Emergency department falls: a longitudinal analysis of revisits and hospitalisations between patients who fall and patients who did not fall

Autor: Shan Liu, Feng Lin, Kalpana N Shankar, Henry Epino, Elizabeth Temin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMJ Open, Vol 10, Iss 12 (2020)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2020-041054
Popis: Objective Older adult falls are a national issue comprising 3 million emergency department (ED) visits and significant mortality. We sought to understand whether ED revisits and hospitalisations for fallers differed from non-fall patients through a secondary analysis of a longitudinal, statewide cohort of patients.Design We performed a secondary analysis using the non-public Patient Discharge Database and the ED data from the California Office of Statewide Health Planning and Development. This is a 5-year, longitudinal observational dataset, which was used to assess outcomes for fallers and non-fall patients, defined as anyone who did not carry a fall diagnosis during this time period.Setting 2005–2010 non-public Patient Discharge Database and the ED Data from the state of California.Participants Older adults 65 years and olderMain outcome measure ED revisits and hospitalisations for fallers and non-fall patients.Results Patients who came to the ED with an index visit of a fall were more likely to be discharged home after their fall (61.1% vs 45.0%, p
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