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It is the investigators goal to identify the prevalence of underlying diseases, make disposition more rational, and establish risk stratification tools in elderly patients presenting with falls. Additionally, the outcome of standard care (clinical assessment only for disposition) will be compared with a new approach combining the standard of care with biomarker assisted disposition of elderly patients presenting with falls. Therefore the investigators are looking at the following points.
Emergency department work-up
a. Establishing biomarker enhanced disposition planning by using risk-stratification tools b. Comparing geriatric emergency assessment to standardized disposition planning
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EFAB 65 | Patients presenting to the emergency department with falls, above 65 years of age. Patients History will be taken as well as a blood sample |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patients History | Other | History taking and drawing of a blood sample |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Data Collection via Case Report Form | 30 Days |
| Measure | Description | Time Frame |
|---|---|---|
| Acute Morbidity | Data Collection via Case Report Form | 30 Days |
| Institutionalisation | Data Collection via interview with general practitioner |
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Inclusion Criteria:
Exclusion Criteria:
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All fall patients aged 65 years and older who presented to the emergency department giving written informed consentent
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| Name | Affiliation | Role |
|---|---|---|
| Roland Bingisser, MD | University Hospital, Basel, Switzerland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Charité Campus Benjamin Franklin, Berlin | Berlin | 12203 | Germany | |||
| University Hospital Basel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38960969 | Derived | Terhalle L, Arntz L, Hoffmann F, Arnold I, Hafner L, Picking-Pitasch L, Zuppinger J, Delport Lehnen K, Leuppi J, Somasundaram R, Nickel CH, Bingisser R. Nonspecific stress biomarkers for mortality prediction in older emergency department patients presenting with falls: a prospective multicenter observational study. Intern Emerg Med. 2025 Mar;20(2):585-595. doi: 10.1007/s11739-024-03693-6. Epub 2024 Jul 3. |
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Blood samples
| 180 Days |
| Disposition | Data collection via case report form | 30 Days |
| Mortality | Data Collection via Case Report Form | 90 Days |
| Mortality | Data Collection via Case Report Form | 180 Days |
| Mortality | Data Collection via Case Report Form | 365 Days |
| Basel |
| Canton of Basel-City |
| 4031 |
| Switzerland |
| Cantonal Hospital Baselland, Bruderholz | Basel | 4101 | Switzerland |
| Cantonal Hospital Baselland, Liestal | Liestal | 4410 | Switzerland |