Falls Prevention Clinic
Vancouver Falls Prevention Clinic Database
At the Falls Prevention Clinic, each subject receives a comprehensive assessment of his or her individual risk factors for falling in addition to a comprehensive medical examination. Recommendations and appropriate followup tests and referrals are ordered for patients on an individual basis.
Essential for medical advancement is the inquiry into information collected from medical records of older adults at high risk of falls and fracture. On such example is a retrospective chart review we conducted among patients who sustained a hip fracture [14]. The database we propose will provide novel insight into the identification of individuals at high risk for falls, key predictors of falls and associated mortality, morbidity, health related quality of life and healthcare resource utilization. In summary, our database will enable us to assess and improve quality of care, service delivery, patient outcomes, patient reported outcomes and track economic burden.
Aperçu de l'étude
Statut
Les conditions
Description détaillée
Purpose: In community-dwelling seniors aged 70 years and older who attend the Vancouver Falls Prevention Clinic and who consent to allowing their data to form part of the Falls Prevention Clinic Database, we will audit charts to answer the following questions: 1) In terms of mobility and functional status, what characterizes the patient population that is referred to the Falls Prevention Clinic? 2) What is the physiological profile assessment (PPA) of individuals at the Falls Prevention Clinic? 3) What are the demographic characteristics? 4) What are factors that explain differences in health related quality of life and healthcare resource utilization? and 5) For individuals who have a high falls risk profile, what are their specific clinical outcome measures that indicate better or worse health related quality of life?
Objective: To develop a Falls Prevention Clinic Database for subjects who attend the Falls Prevention Clinic at Vancouver General Hospital and Lion's Gate Hospital.
Type d'étude
Inscription (Anticipé)
Contacts et emplacements
Lieux d'étude
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British Columbia
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Vancouver, British Columbia, Canada
- Recrutement
- Vancouver General Hospital
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Contact:
- Caitlyn Gomez
- Numéro de téléphone: 66459 604-875-4111
- E-mail: Gomez.caitlyn@gmail.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Adults ≥70 years attending a Falls Prevention Clinic Service;
- Understands, speaks, and reads English proficiently;
- MMSE [11] score > 24/30;
- A Physiological Profile Assessment (PPA) © [15] score of at least 2 SD above normal OR Timed Up and Go Test (TUG) 68 performance of greater than 15 seconds OR history of at least 2 falls in the previous 12 months;
- Expected to live greater than12 months;
- Living in the Metropolitan Vancouver area;
- Community-dwelling (i.e., not residing in a nursing home, extended care unit, or assisted-care facility);
- Able to walk 3 meters with or without an assistive device; and
- Able to provide written informed consent.
Exclusion Criteria:
- Diagnosed with a neurodegenerative disease (e.g., Parkinson's disease);
- Diagnosed with dementia (of any type);
- Had a stroke;
- Have clinically significant peripheral neuropathy or severe musculoskeletal or joint disease; or
- Have a history indicative of carotid sinus sensitivity (i.e., syncopal falls).
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Teresa Liu-Ambrose, University of British Columbia
- Directeur d'études: Karim Khan, University of British Columbia
- Directeur d'études: Jennifer Davis, University of British Columbia
Publications et liens utiles
Publications générales
- Davis JC, Dian L, Khan KM, Bryan S, Marra CA, Hsu CL, Jacova P, Chiu BK, Liu-Ambrose T. Cognitive status is a determinant of health resource utilization among individuals with a history of falls: a 12-month prospective cohort study. Osteoporos Int. 2016 Mar;27(3):943-951. doi: 10.1007/s00198-015-3350-4. Epub 2015 Oct 8.
- Davis JC, Best JR, Bryan S, Li LC, Hsu CL, Gomez C, Vertes K, Liu-Ambrose T. Mobility Is a Key Predictor of Change in Well-Being Among Older Adults Who Experience Falls: Evidence From the Vancouver Falls Prevention Clinic Cohort. Arch Phys Med Rehabil. 2015 Sep;96(9):1634-40. doi: 10.1016/j.apmr.2015.02.033. Epub 2015 Apr 8.
- Davis JC, Bryan S, McLeod R, Rogers J, Khan K, Liu-Ambrose T. Exploration of the association between quality of life, assessed by the EQ-5D and ICECAP-O, and falls risk, cognitive function and daily function, in older adults with mobility impairments. BMC Geriatr. 2012 Oct 24;12:65. doi: 10.1186/1471-2318-12-65.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Anticipé)
Achèvement de l'étude (Anticipé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Autres numéros d'identification d'étude
- H09-02370
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