Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender

Purpose This study was to analyze clinical and epidemiological characteristics of elderly patients who were admitted to the emergency department (ED) due to falls by separating male and female. Methods We retrospectively analyzed the fall patients aged 65 years or older from the data of the in-depth...

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Main Authors: Jun Kew Kim, Sun Pyo Kim, Sun Hyu Kim, Gyu Chong Cho, Min Joung Kim, Ji Sook Lee, Chul Han
Format: Article
Language:English
Published: Korean Society of Traumatology 2018-12-01
Series:Journal of Trauma and Injury
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Online Access:http://www.jtraumainj.org/upload/pdf/jti-31-117.pdf
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author Jun Kew Kim
Sun Pyo Kim
Sun Hyu Kim
Gyu Chong Cho
Min Joung Kim
Ji Sook Lee
Chul Han
author_facet Jun Kew Kim
Sun Pyo Kim
Sun Hyu Kim
Gyu Chong Cho
Min Joung Kim
Ji Sook Lee
Chul Han
author_sort Jun Kew Kim
collection DOAJ
description Purpose This study was to analyze clinical and epidemiological characteristics of elderly patients who were admitted to the emergency department (ED) due to falls by separating male and female. Methods We retrospectively analyzed the fall patients aged 65 years or older from the data of the in-depth surveillance study of injured patients visit to the ED under the supervision of the Korea Centers for Disease Control and Prevention (KCDC) from 2011 to 2016 by separating male and female. Results A total of 361,588 elderly fall patients were analyzed and, among them, 14,429 (37.3%) were males and 24,208 (62.7%) were females. Male and female showed similar frequency of damage happening season. However, they showed falling accident mostly on winter. The time of injury occurrence is mostly from 12:00 to 18:00 with 4,949 (34.3%) male and 8,564 (35.4%) female. Most falls occurred in daily activities, accounting for 7,614 (52.8%) in males and 14,957 (61.8%) in females, respectively. Unintentional damage accounted for the most part and 7,395 (51.2%) of male and 15,343 (63.4%) of female were injured indoors. Head and neck were the most common site of injuring, with 8,392 (58.2%) in males and 7,851 (32.4%) in females. According to ED examination outcomes, most of the patients were discharged, while the majority of the hospitalized patients were admitted to the general patient room. Conclusions The elderly falls occurred mostly from 12:00 to 18:00, during winter and to elderly women. Also, they happened unintentionally indoors in everyday life, mostly. Proved clinical, epidemiological characteristics from this research will be used as useful indicator at validity research of development of prevent program of falling accident for elderly people.
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spelling doaj-art-9a00fa7afd514df09c21163afc9d99542025-01-06T01:08:03ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-12-0131311712410.20408/jti.2018.025961Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by GenderJun Kew Kim0Sun Pyo Kim1Sun Hyu Kim2Gyu Chong Cho3Min Joung Kim4Ji Sook Lee5Chul Han6 Department of Emergency Medicine, Chosun University Hospital, College of Medicine, Chosun University, Gwangju, Korea Department of Emergency Medicine, Chosun University Hospital, College of Medicine, Chosun University, Gwangju, Korea Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan, Korea Department of Emergency Medicine, School of Medicine, Hallym University, Seoul, Korea Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea Department of Emergency Medicine, Ewha Womans University School of Medicine, Seoul, KoreaPurpose This study was to analyze clinical and epidemiological characteristics of elderly patients who were admitted to the emergency department (ED) due to falls by separating male and female. Methods We retrospectively analyzed the fall patients aged 65 years or older from the data of the in-depth surveillance study of injured patients visit to the ED under the supervision of the Korea Centers for Disease Control and Prevention (KCDC) from 2011 to 2016 by separating male and female. Results A total of 361,588 elderly fall patients were analyzed and, among them, 14,429 (37.3%) were males and 24,208 (62.7%) were females. Male and female showed similar frequency of damage happening season. However, they showed falling accident mostly on winter. The time of injury occurrence is mostly from 12:00 to 18:00 with 4,949 (34.3%) male and 8,564 (35.4%) female. Most falls occurred in daily activities, accounting for 7,614 (52.8%) in males and 14,957 (61.8%) in females, respectively. Unintentional damage accounted for the most part and 7,395 (51.2%) of male and 15,343 (63.4%) of female were injured indoors. Head and neck were the most common site of injuring, with 8,392 (58.2%) in males and 7,851 (32.4%) in females. According to ED examination outcomes, most of the patients were discharged, while the majority of the hospitalized patients were admitted to the general patient room. Conclusions The elderly falls occurred mostly from 12:00 to 18:00, during winter and to elderly women. Also, they happened unintentionally indoors in everyday life, mostly. Proved clinical, epidemiological characteristics from this research will be used as useful indicator at validity research of development of prevent program of falling accident for elderly people.http://www.jtraumainj.org/upload/pdf/jti-31-117.pdfelderlyfallsemergencyinjuries
spellingShingle Jun Kew Kim
Sun Pyo Kim
Sun Hyu Kim
Gyu Chong Cho
Min Joung Kim
Ji Sook Lee
Chul Han
Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
Journal of Trauma and Injury
elderly
falls
emergency
injuries
title Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
title_full Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
title_fullStr Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
title_full_unstemmed Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
title_short Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
title_sort epidemiological and clinical characteristics of elderly fall patients visit to the emergency department a comparison by gender
topic elderly
falls
emergency
injuries
url http://www.jtraumainj.org/upload/pdf/jti-31-117.pdf
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