Incidence and Factors of Functional Decline After Emergency Department Discharge in Older Adults With Falls
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age65+
SponsorEge University
About this trial
The goal of this observational study is to learn about changes in activities of daily living (ADL) in older adults after being discharged from the emergency department (ED) following a fall.
The main questions this study aims to answer are:
How often do older adults experience a decline in their ability to perform daily activities after being discharged from the ED for a fall? What health or lifestyle factors (such as frailty, medications, physical activity, or fear of falling) are related to this decline? Participants will be 65 years or older, admitted to the ED for a simple fall, and discharged without hospitalization. At the time of their ED visit, participants will be asked questions about their health, medications, activity level, and daily functioning. They will then be contacted online or by phone at 7 days and 30 days after discharge to answer follow-up questions.
This study will help identify how common functional decline is after falls in older adults discharged from the ED, and which factors may predict higher risk. These findings could help improve follow-up care and prevention strategies for older patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 65 years
Presentation to the emergency department with a simple (non-injurious) fall
Discharged from the ED without hospitalization
Cognitively able to answer online or telephone follow-up interviews
Disqualifiers
Falls due to traumatic events other than simple falls
Hospital admission required after the fall
Presence of acute confusion, dementia, or other severe cognitive impairment
Inability to access online or telephone follow-up during the 30-day study period
Trial population
The study population will consist of community-dwelling older adults aged 65 years and older who present to the emergency department (ED) with a simple fall and are discharged without hospitalization. Participants must be cognitively able to complete baseline and follow-up assessments. This population represents a group at risk of functional decline despite not requiring inpatient admission. By focusing on older adults discharged from the ED, the study aims to capture real-world outcomes in a population that is often underrepresented in research but commonly experiences falls and subsequent declines in independence.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
Decline in Activities of Daily Living
Change in Activities of Daily Living (ADL) score from baseline to follow-up. Decline is defined as an increase in dependency in at least one ADL item compared with baseline.
Time frame
Baseline (ED discharge), 7 days, and 30 days after dischargeLocations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: