Injuries sustained by falls

Grace Rozycki, K. I. Maull

Research output: Contribution to journalArticle

Abstract

During a recent 4-year period, 381 patients were admitted with injuries sustained from falls. Equal numbers of patients were less than and greater than 50 years of age and included 53 children (≤ 16 years) and 214 elderly (≥ 55 years). Falls from heights occurred predominately in young males (mean age 34.2 years), were most commonly job or recreation related and resulted in higher injury severity scores (ISS). Falls in the elderly occurred more commonly in women, typically on a flat surface, and were less severe. Despite lower mean ISS, fall victims over 55 years of age had longer hospitalizations (11.4 vs. 4.5 days) and incurred higher hospital charges compared to younger patients. There were 35 deaths (9.2%). In patients under 55 years, deaths resulted from fall-related central nervous system (CNS) injury and/or multisystem trauma. In patients over 55 years, fatalities were most commonly related to pre-existent medical conditions. Based on a review of this experience, we conclude that: (1) unlike other causes of blunt and penetrating trauma, both sexes are equally at risk from fall-related injuries but sex incidence is age related; (2) falls from heights are more common in men; (3) advanced age and pre-existing medical conditions account for the increased morbidity and mortality following falls and; (4) cost containment measures for fall-related trauma must consider not only injury severity, but the age and pre-existent medical conditions of the patient.

Original languageEnglish (US)
Pages (from-to)245-252
Number of pages8
JournalArchives of Emergency Medicine
Volume8
Issue number4
StatePublished - Dec 1 1991
Externally publishedYes

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Wounds and Injuries
Injury Severity Score
Hospital Charges
Nervous System Trauma
Recreation
Preexisting Condition Coverage
Cost Control
Hospitalization
Central Nervous System
Morbidity
Costs and Cost Analysis
Mortality
Incidence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Injuries sustained by falls. / Rozycki, Grace; Maull, K. I.

In: Archives of Emergency Medicine, Vol. 8, No. 4, 01.12.1991, p. 245-252.

Research output: Contribution to journalArticle

Rozycki, G & Maull, KI 1991, 'Injuries sustained by falls', Archives of Emergency Medicine, vol. 8, no. 4, pp. 245-252.
Rozycki, Grace ; Maull, K. I. / Injuries sustained by falls. In: Archives of Emergency Medicine. 1991 ; Vol. 8, No. 4. pp. 245-252.
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