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.
研究概览
地位
条件
详细说明
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.
研究类型
注册 (预期的)
联系人和位置
学习地点
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British Columbia
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Vancouver、British Columbia、加拿大
- 招聘中
- Vancouver General Hospital
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接触：
- Caitlyn Gomez
- 电话号码：66459 604-875-4111
- 邮箱：Gomez.caitlyn@gmail.com
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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).
学习计划
研究是如何设计的？
设计细节
合作者和调查者
调查人员
- 首席研究员：Teresa Liu-Ambrose、University of British Columbia
- 研究主任：Karim Khan、University of British Columbia
- 研究主任：Jennifer Davis、University of British Columbia
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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