TY - JOUR PY - 2019// TI - Older patients with low-energy falls presenting to the emergency department: characteristics and outcomes JO - Journal of the American Geriatrics Society A1 - Vera, Pedersen A1 - Lampart, Alina A1 - Kammerlander, Christian A1 - Boecker, Wolfgang A1 - Nickel, Christian H. A1 - Bingisser, Roland SP - 1527 EP - 1529 VL - 67 IS - 7 N2 -
To the Editor: Low‐energy falls (LEFs) constitute a common reason for emergency department (ED) presentation in older adults. Their incidence increases with age, and they are the leading mechanism of injury in older patients. Studies from trauma registry databases suggest that injury severity in these individuals is similar to younger patients with high‐energy mechanisms, and that LEFs are associated with morbidity and mortality increasing with age. Moreover, initial prehospital and ED assessments seem to underestimate severity. As these studies were based on trauma registries, results may be biased, as only a minority of LEFs triggers trauma‐team activation. Therefore, we analyzed baseline demographics and outcomes in a large consecutive cohort of older individuals presenting to the ED after an LEF, focusing on patients undergoing computed tomographic (CT) examination without trauma‐team activation in two larger urban level I trauma centers in Germany and Switzerland. Methods This retrospective bicentric observational study was based on the data of two university hospitals in Switzerland (Basel) and Germany (Munich), according to Strengthening the Reporting of Observational Studies on Epidemiolgy (STROBE) guidelines ...
Language: en
LA - en SN - 0002-8614 UR - http://dx.doi.org/10.1111/jgs.15915 ID - ref1 ER -