Relating factors to severe injury from outdoor falls in older people
- 주제(키워드) elderly , falls , injuries , risk factors
- 주제(기타) Geriatrics & Gerontology; Gerontology
- 설명문(일반) [Jung, Hey Youn; Kim, Sun Hyu; Lee, Sang Cheal] Univ Ulsan, Ulsan Univ Hosp, Coll Med, Dept Emergency Med, 877 Bangeojinsunhwando Ro, Ulsan 44033, South Korea; [Kim, Sunpyo] Chosun Univ, Dept Emergency Med, Coll Med, Gwangju, South Korea; [Cho, Gyu Chong] Hallym Univ, Dept Emergency Med, Sch Med, Chunchon, South Korea; [Kim, Min Joung] Yonsei Univ, Dept Emergency Med, Coll Med, Seoul, South Korea; [Lee, Ji Sook] EwhaWomans Univ, Sch Med, Dept Emergency Med, Seoul, South Korea; [Han, Chul] Ajou Univ, Sch Med, Dept Emergency Med, Suwon, South Korea
- 등재 SCOPUS
- 발행기관 WILEY
- 발행년도 2018
- URI http://www.dcollection.net/handler/ewha/000000160244
- 본문언어 영어
- Published As http://dx.doi.org/10.1111/ggi.13144
초록/요약
Aim: The aim of the present study was to evaluate the clinical characteristics, including floor characteristics and factors, related to severe injury from outdoor falls in older adults. Methods: Patients were divided into two groups based on injury severity: the severe group and non-severe group. The clinical and general characteristics were compared between the two groups, and factors associated with severe injury were investigated. Results: Approximately 5% (364/7635) of older people involved in outdoor falls were classified into severe injury. The proportion of men and the rate of alcohol ingestion were higher in the severe group compared with that in the nonsevere group. Falling from stairs was a more frequent mechanism of fall in the severe group compared with that in the non-severe group. Non-slippery floor condition had a higher proportion in the severe group than that in the nonsevere group. Head and neck were the predominantly injured regions in both groups. Discharge was the most common result of emergency department treatment in the non-severe group, whereas admission to intensive care unit was the main result in the severe group. Multivariate logistic analysis showed that male sex and falls fromstairs rather than slipping down on the same level were associated with severe injury. Conclusions: Floor characteristics did not influence injury severity; however, the risk of severe injury from outdoor falls in older adults was high in men and those who fell from stairs.
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