NYMC Faculty Publications

Females Fall More From Heights but Males Survive Less Among a Geriatric Population: Insights From an American Level 1 Trauma Center

DOI

10.1186/s12877-019-1252-6

Journal Title

BMC Geriatrics

First Page

238

Document Type

Article

Publication Date

August 2019

Department

Surgery

Keywords

Fall from height, Geriatrics, Injury severity, Mechanism of injury, Trauma in elderly

Disciplines

Medicine and Health Sciences

Abstract

BACKGROUND: Approximately one third of subjects >/=65 year old and half of subjects >/=80 years old sustain a fall injury each year. We aimed to study the outcomes of fall from a height (FFH) among older adults. We hypothesized that in an elderly population, fall-related injury and mortality are the same in both genders. METHODS: A retrospective analysis was conducted between January 2012 and December 2016 in patients who sustained fall injury at age of at least 60 years and were admitted into a Level 1 Trauma center. Patients were divided into 3 groups: Gp-I: 60-69, Gp-II: 70-79 and Gp-III: >/=80 years old. Data were analyzed and compared using Chi-square, one-way analysis of variance (ANOVA) and logistic regression analysis tests. RESULTS: Forty-three percent (3665/8528) of adult trauma patients had FFH and 59.5% (2181) were >/= 60 years old and 52% were women. The risk of fall increased with age with an Odd ratio (OR) 1.52 for age 70-79 and an OR 3.40 for >/=80. Females fell 1.2 times more (age-adjusted OR 1.24; 95% CI 1.05-1.45) and 47% of >/=80 years old suffered FFH. Two-thirds of FFH occurred at a height

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