Comparison of different strategies of referral to a fall clinic: How to achieve an optimal casemix?

Objective To study the potential differences in patient characteristics between two referral methods to a fall clinic, specifically: case-finding of patients admitted to an emergency department because of a fall, compared to direct referral to the fall clinic via the general practitioner. Design Cro...

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Bibliographic Details
Published in:The Journal of nutrition, health & aging health & aging, 2011-02, Vol.15 (2), p.140-145
Main Authors: Schoon, Y., Hoogsteen-Ossewaarde, M. E., Scheffer, A. C., Van Rooij, F. J. M., Olde Rikkert, M. G. M., De Rooij, S. E.
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Accidental Falls - statistics & numerical data
Aged
Aging
Biological and medical sciences
Comparison of Different Strategies of Referral to a Fall Clinic
Cross-Sectional Studies
Diagnosis-Related Groups
Emergency Service, Hospital
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
General Practice
Geriatrics/Gerontology
Humans
Male
Medicine
Medicine & Public Health
Netherlands
Neurosciences
Nutrition
Prevalence
Primary Care Medicine
Quality of Life Research
Recurrence
Referral and Consultation - statistics & numerical data
Risk Factors
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:Objective To study the potential differences in patient characteristics between two referral methods to a fall clinic, specifically: case-finding of patients admitted to an emergency department because of a fall, compared to direct referral to the fall clinic via the general practitioner. Design Cross-sectional study. Setting Fall clinics in two university teaching hospitals in the Netherlands. Participants Three hundred community-dwelling older people aged 65 years or over currently attending the fall clinics in Nijmegen (Group 1, n=154) and in Amsterdam (Group 2, n=146). Measurements Patients were referred by a general practitioner (Group 1) or were selected using the Carefall Triage Instrument (CTI) after visiting the emergency department (Group 2). In all patients, modifiable risk factors for recurrent falls were assessed. Results Group 1 had less modifiable risk factors for falling (a mean of 4 (SD 1.6) vs. a mean of 5 (SD 1.5) in Group 2, p
ISSN:1279-7707
1760-4788
DOI:10.1007/s12603-011-0027-3