Evaluation of therapy in traumatic elderly falls to return autonomy and functional status
Background: Traumatic falls among the elderly (≥65 years old) are the leading cause of injury, morbidity and mortality are increasing with rising medical costs. Methods: This is a retrospective medical record review of elderly mechanical fall patients (288 patients) admitted to an American College o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-10-01
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| Series: | Surgery Open Science |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589845022000616 |
| _version_ | 1798027428979802112 |
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| author | Christopher W Foote, MD, MS Cheryl Vanier, PhD Chaoyang Chen, MD, PhD Carlos H Palacio, MD, FACS |
| author_facet | Christopher W Foote, MD, MS Cheryl Vanier, PhD Chaoyang Chen, MD, PhD Carlos H Palacio, MD, FACS |
| author_sort | Christopher W Foote, MD, MS |
| collection | DOAJ |
| description | Background: Traumatic falls among the elderly (≥65 years old) are the leading cause of injury, morbidity and mortality are increasing with rising medical costs. Methods: This is a retrospective medical record review of elderly mechanical fall patients (288 patients) admitted to an American College of Surgeons level II trauma center from January 2016 to January 2021. Demographics and comorbidities were determined, and physical/occupational therapy used to predict subsequent fall readmissions. Results: Out of 288 patients, 243 received therapy with 45 readmissions for subsequent falls. Age (P = .016), body mass index (P = .035), previous falls (P = .003), walker/cane use (P = .039), and dementia (P = .038) were predictive of readmission. Therapy was shown to benefit patients, but deferred therapy sessions were shown to be associated with prolonged hospitalization. Conclusion: Directed therapy may improve functionality and return autonomy to elderly mechanical fall patients admitted to trauma services. |
| first_indexed | 2024-04-11T18:51:18Z |
| format | Article |
| id | doaj.art-f4868201c17543c9a1cc1b7d05c00ad3 |
| institution | Directory Open Access Journal |
| issn | 2589-8450 |
| language | English |
| last_indexed | 2024-04-11T18:51:18Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery Open Science |
| spelling | doaj.art-f4868201c17543c9a1cc1b7d05c00ad32022-12-22T04:08:21ZengElsevierSurgery Open Science2589-84502022-10-0110174181Evaluation of therapy in traumatic elderly falls to return autonomy and functional statusChristopher W Foote, MD, MS0Cheryl Vanier, PhD1Chaoyang Chen, MD, PhD2Carlos H Palacio, MD, FACS3South Texas Health System Trauma Department, McAllen Medical Center, McAllen, TX; Valley Health System General Surgery Residency Program, Las Vegas, NV; Corresponding author at: Trauma Surgery/General Surgery Department, Valley Health System, Graduate Medical Education, Las Vegas, NV, United States of America.Touro University Nevada College of Osteopathic Medicine, Touro University Nevada, Henderson, NV; Corresponding author at: Trauma Surgery/General Surgery Department, Valley Health System, Graduate Medical Education, Las Vegas, NV, United States of America.Orthopedic Surgery and Sports Medicine, Detroit Medical Center, Detroit, MISouth Texas Health System Trauma Department, McAllen Medical Center, McAllen, TXBackground: Traumatic falls among the elderly (≥65 years old) are the leading cause of injury, morbidity and mortality are increasing with rising medical costs. Methods: This is a retrospective medical record review of elderly mechanical fall patients (288 patients) admitted to an American College of Surgeons level II trauma center from January 2016 to January 2021. Demographics and comorbidities were determined, and physical/occupational therapy used to predict subsequent fall readmissions. Results: Out of 288 patients, 243 received therapy with 45 readmissions for subsequent falls. Age (P = .016), body mass index (P = .035), previous falls (P = .003), walker/cane use (P = .039), and dementia (P = .038) were predictive of readmission. Therapy was shown to benefit patients, but deferred therapy sessions were shown to be associated with prolonged hospitalization. Conclusion: Directed therapy may improve functionality and return autonomy to elderly mechanical fall patients admitted to trauma services.http://www.sciencedirect.com/science/article/pii/S2589845022000616 |
| spellingShingle | Christopher W Foote, MD, MS Cheryl Vanier, PhD Chaoyang Chen, MD, PhD Carlos H Palacio, MD, FACS Evaluation of therapy in traumatic elderly falls to return autonomy and functional status Surgery Open Science |
| title | Evaluation of therapy in traumatic elderly falls to return autonomy and functional status |
| title_full | Evaluation of therapy in traumatic elderly falls to return autonomy and functional status |
| title_fullStr | Evaluation of therapy in traumatic elderly falls to return autonomy and functional status |
| title_full_unstemmed | Evaluation of therapy in traumatic elderly falls to return autonomy and functional status |
| title_short | Evaluation of therapy in traumatic elderly falls to return autonomy and functional status |
| title_sort | evaluation of therapy in traumatic elderly falls to return autonomy and functional status |
| url | http://www.sciencedirect.com/science/article/pii/S2589845022000616 |
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