The number of elderly people attending casualty departments following a repeat fall could be drastically cut if more thorough assessments were carried out, a study has found.

Eight per cent of people aged 70 and over are estimated to visit accident and emergency departments each year suffering fall-related injuries.

Of these, 30-40% are admitted to hospital.

More falls occur in the winter owing to weather conditions. Such falls can cause severe physical and psychological damage, leading to loss of independence or even death.

Research published in The Lancet medical journal suggests that the number of repeat falls could be cut by more than 50% under a new system.

The system tries to identify the reason why the patient fell and correct the cause rather than just treating the resultant injury and sending the patient home.


The study was carried out by Dr Jacqueline Close and colleagues at the Clinical Age Research Unit at King’s College, London.

Dr Close said of the second group: “We focused very much on vision, balance, cognition – whether they were confused or had an element of dementia – and drugs.”They split patients over the age of 65 who attended after a fall into two groups. One was given standard treatment, the other was given an assessment by a geriatrician followed by a home visit.

She said a usual visit to A&E would consist of being bandaged up and sent home without anyone finding out why the fall occurred in the first place.

At the end of a one-year follow-up period, there was a greater than 61% reduction in the number of falls in the assessed group.

Dr Close said there was an added benefit to the process. “Not only were they less likely to fall. They were physically in better shape at the end of that period.

“They were more independent and that normally translates into better quality of life.”

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Categories: Falls