Patterns of injury in geriatric falls

Connecticut Medicine

Volumn 73, Issue 3, 2009, Pages 139-145

  Ojo, Peter ^a,b   O'Connor, Judy ^a   Kim, Donald ^a   Ciardiello, Kenneth ^a   Bonadies, John ^a  

^a Hospital of Saint Raphael   (United States)

^b New Enland Surgical Group   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; ARTICLE; BRAIN HEMORRHAGE; FALLING; FEMALE; FRACTURE; HUMAN; INCIDENCE; INJURY; INJURY SCALE; MALE; RETROSPECTIVE STUDY; STATISTICS;

ACCIDENTAL FALLS; AGE FACTORS; AGED; AGED, 80 AND OVER; FEMALE; FRACTURES, BONE; HUMANS; INCIDENCE; INJURY SEVERITY SCORE; INTRACRANIAL HEMORRHAGE, TRAUMATIC; MALE; RETROSPECTIVE STUDIES; WOUNDS AND INJURIES;

EID: 64549146718     PISSN: 00106178     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (50)

1. Day JC: Population projections of the United States by age, sex, race, and Hispanic origin: 1995 to 2050. US Bureau of the Census Washington, DC1996:25-1130.
2. McMahon DJ, Schwab CW, Kauder D: Comorbidity and the elderly trauma patient. World J Surg 1996; 20:1113-20.
3. Lonner JH, Koval KJ: Polytrauma in the elderly. Clin Orthop Res 1995; 318:136-43.
4. Jacobs DG: Special consideration in geriatric injury. Cur Opin In Crit Care 2003; 9:535-9.
5. Perdue P, Watts D, Kaufmann C, Trask A: Differences in mortality between elderly and younger adult trauma patients: Geriatric status increases riskof delayed death. J Trauma Injury Inf Critical Care 1998; 45:805-10.
6. Eliastam M: Elderly patients in the emergency department. Ann Emerg Med 1989; 18:1222-9.
7. Graafmans WC, Ooms ME, Hofstee HM, et al: Falls in the elderly: A prospective study of risk factors and risk profiles. AmJ Epidemiol 1996; 143;1129-36.
8. Nevitt MC, Cummings SR, Hudes E.S: Riskfactors for injurious falls: A prospective study. J Gerontol 1991; 46;164-70.
9. Currie CT, Lawson PM, Robertson CE. et al: Elderly patients discharged from accident and emergency departments-their dependency and support. Arch Emerg Med 1984; 1:205-13.
10. Tinetti ME, Speechley M, Ginter SF: Risk factors for falls among elderly persons living in the community. N Engl J Med 1988; 319:1701-7.
11. Campbell AJ, Borrie MJ, Spears GF: Risk factors for falls in community-based prospective study of people 70 years and older. J Gerontol 1989; 44:112-7.
12. Thapa PB, Brockman KG, Gideon P, et al: Injurious falls in nonambulatory nursing home residents: A comparative study of circumstances, incidence, and risk factors. JAm Geriatr Soc 1996; 44: 273-8.
13. Kiel DP:The evaluation of falls in the emergency department. Clin Geriatr Med 1993; 9(3):591-9.
14. Hogue C: Injury in late life: Part 1. Epidemiology. J Am Geriatr Soc 1982; 30:183-90.
15. Sattin RW: Falls among older persons: A public health perspective. Ann Rev Pub Health 1992; 13:489-508.
16. Aharon-Peretz J, Kuot D, Amyel-Zvi E, et al:Neurobehavioral consequences of closed head injury in the elderly. Brain Inj 1997;11:871-5.
17. Mandavia D, Newton K: Geriatric trauma. Emerg Med Clin North Am 1998; 16: 257-5.
18. Spaite DW, Criss EA, Valenzuela TD, et al: Geriatric injury: An analysis of pre-hospital demographics, mechanisms, and patterns. Ann Emerg Med 1990; 19: 1418-21.
19. Sattin RW, Huber DAL, DeVito CA, et al: The incidence of fall injury events among the elderly in a defined population. AmJ Epidemiol 1990; 131: 1028-37.
20. Grisso JA, Schwartz DF, Wolfson V, et al: The impact of falls in an inner-city elderly African-American population. J Am Geriatr Soc 1992; 40:673-8.
21. Alexander BH, Rivera FP, Wolf ME: The cost and frequency of hospitalization for fall-related injuries in older adults. Am JPub Health 1992; 82:1020-3.
22. Mosenthal AC, Livingston DH, Elcavage J, et al: Falls: Epidemiology and strategies for prevention.J. Trauma 1995; 38: 753-6.
23. Sterling DA, O'Connor JA, Bonadies J: Geriatric falls: Injury severity is high and disproportionate to mechanism. J Trauma 2001; 50(1):116-9.
24. Grossman MD, Miller D, Scaff DW, et al: When is an elder old? Effect of preexisting conditions on mortality in geriatric trauma.J. Trauma 2002; 52:242-6.
25. American Geriatric Society, British Geriatric Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001; 49:664-72.
26. Mathers LJ, Weiss HB: Incidence and characteristics of fall-related emergency department visits. Acad Emerg Med 1998; 5:1064-70.
27. Paniagua MA, Malphurs JE, Phelan EA: Older patients presenting to a county hospital ED after a fall: missed opportunities for prevention. Am J Emerg Med 2006; 24(4):413-7.
28. Nordell E, Jarnlo GB, Jetsen C, et al: Accidental falls and related fractures in 65-74 year olds: A retrospective study of 332 patients, Acta Orthop Scand 2000; 71:175-9.
29. Parker MJ, Pryor G.A., Myles J: Eleven-year results in 2, 846 patients of the Peterborough Hip Fracture Project: Reduced morbidity, mortality and hospital stay.Acta Orthop Scand2000; 71:34-8.
30. Bergeron E, Lavoie A, Belcaid A, et al: Should patients with isolated hip fractures be included in trauma registries? J Trauma 2005; 58(4):793-7.
31. Gullberg B, Johnell O, Kanis JA: World-wide projections for hip fracture. Osteoporos Int 1997; 7:407-13.
32. Cheong HW, Peh WCG, Guglirelmi G: Imaging of diseases of the axial and peripheral skeleton. Radiol Clin North Am 2008; 46(4)703-33.
33. Pentland B, Hutton LS, Jones PA: Late mortality after head injury. J NeurolNeurosurg Psychiatry 2005; 76:395-400.
34. Aschkenasy MT, Rothenhaus TC: Trauma and falls in the elderly. Emerg Med Clin North Am 2006; 24(2):413-32.
35. Amacher AL, Bybee DE: Toleration of head injury by the elderly. Neurosurgery 1987; 20:954-8.
36. Mack LR, Chan SB, Silva JC, et al: The use of head computed tomography in elderly patients sustaining minor head trauma. J Emerg Med 2003; 24:157-62.
37. Rathlev N, Medzon R, Lowery D, et al: Intracranial pathology in elders with blunt head trauma. Acad Emerg Med 2006 Mar; 13(3):302-7.
38. Mosenthal AC, Lavery RF, Addis M, et al: Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome. J Trauma 2002; 52: 907-11
39. Hu R, Mustard CA, Burns C: Epidemiology of incident spinal fracture in a complete population. Spine 1996; 21:492-9.
40. Lomoschitz FM, Blackmore CC, Mirza SK, et al: Cervical spine injuries in patients 65 years old and older: Epidemiologic analysis regarding the effects of age and injury mechanism on distribution, type, and stability of injuries. AmJ Roentgenol 2002; 178:573-7.
41. White AA, Panjabi MM: Clinical biomechanics of the spine. Lippincott Philadelphia; 1990.
42. Weiler SJ, Malek AM, Rossitch E: Cervical spine fractures in the elderly. SurgNeurol 1997; 47:274-81.
43. SpivakJM, Weiss MA, Coder JM, et al: Cervical spine injuries in patients 65 and older. Spine 1994; 19:2302-6.
44. Liebermann IH, Webb JK: Cervical spine injuries in the elderly. J Bone Joint Surg Br 1994; 76:877-81.
45. Mann F, Kubal W,Blackmore C: Improving the imaging diagnosis of cervical spine injury in the very elderly: Implications of the epidemiology of injury. Emerg Radiol 2000; 7:36-41.
46. Daffner RH, Goldberg AL, Evans TC, et al: Cervical vertebral injuries in the elderly: A 10-year study. Emerg Radiol 1998;5:38-42.
47. Schrag SP, Toedter LJ, McQuay N Jr: Cervical spine fractures in geriatric blunt trauma patients with low-energy mechanism: Are clinical predictors adequate? AmJ Surg 2008; 195 (2):170-3.
48. Callaway DW, Wolfe R: Geriatric Trauma. Emerg Med Clin North Am 2007; 25(3):837-60
49. Bergeron E, Lavoie A, Clas D, et al: Elderly patients with rib fractures are at greater risk of death and pneumonia. J Trauma 2003; 54:478-85.
50. Bulger EM, Arneson MA, Mock CN, et al: Rib fractures in the elderly. J Trauma 2000; 48(6):1040-7.