Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study

David A. Ganz, Albert L. Siu, Jay Magaziner, Nancy K. Latham, Thomas G. Travison, Nancy P. Lorenze, Charles Lu, Rixin Wang, Erich J. Greene, Cynthia L. Stowe, Lea N. Harvin, Katy L.B. Araujo, Jerry H. Gurwitz, Yuri Agrawal, Rosaly Correa-De-Araujo, Peter Peduzzi, Thomas M. Gill, Shalender Bhasin, Thomas M. Gill, David B. ReubenSiobhan McMahon, Nancy K. Latham, Shehzad Basaria, Brooke Brawley, Richard Eder, Amy Larson, Lori Goehring, Molly Lukas, Scott Margolis, Thomas W. Storer, Martha B. Carnie, Priscilla Gazarian, Maureen Fagan, Peter Peduzzi, James Dziura, Denise Esserman, Erich J. Greene, Geraldine Hawthorne-Jones, Heather Allore, Margaret Doyle, Brian Funaro, Nancy Lorenze, Bridget Mignosa, Michael E. Miller, Thomas G. Travison, Peter Charpentier, Katy Araujo, Dorothy Baker, Joanne M. McGloin, Charles Lu, Haseena Rajeevan, Liliya Katsovich, Rixin Wang, Amy Shelton, Eleni Skokos, Sui Tang, Mara Abella, Carol Gordon, Teresita Pennestri, Luann Bianco, Rina Castro, Sabina Rubeck, Kenneth Rando, Barbara Foster, Karen Wu, David Nock, Crysta Collins, Leo Sherman, Stephen C. Waring, Erica Chopskie, Heather Larsen, Allise Taran, Joseph Bianco, Margaret Hoberg, Jeremy Rich, Vivian Chavez, Christine Moore, Janelle Howe, Rosario Garcia, Jocelyn Nunez, Samuel Ho, Yan Chen, Albert W. Wu, Jeremy D. Walston, Yuri Agrawal, Patti Ephraim, Tiffany Campbell, Michael Albert, Bimal Ashar, Bernard Birnbaum, Sajida Chaudry, La Toya Edwards, Scott Feeser, Naaz Hussain, Amrish Joseph, Kimberly Larsen, Alice Lee, Obafemi Okuwobi, Tara Scheck, Robert Wallace, Carri Casteel, Angela Shanahan, Julie Weldon, Anita Leveke, Charles Keller, Jeffrey Reist, Neil Alexander, Jocelyn Wiggins, Karen Burek, Tina Ledesma, Linda V. Nyquist, Nancy Gallagher, Catherine Hanson, Fred Ko, Albert L. Siu, Rosanne M. Leipzig, Christian Espino, Ravishankar Ramaswamy, Deborah West, Deborah Matza, Patricia Dykes, Hilary Stenvig, Kety Florgomes, Taylor Christiansen, Alejandra Salazar, Laura Frain, Ariela Orkaby, Jonathan Bean, Yvette Wells, Cathy Foskett, Jerry H. Gurwitz, Allison Richards, Azraa Amroze, Lawrence Garber, Peggy Preusse, Anne McDonald, Susan L. Greenspan, Mary Anne Ferchak, Madeline Rigatti, Joseph Madia, Elena Volpi, Roxana Hirst, Eloisa Martinez, Mukaila Raji, Jay Magaziner, David A. Ganz, Pamela W. Duncan, Chad Boult, James Goodwin, Todd Manini, Kevin P. High, Lea Harvin, Cindy Stowe, Sergei Romashkan, Rosaly Correa-De-Araujo, Lyndon Joseph, Marcel Salive, Evan C. Hadley, Steven B. Clauser, David Buchner, Terry Fulmer, Susan Ellenberg, Bonita Lynn Beattie, Abby C. King, Cynthia J. Brown, Laurence Rubenstein, Mary Anne Sterling, Thomas Prohaska, Laurence Friedman

Research output: Contribution to journalArticle

Abstract

Background: This paper describes a protocol for determining the incidence of serious fall injuries for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE), a large, multicenter pragmatic clinical trial with limited resources for event adjudication. We describe how administrative data (from participating health systems and Medicare claims) can be used to confirm participant-reported events, with more time- and resource-intensive full-text medical record data used only on an "as-needed" basis. Methods: STRIDE is a pragmatic cluster-randomized controlled trial involving 5451 participants age ≥ 70 and at increased risk for falls, served by 86 primary care practices in 10 US health systems. The STRIDE intervention involves a nurse falls care manager who assesses a participant's underlying risks for falls, suggests interventions using motivational interviewing, and then creates, implements and longitudinally follows up on an individualized care plan with the participant (and caregiver when appropriate), in partnership with the participant's primary care provider. STRIDE's primary outcome is serious fall injuries, defined as a fall resulting in: (1) medical attention billable according to Medicare guidelines with a) fracture (excluding isolated thoracic vertebral and/or lumbar vertebral fracture), b) joint dislocation, or c) cut requiring closure; OR (2) overnight hospitalization with a) head injury, b) sprain or strain, c) bruising or swelling, or d) other injury determined to be "serious" (i.e., burn, rhabdomyolysis, or internal injury). Two sources of data are required to confirm a serious fall injury. The primary data source is the participant's self-report of a fall leading to medical attention, identified during telephone interview every 4 months, with the confirmatory source being (1) administrative data capturing encounters at the participating health systems or Medicare claims and/or (2) the full text of medical records requested only as needed. Discussion: Adjudication is ongoing, with over 1000 potentially qualifying events adjudicated to date. Administrative data can be successfully used for adjudication, as part of a hybrid approach that retrieves full-text medical records only when needed. With the continued refinement and availability of administrative data sources, future studies may be able to use administrative data completely in lieu of medical record review to maximize the quality of adjudication with finite resources. Trial registration: ClinicalTrials.gov (NCT02475850).

Original languageEnglish (US)
Article number14
JournalInjury Epidemiology
Volume6
Issue number1
DOIs
StatePublished - Apr 15 2019

Fingerprint

Wounds and Injuries
Medical Records
Information Storage and Retrieval
Medicare
Primary Health Care
Health
Pragmatic Clinical Trials
Motivational Interviewing
Sprains and Strains
Rhabdomyolysis
Joint Dislocations
Craniocerebral Trauma
Self Report
Caregivers
Hospitalization
Thorax
Randomized Controlled Trials
Nurses
Guidelines
Interviews

Keywords

  • Adjudication
  • Falls
  • Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ganz, D. A., Siu, A. L., Magaziner, J., Latham, N. K., Travison, T. G., Lorenze, N. P., ... Friedman, L. (2019). Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study. Injury Epidemiology, 6(1), [14]. https://doi.org/10.1186/s40621-019-0190-2

Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study. / Ganz, David A.; Siu, Albert L.; Magaziner, Jay; Latham, Nancy K.; Travison, Thomas G.; Lorenze, Nancy P.; Lu, Charles; Wang, Rixin; Greene, Erich J.; Stowe, Cynthia L.; Harvin, Lea N.; Araujo, Katy L.B.; Gurwitz, Jerry H.; Agrawal, Yuri; Correa-De-Araujo, Rosaly; Peduzzi, Peter; Gill, Thomas M.; Bhasin, Shalender; Gill, Thomas M.; Reuben, David B.; McMahon, Siobhan; Latham, Nancy K.; Basaria, Shehzad; Brawley, Brooke; Eder, Richard; Larson, Amy; Goehring, Lori; Lukas, Molly; Margolis, Scott; Storer, Thomas W.; Carnie, Martha B.; Gazarian, Priscilla; Fagan, Maureen; Peduzzi, Peter; Dziura, James; Esserman, Denise; Greene, Erich J.; Hawthorne-Jones, Geraldine; Allore, Heather; Doyle, Margaret; Funaro, Brian; Lorenze, Nancy; Mignosa, Bridget; Miller, Michael E.; Travison, Thomas G.; Charpentier, Peter; Araujo, Katy; Baker, Dorothy; McGloin, Joanne M.; Lu, Charles; Rajeevan, Haseena; Katsovich, Liliya; Wang, Rixin; Shelton, Amy; Skokos, Eleni; Tang, Sui; Abella, Mara; Gordon, Carol; Pennestri, Teresita; Bianco, Luann; Castro, Rina; Rubeck, Sabina; Rando, Kenneth; Foster, Barbara; Wu, Karen; Nock, David; Collins, Crysta; Sherman, Leo; Waring, Stephen C.; Chopskie, Erica; Larsen, Heather; Taran, Allise; Bianco, Joseph; Hoberg, Margaret; Rich, Jeremy; Chavez, Vivian; Moore, Christine; Howe, Janelle; Garcia, Rosario; Nunez, Jocelyn; Ho, Samuel; Chen, Yan; Wu, Albert W.; Walston, Jeremy D.; Agrawal, Yuri; Ephraim, Patti; Campbell, Tiffany; Albert, Michael; Ashar, Bimal; Birnbaum, Bernard; Chaudry, Sajida; Edwards, La Toya; Feeser, Scott; Hussain, Naaz; Joseph, Amrish; Larsen, Kimberly; Lee, Alice; Okuwobi, Obafemi; Scheck, Tara; Wallace, Robert; Casteel, Carri; Shanahan, Angela; Weldon, Julie; Leveke, Anita; Keller, Charles; Reist, Jeffrey; Alexander, Neil; Wiggins, Jocelyn; Burek, Karen; Ledesma, Tina; Nyquist, Linda V.; Gallagher, Nancy; Hanson, Catherine; Ko, Fred; Siu, Albert L.; Leipzig, Rosanne M.; Espino, Christian; Ramaswamy, Ravishankar; West, Deborah; Matza, Deborah; Dykes, Patricia; Stenvig, Hilary; Florgomes, Kety; Christiansen, Taylor; Salazar, Alejandra; Frain, Laura; Orkaby, Ariela; Bean, Jonathan; Wells, Yvette; Foskett, Cathy; Gurwitz, Jerry H.; Richards, Allison; Amroze, Azraa; Garber, Lawrence; Preusse, Peggy; McDonald, Anne; Greenspan, Susan L.; Ferchak, Mary Anne; Rigatti, Madeline; Madia, Joseph; Volpi, Elena; Hirst, Roxana; Martinez, Eloisa; Raji, Mukaila; Magaziner, Jay; Ganz, David A.; Duncan, Pamela W.; Boult, Chad; Goodwin, James; Manini, Todd; High, Kevin P.; Harvin, Lea; Stowe, Cindy; Romashkan, Sergei; Correa-De-Araujo, Rosaly; Joseph, Lyndon; Salive, Marcel; Hadley, Evan C.; Clauser, Steven B.; Buchner, David; Fulmer, Terry; Ellenberg, Susan; Beattie, Bonita Lynn; King, Abby C.; Brown, Cynthia J.; Rubenstein, Laurence; Sterling, Mary Anne; Prohaska, Thomas; Friedman, Laurence.

In: Injury Epidemiology, Vol. 6, No. 1, 14, 15.04.2019.

Research output: Contribution to journalArticle

Ganz, DA, Siu, AL, Magaziner, J, Latham, NK, Travison, TG, Lorenze, NP, Lu, C, Wang, R, Greene, EJ, Stowe, CL, Harvin, LN, Araujo, KLB, Gurwitz, JH, Agrawal, Y, Correa-De-Araujo, R, Peduzzi, P, Gill, TM, Bhasin, S, Gill, TM, Reuben, DB, McMahon, S, Latham, NK, Basaria, S, Brawley, B, Eder, R, Larson, A, Goehring, L, Lukas, M, Margolis, S, Storer, TW, Carnie, MB, Gazarian, P, Fagan, M, Peduzzi, P, Dziura, J, Esserman, D, Greene, EJ, Hawthorne-Jones, G, Allore, H, Doyle, M, Funaro, B, Lorenze, N, Mignosa, B, Miller, ME, Travison, TG, Charpentier, P, Araujo, K, Baker, D, McGloin, JM, Lu, C, Rajeevan, H, Katsovich, L, Wang, R, Shelton, A, Skokos, E, Tang, S, Abella, M, Gordon, C, Pennestri, T, Bianco, L, Castro, R, Rubeck, S, Rando, K, Foster, B, Wu, K, Nock, D, Collins, C, Sherman, L, Waring, SC, Chopskie, E, Larsen, H, Taran, A, Bianco, J, Hoberg, M, Rich, J, Chavez, V, Moore, C, Howe, J, Garcia, R, Nunez, J, Ho, S, Chen, Y, Wu, AW, Walston, JD, Agrawal, Y, Ephraim, P, Campbell, T, Albert, M, Ashar, B, Birnbaum, B, Chaudry, S, Edwards, LT, Feeser, S, Hussain, N, Joseph, A, Larsen, K, Lee, A, Okuwobi, O, Scheck, T, Wallace, R, Casteel, C, Shanahan, A, Weldon, J, Leveke, A, Keller, C, Reist, J, Alexander, N, Wiggins, J, Burek, K, Ledesma, T, Nyquist, LV, Gallagher, N, Hanson, C, Ko, F, Siu, AL, Leipzig, RM, Espino, C, Ramaswamy, R, West, D, Matza, D, Dykes, P, Stenvig, H, Florgomes, K, Christiansen, T, Salazar, A, Frain, L, Orkaby, A, Bean, J, Wells, Y, Foskett, C, Gurwitz, JH, Richards, A, Amroze, A, Garber, L, Preusse, P, McDonald, A, Greenspan, SL, Ferchak, MA, Rigatti, M, Madia, J, Volpi, E, Hirst, R, Martinez, E, Raji, M, Magaziner, J, Ganz, DA, Duncan, PW, Boult, C, Goodwin, J, Manini, T, High, KP, Harvin, L, Stowe, C, Romashkan, S, Correa-De-Araujo, R, Joseph, L, Salive, M, Hadley, EC, Clauser, SB, Buchner, D, Fulmer, T, Ellenberg, S, Beattie, BL, King, AC, Brown, CJ, Rubenstein, L, Sterling, MA, Prohaska, T & Friedman, L 2019, 'Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study', Injury Epidemiology, vol. 6, no. 1, 14. https://doi.org/10.1186/s40621-019-0190-2
Ganz, David A. ; Siu, Albert L. ; Magaziner, Jay ; Latham, Nancy K. ; Travison, Thomas G. ; Lorenze, Nancy P. ; Lu, Charles ; Wang, Rixin ; Greene, Erich J. ; Stowe, Cynthia L. ; Harvin, Lea N. ; Araujo, Katy L.B. ; Gurwitz, Jerry H. ; Agrawal, Yuri ; Correa-De-Araujo, Rosaly ; Peduzzi, Peter ; Gill, Thomas M. ; Bhasin, Shalender ; Gill, Thomas M. ; Reuben, David B. ; McMahon, Siobhan ; Latham, Nancy K. ; Basaria, Shehzad ; Brawley, Brooke ; Eder, Richard ; Larson, Amy ; Goehring, Lori ; Lukas, Molly ; Margolis, Scott ; Storer, Thomas W. ; Carnie, Martha B. ; Gazarian, Priscilla ; Fagan, Maureen ; Peduzzi, Peter ; Dziura, James ; Esserman, Denise ; Greene, Erich J. ; Hawthorne-Jones, Geraldine ; Allore, Heather ; Doyle, Margaret ; Funaro, Brian ; Lorenze, Nancy ; Mignosa, Bridget ; Miller, Michael E. ; Travison, Thomas G. ; Charpentier, Peter ; Araujo, Katy ; Baker, Dorothy ; McGloin, Joanne M. ; Lu, Charles ; Rajeevan, Haseena ; Katsovich, Liliya ; Wang, Rixin ; Shelton, Amy ; Skokos, Eleni ; Tang, Sui ; Abella, Mara ; Gordon, Carol ; Pennestri, Teresita ; Bianco, Luann ; Castro, Rina ; Rubeck, Sabina ; Rando, Kenneth ; Foster, Barbara ; Wu, Karen ; Nock, David ; Collins, Crysta ; Sherman, Leo ; Waring, Stephen C. ; Chopskie, Erica ; Larsen, Heather ; Taran, Allise ; Bianco, Joseph ; Hoberg, Margaret ; Rich, Jeremy ; Chavez, Vivian ; Moore, Christine ; Howe, Janelle ; Garcia, Rosario ; Nunez, Jocelyn ; Ho, Samuel ; Chen, Yan ; Wu, Albert W. ; Walston, Jeremy D. ; Agrawal, Yuri ; Ephraim, Patti ; Campbell, Tiffany ; Albert, Michael ; Ashar, Bimal ; Birnbaum, Bernard ; Chaudry, Sajida ; Edwards, La Toya ; Feeser, Scott ; Hussain, Naaz ; Joseph, Amrish ; Larsen, Kimberly ; Lee, Alice ; Okuwobi, Obafemi ; Scheck, Tara ; Wallace, Robert ; Casteel, Carri ; Shanahan, Angela ; Weldon, Julie ; Leveke, Anita ; Keller, Charles ; Reist, Jeffrey ; Alexander, Neil ; Wiggins, Jocelyn ; Burek, Karen ; Ledesma, Tina ; Nyquist, Linda V. ; Gallagher, Nancy ; Hanson, Catherine ; Ko, Fred ; Siu, Albert L. ; Leipzig, Rosanne M. ; Espino, Christian ; Ramaswamy, Ravishankar ; West, Deborah ; Matza, Deborah ; Dykes, Patricia ; Stenvig, Hilary ; Florgomes, Kety ; Christiansen, Taylor ; Salazar, Alejandra ; Frain, Laura ; Orkaby, Ariela ; Bean, Jonathan ; Wells, Yvette ; Foskett, Cathy ; Gurwitz, Jerry H. ; Richards, Allison ; Amroze, Azraa ; Garber, Lawrence ; Preusse, Peggy ; McDonald, Anne ; Greenspan, Susan L. ; Ferchak, Mary Anne ; Rigatti, Madeline ; Madia, Joseph ; Volpi, Elena ; Hirst, Roxana ; Martinez, Eloisa ; Raji, Mukaila ; Magaziner, Jay ; Ganz, David A. ; Duncan, Pamela W. ; Boult, Chad ; Goodwin, James ; Manini, Todd ; High, Kevin P. ; Harvin, Lea ; Stowe, Cindy ; Romashkan, Sergei ; Correa-De-Araujo, Rosaly ; Joseph, Lyndon ; Salive, Marcel ; Hadley, Evan C. ; Clauser, Steven B. ; Buchner, David ; Fulmer, Terry ; Ellenberg, Susan ; Beattie, Bonita Lynn ; King, Abby C. ; Brown, Cynthia J. ; Rubenstein, Laurence ; Sterling, Mary Anne ; Prohaska, Thomas ; Friedman, Laurence. / Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study. In: Injury Epidemiology. 2019 ; Vol. 6, No. 1.
@article{9bf931c7179147a092d889a3d4574404,
title = "Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study",
abstract = "Background: This paper describes a protocol for determining the incidence of serious fall injuries for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE), a large, multicenter pragmatic clinical trial with limited resources for event adjudication. We describe how administrative data (from participating health systems and Medicare claims) can be used to confirm participant-reported events, with more time- and resource-intensive full-text medical record data used only on an {"}as-needed{"} basis. Methods: STRIDE is a pragmatic cluster-randomized controlled trial involving 5451 participants age ≥ 70 and at increased risk for falls, served by 86 primary care practices in 10 US health systems. The STRIDE intervention involves a nurse falls care manager who assesses a participant's underlying risks for falls, suggests interventions using motivational interviewing, and then creates, implements and longitudinally follows up on an individualized care plan with the participant (and caregiver when appropriate), in partnership with the participant's primary care provider. STRIDE's primary outcome is serious fall injuries, defined as a fall resulting in: (1) medical attention billable according to Medicare guidelines with a) fracture (excluding isolated thoracic vertebral and/or lumbar vertebral fracture), b) joint dislocation, or c) cut requiring closure; OR (2) overnight hospitalization with a) head injury, b) sprain or strain, c) bruising or swelling, or d) other injury determined to be {"}serious{"} (i.e., burn, rhabdomyolysis, or internal injury). Two sources of data are required to confirm a serious fall injury. The primary data source is the participant's self-report of a fall leading to medical attention, identified during telephone interview every 4 months, with the confirmatory source being (1) administrative data capturing encounters at the participating health systems or Medicare claims and/or (2) the full text of medical records requested only as needed. Discussion: Adjudication is ongoing, with over 1000 potentially qualifying events adjudicated to date. Administrative data can be successfully used for adjudication, as part of a hybrid approach that retrieves full-text medical records only when needed. With the continued refinement and availability of administrative data sources, future studies may be able to use administrative data completely in lieu of medical record review to maximize the quality of adjudication with finite resources. Trial registration: ClinicalTrials.gov (NCT02475850).",
keywords = "Adjudication, Falls, Injuries",
author = "Ganz, {David A.} and Siu, {Albert L.} and Jay Magaziner and Latham, {Nancy K.} and Travison, {Thomas G.} and Lorenze, {Nancy P.} and Charles Lu and Rixin Wang and Greene, {Erich J.} and Stowe, {Cynthia L.} and Harvin, {Lea N.} and Araujo, {Katy L.B.} and Gurwitz, {Jerry H.} and Yuri Agrawal and Rosaly Correa-De-Araujo and Peter Peduzzi and Gill, {Thomas M.} and Shalender Bhasin and Gill, {Thomas M.} and Reuben, {David B.} and Siobhan McMahon and Latham, {Nancy K.} and Shehzad Basaria and Brooke Brawley and Richard Eder and Amy Larson and Lori Goehring and Molly Lukas and Scott Margolis and Storer, {Thomas W.} and Carnie, {Martha B.} and Priscilla Gazarian and Maureen Fagan and Peter Peduzzi and James Dziura and Denise Esserman and Greene, {Erich J.} and Geraldine Hawthorne-Jones and Heather Allore and Margaret Doyle and Brian Funaro and Nancy Lorenze and Bridget Mignosa and Miller, {Michael E.} and Travison, {Thomas G.} and Peter Charpentier and Katy Araujo and Dorothy Baker and McGloin, {Joanne M.} and Charles Lu and Haseena Rajeevan and Liliya Katsovich and Rixin Wang and Amy Shelton and Eleni Skokos and Sui Tang and Mara Abella and Carol Gordon and Teresita Pennestri and Luann Bianco and Rina Castro and Sabina Rubeck and Kenneth Rando and Barbara Foster and Karen Wu and David Nock and Crysta Collins and Leo Sherman and Waring, {Stephen C.} and Erica Chopskie and Heather Larsen and Allise Taran and Joseph Bianco and Margaret Hoberg and Jeremy Rich and Vivian Chavez and Christine Moore and Janelle Howe and Rosario Garcia and Jocelyn Nunez and Samuel Ho and Yan Chen and Wu, {Albert W.} and Walston, {Jeremy D.} and Yuri Agrawal and Patti Ephraim and Tiffany Campbell and Michael Albert and Bimal Ashar and Bernard Birnbaum and Sajida Chaudry and Edwards, {La Toya} and Scott Feeser and Naaz Hussain and Amrish Joseph and Kimberly Larsen and Alice Lee and Obafemi Okuwobi and Tara Scheck and Robert Wallace and Carri Casteel and Angela Shanahan and Julie Weldon and Anita Leveke and Charles Keller and Jeffrey Reist and Neil Alexander and Jocelyn Wiggins and Karen Burek and Tina Ledesma and Nyquist, {Linda V.} and Nancy Gallagher and Catherine Hanson and Fred Ko and Siu, {Albert L.} and Leipzig, {Rosanne M.} and Christian Espino and Ravishankar Ramaswamy and Deborah West and Deborah Matza and Patricia Dykes and Hilary Stenvig and Kety Florgomes and Taylor Christiansen and Alejandra Salazar and Laura Frain and Ariela Orkaby and Jonathan Bean and Yvette Wells and Cathy Foskett and Gurwitz, {Jerry H.} and Allison Richards and Azraa Amroze and Lawrence Garber and Peggy Preusse and Anne McDonald and Greenspan, {Susan L.} and Ferchak, {Mary Anne} and Madeline Rigatti and Joseph Madia and Elena Volpi and Roxana Hirst and Eloisa Martinez and Mukaila Raji and Jay Magaziner and Ganz, {David A.} and Duncan, {Pamela W.} and Chad Boult and James Goodwin and Todd Manini and High, {Kevin P.} and Lea Harvin and Cindy Stowe and Sergei Romashkan and Rosaly Correa-De-Araujo and Lyndon Joseph and Marcel Salive and Hadley, {Evan C.} and Clauser, {Steven B.} and David Buchner and Terry Fulmer and Susan Ellenberg and Beattie, {Bonita Lynn} and King, {Abby C.} and Brown, {Cynthia J.} and Laurence Rubenstein and Sterling, {Mary Anne} and Thomas Prohaska and Laurence Friedman",
year = "2019",
month = "4",
day = "15",
doi = "10.1186/s40621-019-0190-2",
language = "English (US)",
volume = "6",
journal = "Injury Epidemiology",
issn = "2197-1714",
publisher = "SpringerOpen",
number = "1",

}

TY - JOUR

T1 - Protocol for serious fall injury adjudication in the Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) study

AU - Ganz, David A.

AU - Siu, Albert L.

AU - Magaziner, Jay

AU - Latham, Nancy K.

AU - Travison, Thomas G.

AU - Lorenze, Nancy P.

AU - Lu, Charles

AU - Wang, Rixin

AU - Greene, Erich J.

AU - Stowe, Cynthia L.

AU - Harvin, Lea N.

AU - Araujo, Katy L.B.

AU - Gurwitz, Jerry H.

AU - Agrawal, Yuri

AU - Correa-De-Araujo, Rosaly

AU - Peduzzi, Peter

AU - Gill, Thomas M.

AU - Bhasin, Shalender

AU - Gill, Thomas M.

AU - Reuben, David B.

AU - McMahon, Siobhan

AU - Latham, Nancy K.

AU - Basaria, Shehzad

AU - Brawley, Brooke

AU - Eder, Richard

AU - Larson, Amy

AU - Goehring, Lori

AU - Lukas, Molly

AU - Margolis, Scott

AU - Storer, Thomas W.

AU - Carnie, Martha B.

AU - Gazarian, Priscilla

AU - Fagan, Maureen

AU - Peduzzi, Peter

AU - Dziura, James

AU - Esserman, Denise

AU - Greene, Erich J.

AU - Hawthorne-Jones, Geraldine

AU - Allore, Heather

AU - Doyle, Margaret

AU - Funaro, Brian

AU - Lorenze, Nancy

AU - Mignosa, Bridget

AU - Miller, Michael E.

AU - Travison, Thomas G.

AU - Charpentier, Peter

AU - Araujo, Katy

AU - Baker, Dorothy

AU - McGloin, Joanne M.

AU - Lu, Charles

AU - Rajeevan, Haseena

AU - Katsovich, Liliya

AU - Wang, Rixin

AU - Shelton, Amy

AU - Skokos, Eleni

AU - Tang, Sui

AU - Abella, Mara

AU - Gordon, Carol

AU - Pennestri, Teresita

AU - Bianco, Luann

AU - Castro, Rina

AU - Rubeck, Sabina

AU - Rando, Kenneth

AU - Foster, Barbara

AU - Wu, Karen

AU - Nock, David

AU - Collins, Crysta

AU - Sherman, Leo

AU - Waring, Stephen C.

AU - Chopskie, Erica

AU - Larsen, Heather

AU - Taran, Allise

AU - Bianco, Joseph

AU - Hoberg, Margaret

AU - Rich, Jeremy

AU - Chavez, Vivian

AU - Moore, Christine

AU - Howe, Janelle

AU - Garcia, Rosario

AU - Nunez, Jocelyn

AU - Ho, Samuel

AU - Chen, Yan

AU - Wu, Albert W.

AU - Walston, Jeremy D.

AU - Agrawal, Yuri

AU - Ephraim, Patti

AU - Campbell, Tiffany

AU - Albert, Michael

AU - Ashar, Bimal

AU - Birnbaum, Bernard

AU - Chaudry, Sajida

AU - Edwards, La Toya

AU - Feeser, Scott

AU - Hussain, Naaz

AU - Joseph, Amrish

AU - Larsen, Kimberly

AU - Lee, Alice

AU - Okuwobi, Obafemi

AU - Scheck, Tara

AU - Wallace, Robert

AU - Casteel, Carri

AU - Shanahan, Angela

AU - Weldon, Julie

AU - Leveke, Anita

AU - Keller, Charles

AU - Reist, Jeffrey

AU - Alexander, Neil

AU - Wiggins, Jocelyn

AU - Burek, Karen

AU - Ledesma, Tina

AU - Nyquist, Linda V.

AU - Gallagher, Nancy

AU - Hanson, Catherine

AU - Ko, Fred

AU - Siu, Albert L.

AU - Leipzig, Rosanne M.

AU - Espino, Christian

AU - Ramaswamy, Ravishankar

AU - West, Deborah

AU - Matza, Deborah

AU - Dykes, Patricia

AU - Stenvig, Hilary

AU - Florgomes, Kety

AU - Christiansen, Taylor

AU - Salazar, Alejandra

AU - Frain, Laura

AU - Orkaby, Ariela

AU - Bean, Jonathan

AU - Wells, Yvette

AU - Foskett, Cathy

AU - Gurwitz, Jerry H.

AU - Richards, Allison

AU - Amroze, Azraa

AU - Garber, Lawrence

AU - Preusse, Peggy

AU - McDonald, Anne

AU - Greenspan, Susan L.

AU - Ferchak, Mary Anne

AU - Rigatti, Madeline

AU - Madia, Joseph

AU - Volpi, Elena

AU - Hirst, Roxana

AU - Martinez, Eloisa

AU - Raji, Mukaila

AU - Magaziner, Jay

AU - Ganz, David A.

AU - Duncan, Pamela W.

AU - Boult, Chad

AU - Goodwin, James

AU - Manini, Todd

AU - High, Kevin P.

AU - Harvin, Lea

AU - Stowe, Cindy

AU - Romashkan, Sergei

AU - Correa-De-Araujo, Rosaly

AU - Joseph, Lyndon

AU - Salive, Marcel

AU - Hadley, Evan C.

AU - Clauser, Steven B.

AU - Buchner, David

AU - Fulmer, Terry

AU - Ellenberg, Susan

AU - Beattie, Bonita Lynn

AU - King, Abby C.

AU - Brown, Cynthia J.

AU - Rubenstein, Laurence

AU - Sterling, Mary Anne

AU - Prohaska, Thomas

AU - Friedman, Laurence

PY - 2019/4/15

Y1 - 2019/4/15

N2 - Background: This paper describes a protocol for determining the incidence of serious fall injuries for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE), a large, multicenter pragmatic clinical trial with limited resources for event adjudication. We describe how administrative data (from participating health systems and Medicare claims) can be used to confirm participant-reported events, with more time- and resource-intensive full-text medical record data used only on an "as-needed" basis. Methods: STRIDE is a pragmatic cluster-randomized controlled trial involving 5451 participants age ≥ 70 and at increased risk for falls, served by 86 primary care practices in 10 US health systems. The STRIDE intervention involves a nurse falls care manager who assesses a participant's underlying risks for falls, suggests interventions using motivational interviewing, and then creates, implements and longitudinally follows up on an individualized care plan with the participant (and caregiver when appropriate), in partnership with the participant's primary care provider. STRIDE's primary outcome is serious fall injuries, defined as a fall resulting in: (1) medical attention billable according to Medicare guidelines with a) fracture (excluding isolated thoracic vertebral and/or lumbar vertebral fracture), b) joint dislocation, or c) cut requiring closure; OR (2) overnight hospitalization with a) head injury, b) sprain or strain, c) bruising or swelling, or d) other injury determined to be "serious" (i.e., burn, rhabdomyolysis, or internal injury). Two sources of data are required to confirm a serious fall injury. The primary data source is the participant's self-report of a fall leading to medical attention, identified during telephone interview every 4 months, with the confirmatory source being (1) administrative data capturing encounters at the participating health systems or Medicare claims and/or (2) the full text of medical records requested only as needed. Discussion: Adjudication is ongoing, with over 1000 potentially qualifying events adjudicated to date. Administrative data can be successfully used for adjudication, as part of a hybrid approach that retrieves full-text medical records only when needed. With the continued refinement and availability of administrative data sources, future studies may be able to use administrative data completely in lieu of medical record review to maximize the quality of adjudication with finite resources. Trial registration: ClinicalTrials.gov (NCT02475850).

AB - Background: This paper describes a protocol for determining the incidence of serious fall injuries for Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE), a large, multicenter pragmatic clinical trial with limited resources for event adjudication. We describe how administrative data (from participating health systems and Medicare claims) can be used to confirm participant-reported events, with more time- and resource-intensive full-text medical record data used only on an "as-needed" basis. Methods: STRIDE is a pragmatic cluster-randomized controlled trial involving 5451 participants age ≥ 70 and at increased risk for falls, served by 86 primary care practices in 10 US health systems. The STRIDE intervention involves a nurse falls care manager who assesses a participant's underlying risks for falls, suggests interventions using motivational interviewing, and then creates, implements and longitudinally follows up on an individualized care plan with the participant (and caregiver when appropriate), in partnership with the participant's primary care provider. STRIDE's primary outcome is serious fall injuries, defined as a fall resulting in: (1) medical attention billable according to Medicare guidelines with a) fracture (excluding isolated thoracic vertebral and/or lumbar vertebral fracture), b) joint dislocation, or c) cut requiring closure; OR (2) overnight hospitalization with a) head injury, b) sprain or strain, c) bruising or swelling, or d) other injury determined to be "serious" (i.e., burn, rhabdomyolysis, or internal injury). Two sources of data are required to confirm a serious fall injury. The primary data source is the participant's self-report of a fall leading to medical attention, identified during telephone interview every 4 months, with the confirmatory source being (1) administrative data capturing encounters at the participating health systems or Medicare claims and/or (2) the full text of medical records requested only as needed. Discussion: Adjudication is ongoing, with over 1000 potentially qualifying events adjudicated to date. Administrative data can be successfully used for adjudication, as part of a hybrid approach that retrieves full-text medical records only when needed. With the continued refinement and availability of administrative data sources, future studies may be able to use administrative data completely in lieu of medical record review to maximize the quality of adjudication with finite resources. Trial registration: ClinicalTrials.gov (NCT02475850).

KW - Adjudication

KW - Falls

KW - Injuries

UR - http://www.scopus.com/inward/record.url?scp=85071256750&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071256750&partnerID=8YFLogxK

U2 - 10.1186/s40621-019-0190-2

DO - 10.1186/s40621-019-0190-2

M3 - Article

AN - SCOPUS:85071256750

VL - 6

JO - Injury Epidemiology

JF - Injury Epidemiology

SN - 2197-1714

IS - 1

M1 - 14

ER -