Falls Validation Study
Validation of the Falls Decision Rule for Diagnosing Intracranial Bleeding in Older Adults After a Fall
Dr. Kerstin de Wit
4,000 participants
May 1, 2026
OBSERVATIONAL
Conditions
Summary
Each year, one in three adults over the age of 65 has a fall. These falls lead to half a million Canadian emergency department patient visits annually and falls in older adults account for more than 3% of all emergency department visits. A rapid, simple bedside test (known as a decision rule) to guide emergency physicians on when older adults should have a brain scan to diagnose traumatic brain bleeding was created. This decision rule will be checked to see if it works well in guiding who needs a brain scan.
Eligibility
Inclusion Criteria3
- Age 65 or older
- Present to the emergency department within 48 hours of having a fall
- Fall from standing, from a chair, toilet seat, or bed
Exclusion Criteria4
- Transferred from another hospital organization after brain imaging
- Leave the emergency department prior to completion of their medical assessment
- Previously enrolled
- Lives outside the hospital catchment area
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Interventions
The Falls Decision Rule will help guide emergency physicians when to obtain brain imaging and when brain imaging is not required.
Locations(7)
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NCT07536906