Decision rule to detect brain bleeding after falls in older adults

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multicenter observational validation where clinicians will record a simple bedside decision rule and subsequent clinical care for older adults who present after a fall. Adults aged 65 or older presenting within 48 hours of a low-energy fall (standing, chair, bed, or toilet seat) at participating emergency departments will be enrolled. Head CT results and clinical outcomes will be used as the reference standard to measure the rule's sensitivity and specificity for detecting traumatic intracranial bleeding. The goal is to determine whether the rule reliably identifies patients who need imaging and those who can safely avoid it.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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 Criteria:

* 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

Where it's running

• Kingston Health Sciences Centre
  Kingston, Ontario, Canada Recruiting
• Massachusetts General Hospital
  Boston, Massachusetts, United States Not yet recruiting
• Hamilton Health Sciences Corporation
  Hamilton, Ontario, Canada Not yet recruiting
• Ottawa Hospital Research Institute
  Ottawa, Ontario, Canada Not yet recruiting
• Sinai Health System
  Toronto, Ontario, Canada Not yet recruiting
• Centre Intégré Universitaire De Santé Et De Services Sociaux Du Nord-De-L'île-De-Montréal,
  Montreal, Quebec, Canada Not yet recruiting

Study contacts

• Principal investigator: Kerstin de Wit, MD — Queens University
• Study coordinator: Natasha Clayton, Clinical Trial Manager, CRA, RA
• Email: natasha.clayton@queensu.ca
• Phone: 416-566-3590

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.