Factors Influencing Discharge Location After Hospitalization Resulting From a Traumatic Fall Among Older Persons

Abstract

Gender, race, payment type, body region injured, Injury Severity Score, physiologically based Emergency Department Revised Trauma Score, and need for intensive care unit care were significant predictors of discharge location. Understanding and addressing the factors found in this study can improve the discharge planning process and posttreatment management.

Age differences in fall‐related injury hospitalisations and trauma presentations

“…For the two in five individuals aged 80+ years who were discharged home following their fall, discharge planning practices should involve the identification of appropriate post‐discharge assistance [28], as the occurrence of one fall has been associated with an increased likelihood of having further falls [16]. It is recommended that factors influencing discharge status be examined in future work using information from several trauma data collections, where possible.…”

Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall‐Related Hospitalization

“…Although multiple studies have examined injuries related to serious falls (Masud and Morris ; Smith et al. ), few studies have investigated factors that may contribute to the discharge location of a patient following a traumatic fall (Lim, Hoffmann, and Brasel ). Therefore, our objective was to examine multilevel factors associated with hospital discharge status among older adults suffering a fall‐related hospitalization.…”

“…Given that a prior fall is a major risk factor for a recurrent fall regardless of discharge status (Stalenhoef et al 2002), identifying where individuals go after suffering a fall can help inform where fall-prevention interventions or fall-prevention intervention referrals may be delivered most effectively. Improvements in discharge planning for older adults suffering fall-related hospitalizations have been suggested as a potential strategy in the prevention of recurrent falls (Lim, Hoffmann, and Brasel 2007).…”

Early Predictors of Functional Outcome After Trauma

“…Trauma outcomes based on mortality have altered triage applications [27,28], modified treatment algorithms [29‐31], and identified patients who will need long‐term care [32,33]. The value of reducing morbidity and mortality in survivors has been essential for the growth of the trauma system.…”