A high-yield fall risk and adverse events screening questions from the Stopping Elderly Accidents, Death, and Injuries (STEADI) guideline for older Emergency Department fall patients
Academic Emergency Medicine Jun 13, 2018
Sri-on J, et al. - Researchers examined if responses to the Stopping Elderly Accidents, Death, and Injuries (STEADI) questions responses predicted adverse events after an older adult Emergency Department (ED) fall visits. They also looked for factors associated with such recurrent fall. Among 548 (86.3%) patients who completed follow-up, 243 (44.3%) patients experienced an adverse event after a fall within 6 months. They noted that despite the association of seven individual questions from the STEADI guidelines with increased adverse outcomes within 6 months, a STEADI score of ≥4 did not predict adverse outcomes. These may be organized into three categories (previous falls, physical activity, and high-risk medications) and may provide help to emergency physicians in evaluating and referring high-risk fall patients for a comprehensive falls evaluation.
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