Keywords:
Emergency, Head and neck, Neuroradiology brain, CT, Audit and standards, Health policy and practice, Dementia, Geriatrics, Outcomes
Authors:
M. Weilbach, J. Tan, S. Ward, R. Fuller, E. Leong, S. O'Dempsey
DOI:
10.26044/ranzcr2022/R-0132
Methods and materials
A clinical audit was conducted in a Brighton interim care sub-acute hospital which comprised of a unique patient population reflective of aged patients for which most patients are awaiting age care facility placement. Risk-man data, which is the clinical reporting database used by Queensland Health, was obtained for all falls occurring in interim care during the year 2020.
Additional patient information was obtained from the patient's clinical record to assess for:
- age
- comorbidities
- mobility status
- presence of cognitive impairment
- prior falls
- prior traumatic intracranial bleeds
- prescription of anticoagulation and/or antiplatelet
- presence of chronic kidney disease
- acute resuscitation plan
- focal neurological deficit post fall
- change in GCS (Glasgow Coma Scale)
- potential neurosurgical management outcome