| Autor: |
Namgung M; Department of Emergency Medicine, Chung-Ang University Hospital, Seoul 06973, Republic of Korea., Kim K; Department of Emergency Medicine, Ewha Womans University Hospital, Seoul 07985, Republic of Korea., Lee DH; Department of Emergency Medicine, College of Medicine, Chung-Ang University, Seoul 06973, Republic of Korea., Yune HY; Department of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do 18450, Republic of Korea., Wee JH; Department of Emergency Medicine, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul 07345, Republic of Korea., Kim DH; Department of Emergency Medicine, Eulji University, Seoul 01830, Republic of Korea., Kim EC; Department of Emergency Medicine, CHA University School of Medicine, Seongnam-si 13496, Republic of Korea., Lim JY; Department of Emergency Medicine, Seoul St. Mary's Hospital, Seoul 065691, Republic of Korea. |
| Abstrakt: |
The objective of this retrospective multicenter study was to investigate the mechanism and characteristics of trauma experienced by patients aged ≥65 years who were transferred from a long-term care hospital to one of five university hospital emergency departments. Of 255,543 patients seen in one of the five emergency departments, 79 were transferred from a long-term care hospital because of trauma. The most common trauma mechanism was slipping down, with 33 (58.9%) patients, followed by falling from a bed (17.9%), striking an object such as a wall or corner (10.7%), overextending a joint (8.9%), and unknown mechanisms (3.6%). Many cases of slip (39.4%) occurred in relation to the bathroom. Comparing slip and fall from a bed, we found more hip fractures (95.2%) because of slipping down than falling from a bed (57.1%); traumatic brain injury only occurred in slip cases. These traumas cause significant morbidity in elderly patients; therefore, we sought to identify strategies that prevent slip in long-term care hospitals. |
