{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:14:41Z","timestamp":1787728481695,"version":"build-2784847793"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,9,7]],"date-time":"2016-09-07T00:00:00Z","timestamp":1473206400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Rh\u00f4ne-Alpes Regional Health Agency"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Fall\u2010related visits to emergency departments (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s) are common among older individuals. We aimed to assess effectiveness of a healthcare intervention program for the management of elderly patients admitted to <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s after a fall.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a before\u2013after observation method, we investigated <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> healthcare staff practices related to fall\u2010related injuries in 2010 (period 1) and 2012 (period 2) in 13 centers participating in the Northern French Alps Emergency Network. Following the identification of initial weaknesses, several information and training tools were introduced between the two periods to improve patient management. All individuals aged 75 years or over who presented to an <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> after a fall were included in the study. We reviewed the completeness and quality of medical records during both periods and compared the rate of clinical\u2013paraclinical check\u2010ups performed, geriatric evaluation\/assessment in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>, and the 1\u2010month recurrence of visits to the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> for the same reason.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During period 1, a total of 2,425 falls were recorded, while 2,684 were reported in period 2. The 2012 medical charts contained significantly more information about risk factors than those of 2010. An electrocardiogram (64% vs. 53%; p &lt; 0.001), biologic check\u2010up (65% vs. 57%; p &lt; 0.001), balance, orthostatic hypotension, and cognitive impairment tests were more often performed in 2012. There was no change in the hospitalization rate, although short\u2010duration hospitalization in the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> was more frequent in 2012. Geriatrists were more often consulted by patients in 2012 (18% vs. 13%; p &lt; 0.001) and more involved in <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> evaluation and hospitalization. The intervention program had a beneficial impact on the fall recurrence rate (<jats:italic>n =<\/jats:italic> 29 [3.6%] in period 1 and <jats:italic>n =<\/jats:italic> 17 [2.0%] in period 2; odds ratio = 0.52; p = 0.037), which significantly decreased between 2010 and 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The intervention program was associated with a decrease of fall recurrence. Further efforts should be made in <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s to ensure a sustained level of satisfactory and long\u2010lasting management of the elderly.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.12989","type":"journal-article","created":{"date-parts":[[2016,5,4]],"date-time":"2016-05-04T18:29:23Z","timestamp":1462386563000},"page":"1031-1039","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effectiveness of a Multimodal Intervention Program for Older Individuals Presenting to the Emergency Department After a Fall in the Northern French Alps Emergency Network"],"prefix":"10.1111","volume":"23","author":[{"given":"Fran\u00e7ois\u2010Xavier","family":"Ageron","sequence":"first","affiliation":[{"name":"Northern French Alps Emergency Network Annecy Hospital Annecy France"},{"name":"Emergency Department Annecy Hospital Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile","family":"Ricard","sequence":"additional","affiliation":[{"name":"Northern French Alps Emergency Network Annecy Hospital Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Perrin\u2010Besson","sequence":"additional","affiliation":[{"name":"Emergency Department Grenoble University Hospital Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7oise","family":"Picot","sequence":"additional","affiliation":[{"name":"Northern French Alps Emergency Network Annecy Hospital Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odile","family":"Dumont","sequence":"additional","affiliation":[{"name":"Emergency Department Voiron Hospital Voiron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Cabillic","sequence":"additional","affiliation":[{"name":"Department of Gerontology Chamb\u00e9ry Hospital Chamb\u00e9ry France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Haesevoet","sequence":"additional","affiliation":[{"name":"Emergency Department Albertville Hospital Albertville France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Dalmon","sequence":"additional","affiliation":[{"name":"Emergency Department Chamb\u00e9ry Hospital Chamb\u00e9ry France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corine","family":"Gaillard","sequence":"additional","affiliation":[{"name":"Department of Gerontology Brian\u00e7on Hospital Brian\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odile","family":"Cezard","sequence":"additional","affiliation":[{"name":"Department of Gerontology Voiron Hospital Voiron France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lo\u00efc","family":"Belle","sequence":"additional","affiliation":[{"name":"Northern French Alps Emergency Network Annecy Hospital Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Couturier","sequence":"additional","affiliation":[{"name":"Clinic of Geriatric Medicine Grenoble University Hospital Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"INSEE.La population des r\u00e9gions en 2040. 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