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Related Experiment Video

Updated: May 23, 2025

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease
07:21

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease

Published on: June 16, 2023

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An Emergency Department Virtual Observation Unit Fall Prevention Program: A Pilot Acceptability Study.

Kenji Numata1,2, Abigail E Jones3, Melissa A Meeker3

  • 1Department of Emergency Medicine, St. Marianna University Hospital, Kawasaki, JPN.

Cureus
|March 11, 2025
PubMed
Summary
This summary is machine-generated.

A new fall prevention program in the emergency department (ED) Virtual Observation Unit (VOU) was found safe and acceptable for older adults. While participation was low, the intervention group reported fewer falls and increased fall-risk reduction behaviors.

Keywords:
elderly patientsfall protectionparamedic emergency medical servicestelemedicine (tm)virtual observation

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Area of Science:

  • Gerontology
  • Public Health
  • Emergency Medicine

Background:

  • Falls are a leading cause of death and injury in adults aged 65+, incurring significant healthcare costs.
  • Older adults frequently visit the emergency department (ED) for falls, yet fall prevention is often overlooked due to time and resource constraints.
  • A novel multi-component fall prevention initiative was developed within an ED Virtual Observation Unit (VOU) Falls program.

Purpose of the Study:

  • To assess the feasibility, acceptability, and safety of a novel multi-component fall prevention initiative embedded in an ED VOU.
  • To evaluate patient and provider perceptions of the program using the Theoretical Framework of Acceptability (TFA).
  • To determine the program's impact on fall-risk behaviors and fall incidence at three-month follow-up.

Main Methods:

  • A feasibility study was conducted at a level-1 urban teaching hospital.
  • The program incorporated home safety evaluations, Timed Up and Go (TUG) tests, and telemedicine medication reviews.
  • Patient and provider surveys (adapted from TFA) and three-month follow-up assessments were used to collect data.

Main Results:

  • 35 patients were included; 6 in the intervention group and 29 in the control group.
  • Patients found the ED VOU Falls program acceptable and comfortable, with providers deeming it fair, feasible, and safe.
  • No falls were reported in the intervention group at three months, compared to two falls (8%) in the control group. The intervention group also showed increased fall-risk reduction behaviors.

Conclusions:

  • The ED VOU Falls program is a feasible, acceptable, and safe intervention for older adults presenting with falls.
  • Low participation rates highlight the need to address provider and patient concerns to improve program uptake.
  • Further adaptation and refinement are necessary to optimize the program's effectiveness and reach within the emergency department setting.