Determining the relative risk of hospitalisation and surgery of fall injury patients

被引:1
作者
Pai, Dinesh R. [1 ]
Hosseini, Hengameh M. [2 ]
Rosito, Stephen R. [2 ]
机构
[1] Penn State Harrisburg, Sch Business Adm, Project & Supply Chain Management, 777 West Harrisburg Pike, Middletown, PA 17057 USA
[2] Penn State Harrisburg, Sch Publ Affairs, Hlth Adm, Middletown, PA USA
关键词
Hospital; emergency department; falls; fall injury; logistic regression; UNITED-STATES; OLDER-ADULTS; HEALTH; CELLULITIS; ADMISSION; RATIOS; COHORT; COSTS; CARE;
D O I
10.1080/20476965.2021.1966323
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Falls are one of the most common cause of nonfatal and fatal injuries in the U.S. costing over an estimated $54 billion annually. A significant percentage of patients presenting to hospital emergency departments (ED) for falls are hospitalised. This paper analyzes a regional hospital data pertaining to adults presenting to the ED because of falls. We use patient demographics and medical conditions to help identify patients at risk for immediate undesirable outcomes after a fall. Furthermore, we determine the relative risk of patient hospitalisation and surgery and their characteristics. Our results indicate that older patient's, patients arriving by ambulance, patients with higher severity levels and patients with pre-existing comorbidities were at a higher relative risk of hospitalisation and surgery. Furthermore, patients with medical conditions pertaining to femur and tibia fractures, pelvis, renal failure, ambulatory dysfunction, and cellulitis, among others, and non-Hispanic whites were at a much higher relative risk of hospitalisation and surgery.
引用
收藏
页码:288 / 302
页数:15
相关论文
共 47 条
[1]  
Albert SM, 2016, AM J MANAG CARE, V22, P638
[2]  
[Anonymous], 1984, Linear probability, logit, and probit models
[3]   Falls in the Geriatric Patient [J].
Bolding, Deborah J. ;
Corman, Ellen .
CLINICS IN GERIATRIC MEDICINE, 2019, 35 (01) :115-+
[4]   Hospital admissions following presentations to emergency departments for a fracture in older people [J].
Boufous, Soufiane ;
Finch, Caroline ;
Close, Jacqueline ;
Day, Lesley ;
Lord, Stephen .
INJURY PREVENTION, 2007, 13 (03) :211-214
[5]   EXAMINATION BY LOGISTIC-REGRESSION MODELING OF THE VARIABLES WHICH INCREASE THE RELATIVE RISK OF ELDERLY WOMEN FALLING COMPARED TO ELDERLY MEN [J].
CAMPBELL, AJ ;
SPEARS, GF ;
BORRIE, MJ .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1990, 43 (12) :1415-1420
[6]  
Centers For Disease Control And Prevention, 2018, Center for Disease Control and Prevention
[7]  
Centers For Disease Control And Prevention/National Center For Health Statistics, 2020, Risk for COVID-19 infection, hospitalization, and death by race/ethnicity
[8]   Prevalence and risk factors for falls in an older community-dwelling population [J].
Cesari, M ;
Landi, F ;
Torre, S ;
Onder, G ;
Lattanzio, F ;
Bernabei, R .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2002, 57 (11) :M722-M726
[9]   Risk Factors for Falls in Community-dwelling Older People A Systematic Review and Meta-analysis [J].
Deandrea, Silvia ;
Lucenteforte, Ersilia ;
Bravi, Francesca ;
Foschi, Roberto ;
La Vecchia, Carlo ;
Negri, Eva .
EPIDEMIOLOGY, 2010, 21 (05) :658-668
[10]   A simple method for estimating relative risk using logistic regression [J].
Diaz-Quijano, Fredi A. .
BMC MEDICAL RESEARCH METHODOLOGY, 2012, 12