Older Patients with Low‐Energy Falls Presenting to the Emergency Department: Characteristics and Outcomes

Prevalence and Severity of Traumatic Intracranial Hemorrhage in Older Adults with Low‐Energy Falls

“…This allowed for calculation of multivariable regression models for all outcomes. Because most older patients with low‐energy falls present as walk‐in patients or are brought in by emergency medical services to the ED, we further excluded patients who met major trauma criteria (ie, compromised vital signs, severe or life‐threatening injuries, or high‐energy trauma mechanisms). Major trauma will initiate trauma team activation and triggers a very different standardized management including whole‐body CT examination in most cases.…”

“…This retrospective bicentric, binational study represents a subset of a published larger patient cohort . The study was performed in two university hospitals in Switzerland (University Hospital Basel) and Germany (University Hospital of Ludwig‐Maximilians‐University Munich) using electronic health records.…”

“…Individuals sustaining a documented fall from standing height, fall out of bed/from chair/wheelchair or other low‐level furniture, or fall from a low level less than 1 m (according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision ) in the last 7 days before ED presentation were eligible for inclusion. Our previous findings show that 95% of patients present within 48 hours after the incident and the designation of the date of the fall is not remembered reliably with delays of more than 7 days. Exclusion criteria were no cCT examination performed, referral from general practitioners or other hospitals with preceding imaging, initial presentation through fast track due to different work‐up in the ED, initial presentation via trauma team activation or resuscitation room due to standardized work‐up with whole‐body CT, further delayed presentations (≥8 d after the fall), and a repeat presentation due to the same incident.…”

Prevalence of Fractures and Diagnostic Accuracy of Emergency X-ray in Older Adults Sustaining a Low-Energy Fall: A Retrospective Study

“…The main result of this study, representing a subset of a large patient cohort recently published [22], is that one out of five older adults with LEF, recorded at the ED, has suffered from fractures of the axial skeleton, pelvic ring or proximal long bones, as diagnosed by XR and CT examinations. Fractures of the pelvic ring, proximal femur, and humerus show the highest prevalence in this cohort.…”

Diagnostic value of protein S100b as predictor of traumatic intracranial haemorrhage in elderly adults with low-energy falls: results from a retrospective observational study

“…This retrospective single-centre observational study represents a subset of a published larger patient cohort [ 23 ], including patients from one university tertiary care hospital in Germany (University Hospital of Ludwig-Maximilians-University Munich) using electronic health records (EHR). The study is in accordance with the declaration of Helsinki and was conducted using STROBE guidelines.…”