New bedside tool could cut unnecessary brain scans in seniors after falls
NCT ID NCT07536906
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is testing a simple bedside tool called the Falls Decision Rule to help emergency doctors decide whether older adults (65+) need a brain scan after a fall. Researchers will check if the tool accurately identifies who has a serious brain bleed and who does not. The goal is to avoid unnecessary scans while still catching dangerous injuries. The study will enroll 4,000 participants across multiple emergency departments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the tool works, it could help emergency doctors quickly decide who needs a brain scan after a fall, reducing unnecessary scans and speeding up care.
- What could go wrong
- This is an observational study, not a treatment trial. The tool may not be accurate enough in real-world settings, and results may not apply to all older adults.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 4,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients who present to the emergency department.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
7 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU de Québec - Université Laval
NOT_YET_RECRUITINGQuébec, Quebec, Canada
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Centre Intégré Universitaire De Santé Et De Services Sociaux Du Nord-De-L'île-De-Montréal,
NOT_YET_RECRUITINGMontreal, Quebec, H3L 1K5, Canada
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Hamilton Health Sciences Corporation
NOT_YET_RECRUITINGHamilton, Ontario, L8L 2X2, Canada
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Kingston Health Sciences Centre
RECRUITINGKingston, Ontario, K7L 2V7, Canada
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Massachusetts General Hospital
NOT_YET_RECRUITINGBoston, Massachusetts, 02115, United States
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Ottawa Hospital Research Institute
NOT_YET_RECRUITINGOttawa, Ontario, Canada
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Sinai Health System
NOT_YET_RECRUITINGToronto, Ontario, M5G 1X5, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can olive oil and exercise keep older adults on their feet?
- Could a medication side effect score predict falls in older adults?
- Ultrasound of calf muscles could reveal who is at risk of falling after stroke
- Can home exercise keep older adults with cognitive frailty on their feet?
- Can a smartphone replace a physio visit for older adults with knee arthritis?
- Common drugs may raise fall risk in seniors with muscle loss