Falls Clinic Outcome Minimum Data Set

1
Falls Clinic Outcome Minimum Data Set

• Keith Hill
• Kirsten Black
• NATIONAL AGEING RESEARCH INSTITUTE

2
Data collected to date

• Data for May and June, 2003
• 101 client records submitted
• Data submitted from 12 Clinics (ranging from 1-17
  client records from each Clinic)
• 66 females
• Mean age 77.5, range 32-94 years
• 11 under 65 years and 27 over 85 years

3
Living arrangements and carer availability
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Community Service Use

• Food Services 12
• Home Care 42
• Personal Care 7
• Community Nurse 7
• Home Maintenance 19

• Day Centre 4
• Day Hospital 2
• Respite 5
• Personal Alarm 17
• Package 5

5
Body Mass Index

• Healthy weight
• 20-25kg/m2 for those under 65 years
• 24-29kg/m2 for those over 65 years
• 26 healthy weight
• 17 underweight
• 19 overweight
• 39 missing either BMI or age

6
Cognitive Impairment

• Cognitive impairment indicated as a risk factor
  for 25 of clients
• 17 clients had no formal cognition test performed
• Cognition tests indicated that 21 of clients had
  cognitive impairment
• 7 clients who had cognitive impairment as a risk
  factor also lived alone and had no carer

7
Referral source

• LMO 61
• Inpatient 2
• Outpatient 4
• Medical specialist 4
• Self/Family 5
• ACAS 10
• Other community 9
• Other 2 (Physio, MS Society)

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Reason for Referral

• Falls 81
• Gait Disorder 19
• Loss of Consciousness/Syncope 1
• Dizziness 17
• Other 9 (included dementia, fear of falling,
  foot abnormalities, mobility restriction,
  osteoporosis, Parkinsons, unsteady)

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Falls and injuries

• 75 clients fell 60 fell more than once
• 54 clients had falls resulting in an injury
• 28 clients had gt1 injurious fall
• 35 clients sought medical attention
• 11 clients sought medical attention gt1
• 46 clients suffered bruises and grazes 9 had a
  fracture, 7 had cuts but no stitches, 4 had cuts
  and stitches, others had sprains and one had
  confusion

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Risk Factors (1)
11
Risk Factors (2)
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Number of recommendations
13
Recommendations (1)
14
Recommendations (2)
15
Medications

• Mean number of medications 5.75 (SD3.4)
• 4 clients - no medications
• missing data 8
• 13 clients taking 10 or more medications

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Medications
17
Outcome Measures missing data
18
Outcome measures
19
Thanks for all your hard work.Well Done!