The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department II
Completed · Not applicable
Conditions studied: Fall
In brief
In brief, this K76 study consists of a small open trial to refine the study protocol and train study personnel on study procedures (Aim 1.b.). In Aim 2, we will recruit older adults into a multidisciplinary fall prevention pilot study. Participants will be randomly assigned to usual care with a traditional fall evaluation by an ED clinician (i.e., ED medical staff member) or an intervention. In the intervention, participants will receive an in-ED consultation by a physical therapist and pharmacist to determine reasons for the fall and offer additional education and training. Participants will be provided an Apple Watch to record measures of fitness and falls, if possible, in the following 12 months. Recurrent falls will be measured in twelve-month follow-up.
Key facts
- Study ID
- NCT04304495
- Run by
- University of Colorado, Denver
- People needed
- 197
- Starts
- 2021-01-06
- Expected to finish
- 2025-05-02
- Last updated by the study team
- 2025-05-31
Who can join
Age: 65 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Community-dwelling adult (non-institutionalized) 65 years-old or older presenting to ED after a fall
- Fall not due to syncope or external force (i.e., struck by car or assault)
- Fall not due to serious illness (i.e., stroke, acute myocardial infarction)
- Will be discharged to home/assisted living/rehabilitation at completion of ED visit (i.e., not admitted)
- Legally authorized representative able to give informed consent if patient has cognitive impairment on Six Item Screener (score of less than four) either over the phone with witness present or in person
- Must screen or test negative for COVID-19
You may not qualify if…
- Unable to give informed consent due to intoxication or altered mental status
- Presence of injuries that prevent mobilization (i.e., pelvic or lower extremity fractures)
- Allergies to any wearable device component
- Unable or unwilling to wear Apple Watch at home (only for periodic study visits)
- Patient has advanced cancer and/or is on hospice care
- Pts coming from SNF or nursing home
- Previously enrolled in GAPcare II Aim1.b
Where it is running
- University of Colorado Hospital — Aurora, Colorado, United States
- Rhode Island Hospital — Providence, Rhode Island, United States
- The Miriam Hospital — Providence, Rhode Island, United States
Full record on ClinicalTrials.gov
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