Effects of the delivery of physiotherapy on the treatment course of elderly fallers presenting to the emergency department: Protocol for a randomized clinical trial Article Swipe
Marie Blandin
,
Marie Gallet
,
Christelle Volteau
,
Philippe Le Conte
,
Thomas Rulleau
,
Guillaume Le Sant
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0303362
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0303362
The use of physiotherapy (PT) in the hospital emergency department (ED) has shown positive results including improvements in patient waiting time, treatment initiation, discharge type, patient outcomes, safety and acceptability of the intervention by medical staffs. These findings originate from studies that primarily focus on musculoskeletal and orthopaedic conditions. Despite a significant number of people visiting the ED, there is a shortage of literature evaluating PT in the ED for elderly populations. The objective of this study is the evaluate the effect of delivering PT in the ED (versus no delivery) in patients aged 75 and over with ‘falls’ complaints. The main objective is the evaluate the effect on the discharge disposition (discharge home, hospitalization). Secondarily, we will evaluate the effect delivering PT on patient-length of stay, the number of falls at 7 days after admission to the ED, changes between the initial and final medical decision regarding patient orientation, and medical staff satisfaction. This study will follow a prospective longitudinal design involving participants aged 75 years and over. We plan to recruit a total n = 336 patients admitted to the ED with a ‘fall’ chief complaint. After consent, participants will be randomized into either the ‘PT-group’ (receiving a prescription and execution of PT within the ED), or to the ‘no-PT group’ (no delivery of PT within the ED). The PT intervention will involve a standardized assessment of motor capacities using validated clinical examinations, and the delivery of rehabilitative exercises based on individual needs. Outcomes will be recorded from the patient’s medical record, and a phone call at 7 days. A questionnaire will be sent to medical staff. The results of this study will help to determine whether PT might be beneficial for the management of this increasing proportion of individuals who come to the ED. Trial registration: (Trial registration number: ClinicalTrials.gov NCT05753319 ). https://classic.clinicaltrials.gov/ct2/show/NCT05753319 .
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0303362
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0303362&type=printable
- OA Status
- gold
- Cited By
- 1
- References
- 39
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396720559
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396720559Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1371/journal.pone.0303362Digital Object Identifier
- Title
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Effects of the delivery of physiotherapy on the treatment course of elderly fallers presenting to the emergency department: Protocol for a randomized clinical trialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-08Full publication date if available
- Authors
-
Marie Blandin, Marie Gallet, Christelle Volteau, Philippe Le Conte, Thomas Rulleau, Guillaume Le SantList of authors in order
- Landing page
-
https://doi.org/10.1371/journal.pone.0303362Publisher landing page
- PDF URL
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0303362&type=printableDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0303362&type=printableDirect OA link when available
- Concepts
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Medicine, Randomized controlled trial, Protocol (science), Physical therapy, Emergency department, Musculoskeletal injury, Clinical trial, Physical medicine and rehabilitation, Emergency medicine, Alternative medicine, Surgery, Nursing, Internal medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
- References (count)
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39Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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