Implementation of the Stopping Elderly Accidents, Deaths, and Injuries Initiative in Primary Care: An Outcome Evaluation

Details

• Alternative Title:
  Gerontologist
• Personal Author:
  Johnston, Yvonne A. ; Bergen, Gwen ; Bauer, Michael ; Parker, Erin M. ; Wentworth, Leah ; McFadden, Mary ; Reome, Chelsea ; Garnett, Matthew
• Description:
  Background and Objectives:
  
  Older adult falls pose a growing burden on the U.S. health care system. The Centers for Disease Control and Prevention’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative was developed as a multifactorial approach to fall prevention that includes screening for fall risk, assessing for modifiable risk factors, and prescribing evidence-based interventions to reduce fall risk. The purpose of this study was to determine the impact of a STEADI initiative on medically treated falls within a large health care system in Upstate New York.
  
  Research Design and Methods:
  
  This cohort study classified older adults who were screened for fall risk into 3 groups: (a) At-risk and no Fall Plan of Care (FPOC), (b) At-risk with a FPOC, and (c) Not-at-risk. Poisson regression examined the group’s effect on medically treated falls when controlling for other variables. The sample consisted of 12,346 adults age 65 or older who had a primary care visit at one of 14 outpatient clinics between September 11, 2012, and October 30, 2015. A medically treated fall was defined as a fall-related treat-and-release emergency department visit or hospitalization.
  
  Results:
  
  Older adults at risk for fall with a FPOC were 0.6 times less likely to have a fall-related hospitalization than those without a FPOC (p = .041), and their postintervention odds were similar to those who were not at risk.
  
  Discussion and Implications:
  
  This study demonstrated that implementation of STEADI fall risk screening and prevention strategies among older adults in the primary care setting can reduce fall-related hospitalizations and may lower associated health care expenditures.
  
  
• Subjects:
  Accidental Falls Aged Aged, 80 And Over Article Falls Female Humans Intervention Male Mass Screening Middle Aged Poisson Distribution Primary Health Care Program Evaluation Risk Factors Screening United States

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• Source:
  Gerontologist. 59(6):1182-1191
• Pubmed ID:
  30239774
• Pubmed Central ID:
  PMC6625936
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States ; U17 CE001997/CE/NCIPC CDC HHS/United States
• Volume:
  59
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:fcb951756a54eae3a1949de2631cb51a7a719019240f95d7d71f880d5b88b5e8
• Download URL:
  https://stacks.cdc.gov/view/cdc/79788/cdc_79788_DS1.pdf
• File Type:
  [PDF - 297.85 KB ]