Objective : This prospective cohort study describes older non-transported fallers seen by the Ambulance Service of New South Wales (ASNSW), quantifies the level of risk and identifies predictors of future falls and ambulance use. Methods : Participants were 262 people aged 70 years or older with a fall-related ASNSW attendance who were not transported to an emergency department. They completed a questionnaire about health, medical and physical factors previously associated with falling. Falls were monitored for six months after ambulance attendance with monthly fall calendars. Results : Participants had a high prevalence of chronic medical conditions, functional limitations and past falls. During follow-up, 145 participants (58%) experienced 488 falls. Significant predictors of falls during follow-up were three or more falls in the past year, being unable to walk more than 10 minutes without resting, and requiring assistance for personal-care activities of daily living (ADLs). Sixty-two participants (25%) required repeat, fall-related ambulance attendance during the study. Predictors of repeat ambulance use were: 3+ falls in past year, requiring assistance for personal-care ADLs and having disabling pain in past month. Conclusions : Older, non-transported fallers seen by the ASNSW are a vulnerable population with high rates of chronic health conditions. Implications : Onward referral for preventive interventions may reduce future falls and ambulance service calls.
AD - The George Institute for Global Health, University of Sydney, New South Wales Neuroscience Research Australia, University of New South Wales The George Institute for Global Health, University of Sydney, New South Wales Neuroscience Research Australia, University of New South Wales Neuroscience Research Australia, University of New South Wales; Prince of Wales Clinical School, University of New South Wales. AN - 23551478 BT - Australian and New Zealand Journal of Public Health DP - NLM ET - 2013/04/05 J2 - LA - eng M1 - 2 N1 - Tiedemann, AnneMikolaizak, A StefanieSherrington, CatherineSegin, KerrieLord, Stephen RClose, Jacqueline C TAustraliaAust N Z J Public Health. 2013 Apr;37(2):179-85. doi: 10.1111/1753-6405.12037. N2 -Objective : This prospective cohort study describes older non-transported fallers seen by the Ambulance Service of New South Wales (ASNSW), quantifies the level of risk and identifies predictors of future falls and ambulance use. Methods : Participants were 262 people aged 70 years or older with a fall-related ASNSW attendance who were not transported to an emergency department. They completed a questionnaire about health, medical and physical factors previously associated with falling. Falls were monitored for six months after ambulance attendance with monthly fall calendars. Results : Participants had a high prevalence of chronic medical conditions, functional limitations and past falls. During follow-up, 145 participants (58%) experienced 488 falls. Significant predictors of falls during follow-up were three or more falls in the past year, being unable to walk more than 10 minutes without resting, and requiring assistance for personal-care activities of daily living (ADLs). Sixty-two participants (25%) required repeat, fall-related ambulance attendance during the study. Predictors of repeat ambulance use were: 3+ falls in past year, requiring assistance for personal-care ADLs and having disabling pain in past month. Conclusions : Older, non-transported fallers seen by the ASNSW are a vulnerable population with high rates of chronic health conditions. Implications : Onward referral for preventive interventions may reduce future falls and ambulance service calls.
PY - 2013 SN - 1753-6405 (Electronic)1326-0200 (Linking) SP - 179 EP - 85 ST - T2 - Australian and New Zealand Journal of Public Health TI - Older fallers attended to by an ambulance but not transported to hospital: a vulnerable population at high risk of future falls VL - 37 ER -