TY  - JOUR
PY  - 2016//
TI  - Spinal fractures in older adult patients admitted after low-level falls: 10-year incidence and outcomes
JO  - Journal of the American Geriatrics Society
A1  - Jawa, Randeep S.
A1  - Singer, Adam J.
A1  - Rutigliano, Daniel N.
A1  - McCormack, Jane E.
A1  - Huang, Emily C.
A1  - Shapiro, Marc J.
A1  - Fields, Suzanne D.
A1  - Morelli, Brian N.
A1  - Vosswinkel, James A.
SP  - 909
EP  - 915
VL  - 65
IS  - 5
N2  - OBJECTIVES: To evaluate the incidence of spinal fractures and their outcomes in the elderly who fall from low-levels in a suburban county. <br><br>DESIGN: Retrospective county-wide trauma registry review from 2004 to 2013. SETTING: Suburban county with regionalized trauma care consisting of 11 hospitals. PARTICIPANTS: Adult trauma patients aged ≥65 years who were admitted after falling from <3 feet. MEASUREMENTS: Demographic characteristics, comorbidities, and outcomes. <br><br>RESULTS: Spinal fractures occurred in 18% of 4,202 older adult patients admitted following trauma over this 10-year time period, in the following distribution: 43% cervical spine, 5.7% thoracic, 4.9% lumbar spine, 36% sacrococcygeal, and 9.6% multiple spinal regions. As compared to non-spinal fracture patients, more spinal fracture patients went to acute/subacute rehabilitation (47% vs 34%, P <.001) and fewer were discharged home (21% vs 35%, P <.001). In-hospital mortality rate in spinal and non-spinal fracture patients was similar (8.5% vs 9.3%, P =.5). <br><br>CONCLUSION: Low-level falls often resulted in a spinal fracture at a variety of levels. Vigilance in evaluation of the entire spine in this population is suggested.<br><br>© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-8614
UR  - http://dx.doi.org/10.1111/jgs.14669
ID  - ref1
ER  -