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1
Falls impose substantial acute-care demands: nearly 25% of US community-dwelling older adults who fall sustain an injury requiring medical attention.
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2
In the eSTEPS cluster randomized trial across 22 primary care practices, an EHR-integrated intervention was associated with fewer falls and fall-related injuries.
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3
The eSTEPS tool combined a noninterruptive care-gap alert, individualized strength and balance exercises, optional physical therapy referral, and patient-facing resources.
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4
Adjusted outcome rates favored intervention practices, with 1.9 fewer recorded falls and 1.0 fewer recorded fall-related injuries per 100 patient-years.
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5
Exercise prescriptions reached 22.1% of patients in intervention practices, and the authors note that sustained participation may require age-friendly digital tools and human, caregiver, or community
