Falls Presenting in the Emergency Department

  • Jay BanerjeeEmail author
  • Anna Björg Jónsdóttir


A fall is defined by WHO as “an event which results in a person coming to rest inadvertently on the ground or floor or other lower level” [1].


  1. 1.
    WHO (2012) Falls, fact sheet No. 344. Secondary falls, fact sheet No. 344.
  2. 2.
    National Institute for Clinical Excellence (2013) The assessment and prevention of falls in older people. NICE, LondonGoogle Scholar
  3. 3.
    Caplan GA, Williams AJ, Daly B et al (2004) A randomized, controlled trial of comprehensive geriatric assessment and multidisciplinary intervention after discharge of elderly from the emergency department—the DEED II study. J Am Geriatr Soc 52(9):1417–1423CrossRefGoogle Scholar
  4. 4.
    Close J, Ellis M, Hooper R et al (1999) Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Lancet 353:93–97CrossRefGoogle Scholar
  5. 5.
    Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH (2004) Interventions for preventing falls in elderly people (Cochrane Review). Wiley, Chichester, UKGoogle Scholar
  6. 6.
    Close JC, Lord SR, Antonova EJ et al (2012) Older people presenting to the emergency department after a fall: a population with substantial recurrent healthcare use. Emerg Med J 29(9):742–747CrossRefGoogle Scholar
  7. 7.
    Scheffer A, Schuurmans M, Van Dijk N et al (2008) Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 37:19–24CrossRefGoogle Scholar
  8. 8.
  9. 9.
    Banerjee J, Benger J, Treml J et al (2012) The national falls and bone health audit: implications for UK emergency care. Emerg Med J 29(10):830–832CrossRefGoogle Scholar
  10. 10.
    Klotzbuecher C, Ross P, Landsmann P (2005) Patients with prior fractures have an increased risk of future fractures: a summary of the literature and statistical synthesis. J Bone Miner Res 15:721e39Google Scholar
  11. 11.
    Woolcott JC, Richardson KJ, Wiens MO et al (2009) Meta-analysis of the impact of 9 medication classes on falls in elderly persons. Arch Intern Med 169(21):1952–1960CrossRefGoogle Scholar
  12. 12.
    Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society (2011) Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 59(1):148–157CrossRefGoogle Scholar
  13. 13.
    Lubovsky O, Liebergall M, Mattan Y et al (2005) Early diagnosis of occult hip fractures MRI versus CT scan. Injury 36(6):788–792CrossRefGoogle Scholar
  14. 14.
    Kirby MW, Spritzer C (2010) Radiographic detection of hip and pelvic fractures in the emergency department. AJR Am J Roentgenol 194(4):1054–1060CrossRefGoogle Scholar
  15. 15.
    Close J, Patel A, Hooper R et al (2000) PROFET: improved clinical outcomes at no additional cost. Age Ageing 29(Suppl 1):48Google Scholar

Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Emergency MedicineUniversity Hospitals of Leicester NHS TrustLeicesterUK
  2. 2.Department of Health SciencesUniversity of LeicesterLeicesterUK
  3. 3.Department of Geriatric MedicineThe National University Hospital of IcelandReykjavíkIceland

Personalised recommendations