Citation

Diggs BS, Lenfesty B, Arthur M, Hedges JR, Newgard CD, Mullins RJ. Acad. Emerg. Med. 2005; 12(3): 267-270.

Affiliation

Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098. diggsb@ohsu.edu.

Copyright

(Copyright © 2005, Society for Academic Emergency Medicine, Publisher John Wiley and Sons)

DOI

10.1197/j.aem.2004.10.028

PMID

15741593

Abstract

OBJECTIVES: The national morbidity and mortality associated with falls from a height is incompletely described. The authors estimated the rates of injury, hospitalization, and mortality due to these falls for subgroups of the U.S. population. METHODS: Administrative databases (1995-2000) provided national samples of patients treated for injuries following a fall from a height (ICD-9-CM E-codes E881.0, E881.1, or E882). Inpatient data are from the Nationwide Inpatient Sample, and emergency department data are from the National Hospital Ambulatory Medical Care Survey. RESULTS: A total of 347,484 (95% confidence interval = 308,417 to 386,551) emergency department presentations occur annually for injuries following a fall. Hospitalized patients older than 75 years of age had a 3.3% case fatality, and 42% were discharged to a skilled nursing facility. For patients older than 55 years of age, 86% of falls were not work related. CONCLUSIONS: Ladder and structure falls by elders are a substantial emergency department problem warranting thorough clinical evaluation and injury prevention efforts.