alexa Abstract | Why Elderly Patients with Ground Level Falls Die Within 30 Days And Beyond?
ISSN: 2167-7182

Journal of Gerontology & Geriatric Research
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article Open Access

Abstract

Background: Together with a growing geriatric population in the United States, ground level falls (GLF) are troubling and quickly becoming a significant cause for geriatric trauma deaths. This study describes the factors associated with GLF fall deaths and examines how these factors changed mortality rate over a 3-year follow-up. Methods: A retrospective study was conducted based on the ASU Center of Health Information and Research (CHiR) database. The dataset included 52,391 patients with GLF admissions at 4 Level-I trauma centers in Arizona from 2008-2011. Patients were identified using ICD-9 GLF specific E-codes E885.x to E888.x. 49,138 patients <60 years who had non-ground level falls were excluded. Abstracted patient demographics, injury characteristics, cause and post injury time of death were summarized and compared using non-parametric tests, Student’s t-test, ANOVA, univariate and multivariate regression methods as appropriate; p≤.05 was considered statistically significant. Results: There were 3,251 patients with GLF who were followed during the 3-year study period. The majority was white (85.7%), female (57.8%), and 36.1% were in the 8th decade of life. Most patients fell at home (71.5%) and suffered medium severity injuries (median ISS= 9). The Trauma Revised Injury Severity Score (TRISS) was 0.93 and mean Charlson Comorbidity Index (CCI) was 0.63. The mortality rate (31.1%) over the 3-year period was remarkably high despite the fact that GLF is often considered a low-energy mechanism of injury. We identified the following significant, non-modifiable and independent risk factors for 1-30 day post-injury mortality: age ≥80 years, male gender, ISS≥16, AIS head ≥4, AIS extremities >2, TRISS <0.63, CCI ≥0.67, and ICU LOS >2. Conclusion: GLF although considered a low-energy mechanism of injury, is fast becoming a significant cause of mortality among the elderly, beginning immediately after the injury, through intermediate and longer-term follow-up periods. Mortality outcomes were modified only by the unalterable effects of chronic conditions such as cardiac diseases, stroke, cancer, diabetes or liver diseases in subsequent years. We recommend trauma level 1 activation for all elderly patients who suffer GLF with concerns for head injury and emphasis on aggressive head injury management strategies to mitigate GLF-related deaths.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Alicia Mangram*, James Dzandu, Gervork Harootunian, Nicholas Zhou, Jacqueline Sohn, Michael Corneille, Patrick O Neill, Scott Petersen, Olakunle F Oguntodu and William G Johnson

Keywords

Clinical Geriatrics,Critical Gerontology,Geriatric

Share This Page

Additional Info

Loading
Loading Please wait..
 
 
 
 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords