Risk factors for ground-level falls differ by sex

Taira, Takayuki; Morita, Seiji; Umebachi, Rimako; Miura, Naoya; Icimura, Atsushi; Inoue, Shigeaki; Inokuchi, Sadaki

doi:10.1016/j.ajem.2015.01.052

Cited by 7 publications

(16 citation statements)

References 25 publications

(38 reference statements)

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“…It has also been reported that severe fall injuries in the elderly population are more common in men than women. 14 21 Consistent with these findings, we found that the elderly men were more likely to suffer an injury from LHF than the women elderly, especially in the severe group. Furthermore, injuries that occurred outdoors were more likely to fall into the severe group than the non-severe group.…”

Section: Discussionsupporting

confidence: 86%

“…Age alone is considered to be a risk factor for severe injury and poor prognosis after a fall regardless of the mechanism. 3 14 Careful attentions should therefore be paid to elderly patients presenting to the ED with fall injuries.…”

Section: Discussionmentioning

confidence: 99%

“…It is also possible that the severe injury group may have been underestimated in this study if the patients or guardians refused further treatment due to the patient's age. The severity of fall injuries in the elderly population may vary depending upon comorbidities, 14 25 use of anti-coagulants, 26 and the level of performance ability; however, these factors were not taken into account in this study. In both the non-severe group and the severe group, the value of variable consciousness at the ED was missing by more than 50% of the data.…”

Section: Discussionmentioning

confidence: 99%

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Severe Injuries from Low-height Falls in the Elderly Population

et al. 2018

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BackgroundFalls from low-height can cause severe injuries in the elderly population. This study was conducted to determine characteristics of injuries from low-height falls.MethodsWe retrospectively review surveillance data on injured patients who presented to six emergency departments from January 2011 to December 2015. Study subjects were divided into severe group and non-severe group based on severity of injury. The general and clinical characteristics were compared between the two groups and analyzed factors related with severe injuries.ResultsOf 1,190 elderly patients, severe group comprised 82 patients (7%). The severe group was 2 years younger than the non-severe group. In the severe group, 61% was men and 34% in the non-severe group. In the non-severe, the injuries more commonly occurred at residential facilities and indoors than those in the severe group. Paid work during injury occurrence was 15%, and the more patients presented with non-alert consciousness in the severe group. The most common regions of major injury were head and neck in the severe group.ConclusionPaid work, non-alert consciousness, and major injury to head and neck are relating factors to severe injuries in the elderly population.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Severe Injuries from Low-height Falls in the Elderly Population

et al. 2018

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“…Another study showed that the mortality rate according to age after a ground-level fall injury is sex-specific. The odds ratio of in-hospital mortality of the group older than 60 years vs. under 60 was higher in men, but it was not a significant risk factor in women aged 60-79 compared to those under 60 [21].…”

Section: Discussionmentioning

confidence: 71%

“…Many studies have been performed on the characteristics of falls among the older adults, [2][3][4][5][6][7][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] but no studies have analysed the characteristics of head injuries by comparing groups of head injury and non-head injury patients after falls in the older adults. This study aimed to examine the characteristics of older adults patients who suffered a head injury after a ground-level fall in comparison to non-head injury patients and the factors associated with severity in those with head injury only.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of fall‐related head injury versus non‐head injury in the older adults

Kim

Cho

et al. 2021

BMC Geriatr

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Background This study aimed to examine the characteristics of older adults patients who suffered a head injury after a ground-level fall in comparison to non-head injury patients as well as the factors associated with severity in those with head injury only. Methods Patients were classified into two groups, the head injury group and the non-head injury group. The characteristics were compared and factors associated with head injury were evaluated. Factors relating to severe injury in the head injury group were also investigated. Results The head injury group comprised 42 % of a study subjects. Male sex; fall time of 18:00–23:59; fall location of medical facility, transportation area, and public or commercial facility; fall in an outdoor area; fall during daily activity; alcohol ingestion; fall from stairs; non-slippery floor conditions; concrete flooring; sloped flooring; and presence of obstacles on the floor were risk factors for head injury in the older adults after a ground-level fall. Male sex and age over 70 years; fall time of 00:00–05:59; fall in a residential facility; fall in an indoor area; fall during daily activity; fall from stairs; non-slippery floor conditions; and presence of obstacles on the floor were factors associated with severe injury in the head injury group. Conclusions Male sex with advanced age, indoor fall, and the presence of obstacles on the floor were risk factors for severe injury in the head injury group in older adults individuals who suffered a ground-level fall. It is necessary to develop appropriate ground-level fall prevention programs by evaluating the individual and environmental characteristics of older adults patients.

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