Posters for 3rd World Falls Congress 2026

Introduction Adequate analgesia prescribing is essential in older inpatients with femoral fractures to improve patient care, reduce delirium and to shorten hospital admission duration with their associated complications. Current NICE analgesia guidelines for femoral fractures suggest regular paracetamol with offering additional opioids if required. These guidelines were amended at Hereford County Hospital to recommend that patients should receive 5 days of regular prolonged release opioids due to the practical limitations of inpatients not receiving adequate quantities of as required opioids

Introduction People with Parkinson’s disease (PwP) fall more often than the general older population. Exercise can reduce falls in those with mild to moderate disease but may increase falls as the disease progresses. Additionally, most non-pharmacological fall prevention trials have focused on those with mild to moderate disease and excluded PwP with cognitive impairment. This pilot study examined the feasibility and potential effectiveness of a multidomain fall prevention program ( Integrate) for PwP with recurrent falls, including those with cognitive impairment. Methods A single group study

1. Introduction Simulation-based education is increasingly recognised as an effective method for achieving meaningful clinical learning. High-fidelity simulation offers a safe, immersive environment in which learners can integrate knowledge, skills, and clinical reasoning. Applying simulation principles to falls assessment allows final-year undergraduate medical students on a geriatric medicine rotation to explore the multifactorial nature of falls and practice a structured, comprehensive approach to assessment in older adults. 2. Method Anonymous feedback surveys were distributed to evaluate

Introduction: As the global population ages, Enhanced Recovery After Surgery (ERAS) protocols have gained increasing importance for improving recovery, pain control, and reducing surgical morbidity. However, their impact on spinal surgery in the frail and elderly population remains limited. Method: PubMed, Embase, Scopus, and Cochrane were systematically searched for studies comparing ERAS protocol with conventional care in elderly spinal surgery before June 2025. For dichotomous outcomes, pooled relative risks (RR) with 95% confidence intervals (CI) were reported; mean differences (MD) and 95

Introduction The 2022 the National Audit of Inpatient Falls report suggested that “falls are the most frequently reported incident affecting hospital inpatients” with nearly a quarter of a million inpatient falls occurring each year in English hospitals. (RCP 2022) Our local departments had identified variable completion in post-fall assessment, as well as confidence and training amongst nursing and medical teams. This multi-cycle, multi-intervention project initially started in our primary site. Using spread & scale we have worked collaboratively with our colleagues in Community and Tertiary

Introduction: Despite well-defined evidence for fall prevention (FP), fall rates and consequences among older adults remain largely unchanged. Historically, knowledge users (KUs; older adults, caregivers, clinicians) have had limited involvement in research informing FP efforts. Identifying consensus-derived priorities to guide future research that are grounded in KUs lived experience may help bridge this evidence–practice gap. Accordingly, we aim to generate national fall-prevention research priorities for community-dwelling older adults. Methods: A modified James Lind Alliance Priority

Introduction: Females experience greater rates of fall-related hospitalizations, while males delay accessing fall-related medical care which can exacerbate complications. There is limited sex disaggregated falls and healthcare cost data for older Canadian adults. Our objective was to examine sex differences in the frequency of falls and healthcare costs among older adults with a history of falls receiving care from a Geriatrician-Led Falls Prevention Clinic in Vancouver, Canada. Methods: We performed a secondary analysis of a 12-month randomized controlled trial of 344 participants (229

1. Introduction Cancer and its treatments can increase falls risk in older adults due to fatigue, neuropathy, and muscle weakness (Guerard et al., 2015). The Senior Adult Oncology (SAO) service at The Christie provides Comprehensive Geriatric Assessment (CGA) and personalised interventions to this population. This audit evaluates SAO compliance with NICE Falls prevention guidelines (2025) for community‑dwelling older adults. Key aims include routine falls screening, delivery of a Comprehensive Falls Assessment (CFA) where indicated, and personalised interventions. The project aligns with the

Introduction Older adults admitted with falls are at high risk of osteoporosis and fragility fractures. National guidance (NICE CG146 and NOGG recommendations) recommends fracture risk assessment (e.g. FRAX) and bone health protection plans. This audit aimed to evaluate adherence to guideline-recommended assessment and management of bone health in older adults admitted with falls and no acute fractures. Method A retrospective audit was conducted across five geriatric wards in a UK district general hospital. Patients aged ≥65 years admitted with falls and no acute fractures were included. Data

Introduction NICE Guidance 249 (2025) acknowledges that there is little evidence of the efficacy of most fall prevention methods in hospital. A recent systematic review and the world falls guidelines considered the evidence of assistive device technology in hospital fall prevention practices, reporting no significant effects on the rate of falls. A previous systematic review of interventional studies suggested wide variance in reporting making reported outcomes difficult to synthesise. This leaves clinical staff with uncertainty and limited options to prevent falls. Method This multicentre

Introduction There is little evidence supporting the efficacy of most fall prevention interventions in hospitals. Current interventions rely on education of patients, which has limited use for those with cognitive impairment. Technology has the potential to support the prevention of accidental inpatient falls (AIF) but results from prior studies are inconclusive. This study aimed to gain insights from healthcare professionals (HCPs) about managing AIF in secondary care. Method A multi-site, qualitative, simulation study with HCPs was implemented to explore their experiences of AIF. Purposive

Introduction Falls are a leading cause of morbidity, mortality, and loss of independence in adults aged ≥65 years. World Health Organization (WHO) guidance recommends a comprehensive, multidisciplinary falls assessment within 48 hours of admission; however, adherence remains variable. Incomplete assessment risks missed reversible factors and recurrent falls. This quality improvement project (QIP) aimed to evaluate and improve the completeness of falls assessment across two acute Care of the Elderly units. Method A two-cycle Plan–Do–Study–Act (PDSA) QIP was conducted across Care of the Elderly

Introduction Cardiac arrythmias are a known cause of falls. The World Falls Guideline advocates initial cardiac assessment with 12-lead electrocardiogram (ECG), and further monitoring if no abnormalities are detected but history suggests syncope. The falls MDT clinic includes assessment by a nurse, physiotherapist, and pharmacist. This information is discussed with a geriatric consultant the following week for decision regarding medical review. Historically, following ECG and assessment the decision about further monitoring was made later by the consultant. This led to delays in diagnosis

Introduction The age-related physical and cognitive decline increases the risk for severe bicycle accidents in older adults and warrants effective training interventions to improve safe cycling skills. This study investigates potential transfer effects of a perturbation-based, hands-free bicycling training program on cycling skills and overall balance control in older adults. Methods BiPerAge is a bicentric project (Duration: 2024-2027), combining the expertise in cycling interventions of the Department of Physical Therapy, Ben-Gurion University Israel and the Institute for Biomedicine of

Introduction: Falls are a major clinical problem, and frequently associated with sensory and motor disturbances in the foot and ankle, such as peripheral neuropathy and altered gait biomechanics. In people with diabetes mellitus, peripheral neuropathy is a predictor of falls. However, within this population, it is unknown which characteristics are associated with falls. Our aim was to determine fall incidence and its association with physical activity and gait quality characteristics in people with diabetes and peripheral neuropathy. Methods: In a prospective longitudinal observational study

Background: Low-energy falls represent the predominant mechanism of major trauma in older adults, yet they remain inadequately recognised within existing trauma triage frameworks. We sought to quantify mortality and adverse clinical outcomes following low-energy falls in this population. Methods: We performed a systematic review according to PRISMA guidelines, searching MEDLINE, Embase, Cochrane Library, and grey literature sources from database inception through December 2024. Eligible studies included adults aged 65 years or older who sustained low-energy falls resulting in major trauma

INTRODUCTION: Falls represent one of the most significant safety concerns for hospitalized older adults, contributing to increased morbidity, mortality, length of stay, and healthcare costs. This clinical audit evaluated the effectiveness of fall risk assessment and prevention strategies for patients aged 65 years and older admitted to St. Luke's Hospital, Kilkenny, during the audit period. METHODS: A retrospective clinical audit was conducted examining medical records and incident reports for older adult inpatients at St. Luke's Hospital, Kilkenny.The audit examined compliance with fall risk

Introduction Falls are a leading cause of morbidity and mortality in older adults. Medications, known as falls risk increasing drugs (FRIDs), significantly contribute to this risk. Several tools are available to support structured medication review for FRIDs. In the acute hospital setting, the standard of medication reviews and consistency of documentation can vary, with little consideration to FRIDs. This can result in an undressed key component of falls risk reduction. The aim of the study was to evaluate the effectiveness of a pharmacy-led FRIDs review process by improving documentation

Background: Inpatient falls among older adults remain a major patient safety concern, contributing to morbidity, prolonged length of stay, and increased healthcare costs. Frailty is increasingly recognised as a key determinant of adverse inpatient outcomes. The Clinical Frailty Scale (CFS) is a rapid, widely used frailty assessment tool; however, its relationship with inpatient falls risk has not been systematically evaluated. Objective: To systematically review and synthesise the evidence on the association between Clinical Frailty Scale scores and falls risk in hospitalized older adults

"The ground was just gone": a qualitative study of experiences of Charles Bonnet Syndrome and its impact on falls Background Charles Bonnet Syndrome (CBS) refers to visual hallucinations that can occur following any degree of vision loss. Vision impairment is an established risk factor for falls but the contribution of CBS to fall risk and susceptibility to falls-related variables such as concern about falling, is unclear. The present study explored experiences of CBS from different perspectives to understand its impact on falls. Methods Seventeen older adults living with CBS (mean age=76