma; primary care physician; emergency department; follow up; fall prevention
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Maya Khazem,Gabriella Engstrom,Mike Wells,Scott M. Alter,Lisa M. Clayton,Timothy P. Buckley,Joshua J. Solano,Patrick G. Hughes,Vibhor Agrawal,Richard D. Shih*. Lack of Fall Concern and Primary Care Physician Follow-Up in Geriatric Emergency Department Patients with Head Trauma from a Fall [J]. Advances in Geriatric Medicine and Research. 2025; 7; (3). - .

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