Physiotherapist in the Emergency Department

Study Overview
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Brief Summary
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This study aims to evaluate the impact of assessment and early physiotherapy management on the care pathway of the elderly person who falls, their length of stay in hospital and their fall recurrence rate.

Official Title
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Physiotherapist in the Emergency Department : What Impact Does the Intervention of the Physiotherapist Have on the Care Pathway of the Elderly Person Who Falls?

Conditions
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Emergencies, Fall

Intervention / Treatment
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* Other: Physiotherapy in the emergency department after a fall


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients aged 75 and over Patients admitted to emergency for falls. Clinically stable patient who may benefit from a gait assessment or fall risk assessment Patients able to understand the protocol and not verbally object to participation. Exclusion Criteria: Patients with limb fractures requiring surgical treatment Patients under guardianship or curatorship. Patients already included in an interventional research protocol.

Ages Eligible for Study
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Minimum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Physiotherapy group<br>Intervention group with assessment and early physiotherapy | Other: Physiotherapy in the emergency department after a fall<br>* Realization of a physiotherapy assessment.<br>|
| Control group<br>control group without assessment and physiotherapy in the emergency department | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient orientation (return home, short-term hospitalization unit, hospitalization) at discharge from the emergency department | The orientation of the patient on discharge from the emergency services, according to the three defined pathways (return home, short-term hospitalization unit, hospitalization). | up to 48 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of stay in emergency departments and in the short stay hospital unit | Calculation of the duration in hours by recording the dates and times of admission and discharge from the service. | up to 48 hours | 
| Total duration of hospitalization for each stay, all services combined | Calculation of the duration in hours by recording the dates and times of admission to the emergency services and final discharge from the hospital. | 1 week | 
| Number of recurrence of emergency admission for the same reason (fall) | Recurrence of a fall within seven days of returning home | up to 9 days | 
| Satisfaction of doctors in emergency services | A satisfaction questionnaire will be sent to all doctors who participated in the study | 0 day | 
| Emergency discharge referral before and after assessment by the physical therapist. | For the Physiotherapy group : Description of changes in physician orientation decision (return home, acute care unit, hospitalization) of patients, before/after the physical therapist assessment | up to 48 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Emergency department, Elderly person, Physiotherapist, Fall