Geriatric hospitalizations in fall-related injuries

Rau, Cheng-Shyuan; Lin, Tsan‐Shiun; Wu, Shao-Chun; Yang, Johnson Chia‐Shen; Hsu, Shiun-Yuan; Cho, Tzu-Yu; Hsieh, Ching-Hua

doi:10.1186/s13049-014-0063-1

Cited by 74 publications

(72 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The median (range) ISS was 4 (1-16) and the median (range) GCS was 15 (12)(13)(14)(15). Four (4.3%) patients were admitted to the Intensive Care Unit.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Geriatric fall-related injuries

Hefny¹,

Abbas²,

Abu‐Zidan³

2016

Afr H. Sci.

View full text Add to dashboard Cite

Background: Falls are the leading cause of geriatric injury. Objectives: We aimed to study the anatomical distribution, severity, and outcome of geriatric fall-related injuries in order to give recommendations regarding their prevention. Methods: All injured patients with an age ≥ 60 years who were admitted to Al-Ain Hospital or died in the Emergency Department due to falls were prospectively studied over a four year period. Results: We studied 92 patients. Fifty six of them (60.9%) were females. The mean (standard deviation) of age was 72.2 (9.6) years. Seventy three (89%) of all incidents occurred at home. Eighty three patients (90.2%) fell on the same level. The median (range) ISS was 4 (1-16) and the median GCS (range) was 15 (12-15). The lower limb was the most common injured body region (63%). There were no statistical significant differences between males and females regarding age, ISS, and hospital stay (p = 0.85, p = 0.57, and p = 0.35 respectively). Conclusion:The majority of geriatric fall-related injuries were due to fall from the same level at home. Assessment of risk factors for falls including home hazards is essential for prevention of geriatric fall-related injuries.

show abstract

“…The median (range) ISS was 4 (1-16) and the median (range) GCS was 15 (12)(13)(14)(15). Four (4.3%) patients were admitted to the Intensive Care Unit.…”

Section: Resultsmentioning

confidence: 99%

“…Minor trauma in the elderly may lead to severe injuries requiring hospitalization 8 . Fall was the main cause of geriatric injury [9][10][11][12] . The estimated incidence of hospitalization caused by geriatric falls in our city (363/100 000) is less than others 2,13 .…”

mentioning

confidence: 99%

Geriatric fall-related injuries

Hefny¹,

Abbas²,

Abu‐Zidan³

2016

Afr H. Sci.

View full text Add to dashboard Cite

show abstract

“…F alls are the leading cause of injurious death in older adults 1 and account for most injury-related emergency department visits and hospitalizations in this age group. 2 Fall survivors are at risk of numerous secondary consequences, including depression, social isolation, and activity restriction. 3 Thus, a major effort in aging research has been to identify risk factors for falling and to study and validate programs to prevent falls.…”

mentioning

confidence: 99%

What Is a Falls Risk Factor? Factors Associated with Falls per Time or per Step in Individuals with Glaucoma

Ramulu

Mihailović

West

et al. 2018

J American Geriatrics Society

View full text Add to dashboard Cite

BACKGROUND/OBJECTIVES: Falls jeopardize the health of older adults, making it important to properly identify fall risk factors. Here, we determine if visual field (VF) damage or other factors confer a similar risk to falling when falls are ascertained as a rate over time (falls/year) or over activity (falls/step). DESIGN: Prospective, observational cohort study. SETTING: Clinic-based recruitment with real-world monitoring of falls and physical activity. PATIENTS: Two-hundred thirty subjects with glaucoma or suspected glaucoma. MEASUREMENTS: Patients recorded falls using daily calendars with injuries identified via follow-up questionnaire. Annual one-week accelerometer trials were used to estimate steps. VF results from both eyes were merged to determine integrated VF sensitivity, with lower sensitivity indicating greater VF damage. Other potential risk factors for falls (age, gender, race, comorbid illness, and polypharmacy) were determined by questionnaires. RESULTS: The cumulative probability of falls was 45.2 and 61.6% at 12 and 24 months, respectively, while the cumulative probability of injurious falls was 23.3 and 40.0% respectively. Greater VF damage was associated with higher rates of fall/steps (IRR=1.40/5 dB decrement in sensitivity; p=0.004), but not with more falls/year (IRR=1.25/5 dB decrement in sensitivity; p=0.07). Several additional variables (older age, female gender, more comorbid disease) were also associated with a higher rate of falls/step (p<0.02 for all), but not with falls/year (p>0.10). Conversely, African-Americans had fewer falls/year as compared to Caucasians (p=0.002) but did not differ with regards to falls/step (p=0.07). Similar results were obtained when injurious falls were analyzed. CONCLUSIONS: Risk factors associated with more frequent falls when walking (falls/step) are not properly identified when analyzing falls as a rate over time (falls/year). Given the clinical importance of preventing falls while preserving physical activity, falls assessment integrated with activity measurement is recommended when determining if a risk factor is associated with falls.

show abstract

“…Several prediction scores are used to manage trauma patients, including Injury Severity Score (ISS), Trauma Injury Severity Score (TRISS), Revised Trauma Score (RTS), New Injury Severity Score (NISS) and Shock Index (SI) [16,17]. There is limited information available about clinical characteristics and outcomes of fall related injuries among the geriatric populations in the state of New York (NY) and its counties.…”

Section: Introductionmentioning

confidence: 99%

Elderly Females Fall More From Heights but Males Survive Less: Insights from an American Level 1 Trauma Center

El‐Menyar

Tilley

Al-Thani

et al. 2019

Preprint

View full text Add to dashboard Cite

KEYWORDSGeriatrics, trauma in elderly, mechanism of injury, injury severity, fall from height 2 Abstract Background Approximately one third of subjects ≥65 year old and half of subjects ≥80 years old sustain a fall injury each year. We aimed to study the outcomes of fall from a height (FFH) among elderly. We hypothesized that in an elderly population, fall-related injury and mortality are the same in both genders. MethodsA retrospective analysis was conducted between January 2012 and December 2016 in patients who sustained fall injury at age of at least 60 years and were admitted into a Level 1 Trauma center.Patients were divided into 3 groups: Gp-I: 60-69, Gp-II: 70-79 and Gp-III: ≥80 years old. Data were analyzed and compared using Chi-square, one-way analysis of variance (ANOVA) and logistic regression analysis tests. ResultsForty-three percent (3665/8528) of adult trauma patients had FFH and 2181 (59.5%) were ≥ 60 years old and 52% were women. The risk of fall increased with age with an Odd ratio (OR) 1.52 for age 70-79 and an OR 3.40 for ≥80.Females fell 1.2 times more (age-adjusted OR 1.24; 95% CI 1.05-1.45) and 47% of ≥80 years old suffered FFH. Two-thirds of FFH occurred at a height ≤1 meter. Injury severity (ISS, NISS and GCS) were worse in Gp-II, lower extremities max Abbreviated Injury score (max AIS) was higher in Gp-III.Overall mortality was 8.7% (Gp-I 3.6% vs. 11.3% in Gp-II and 14% in Gp-III). Males showed higher mortality than females in the entire age groups (Gp-I: 4.6% vs 1%, Gp-II: 12.9% vs 4.2% and Gp-III:17.3% vs 6.9% respectively). On multivariate analysis, shock index (OR 3.80; 95% CI 1.27-11.33) and male gender (OR 2.70; 95% CI 1.69-4.16) were independent predictors of mortality. ConclusionsFall from a height is more common in elderly female patients, but male patients have worse outcomes. Preventive measures for falls at home still are needed for the elderly of both genders.

show abstract

Geriatric hospitalizations in fall-related injuries

Cited by 74 publications

References 44 publications

Geriatric fall-related injuries

Geriatric fall-related injuries

What Is a Falls Risk Factor? Factors Associated with Falls per Time or per Step in Individuals with Glaucoma

Elderly Females Fall More From Heights but Males Survive Less: Insights from an American Level 1 Trauma Center

Contact Info

Product

Resources

About