Characteristics and consequences of falls among older adult trauma patients: Considerations for injury prevention programs

Abstract

Results highlight differences among age groups of fallers admitted for trauma care and can help to inform injury prevention programs related to outdoor and indoor falls.

Prevalence of alcohol and other drug use in patients presenting to hospital for fall-related injuries: a systematic review

“…There were 100 records that reported on the prevalence of AOD involvement in injury events. Of the 100 records that reported on all causes of injury (excluding transport events), 30 studies reported on the prevalence of AOD involvement in patients presenting to hospital after falls 24–52. One of these studies was excluded, since it reported exclusively on patients who denied consuming alcohol in the past year 38.…”

“…Studies were predominantly from the USA (13 studies) 24 26–28 31 36 39 41–44 48–52. There were two studies from Norway,25 29 30 46 and one each from Bhutan,35 Ghana,37 Spain,33 34 Taiwan,32 45 Tanzania45 and the UK 40.…”

“…Multiple records reported on cohorts from the University of Maryland Shock Trauma Centre,24 48 the Oslo University Hospital,25 30 a trauma centre in Taiwan,32 45 and the National Trauma Data Bank in the USA 27 44. Across the 18 independent cohorts identified, most studies (n=14, 78%) used blood or serum samples to test for alcohol 24 27–33 36 39 43–46 48–51. The remaining studies used breath or saliva samples35 37 47 or did not report the sample type used 53.…”

Providing fall prevention services in the emergency department: Is it effective? A systematic review and meta‐analysis

“…3,4 Internationally, the number of older adults receiving care in emergency departments (EDs) has increased by more than 20% since 2001. 5 In Australia, approximately 17%-18% of ED presentations in older adults were because of falls and between 43% and 57% of these people were discharged directly home. 6,7 Various resources have been developed for staff working in EDs with older adults, including guidelines with fall prevention recommendations and core competencies (including fall-related skills).…”

Intervenção psicoeducativa e tecnológica para prevenção de quedas em pessoas idosas

“…Embora a maioria das quedas não resulte em lesões graves, em torno de 5% dos eventos causam fraturas ou hospitalizações (Ambrose, Cruz & Paul, 2015;Rubernstein, 2006), além disso, muitos idosos podem apresentar consequências psicossociais como sentimentos de medo e falta de confiança (Whipple, Haamel & Talley, 2017;Alves et al, 2017). Sendo assim, dependo da sua gravidade, um único evento pode colocar os idosos em risco de declínio funcional, institucionalização e, até mesmo, morte (Chippendale, Gentile & James, 2017;Antes, D'Orsi &Benedetti, 2013).…”