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Area of Science:

  • Gerontology
  • Trauma Prevention
  • Public Health Interventions

Background:

  • Geriatric living facilities experience high fall rates.
  • Falls in the elderly lead to significant trauma admissions.
  • Existing fall prevention protocols require targeted implementation.

Purpose of the Study:

  • To develop and evaluate an innovative fall prevention intervention for geriatric living facilities.
  • To reduce geriatric fall admissions to a Level II trauma center.
  • To compare fall admission rates before and after the intervention.

Main Methods:

  • A fall prevention protocol was delivered to 5 geriatric facilities.
  • The protocol included education, risk factor identification, and prevention strategies.
  • Trauma registry data compared fall admissions pre- and post-intervention (2010-2013) in intervention and control facilities.

Main Results:

  • Fall admission rates decreased at intervention facilities (8.9 to 8.1 falls/bed).
  • Fall admission rates increased at control facilities (5.9 to 7.7 falls/bed).
  • The intervention demonstrated a statistically significant reduction in fall admissions (P=0.047).

Conclusions:

  • An aggressive intervention program in geriatric living facilities effectively decreased fall admissions to trauma centers.
  • Targeted fall prevention strategies are crucial for reducing elderly falls and associated trauma.
  • This approach offers a model for improving safety in long-term care settings.