Spinal Fractures in Older Adult Patients Admitted After Low-Level Falls: 10-Year Incidence and Outcomes.
J Am Geriatr Soc
; 65(5): 909-915, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-27910090
ABSTRACT
OBJECTIVES:
To evaluate the incidence of spinal fractures and their outcomes in the elderly who fall from low-levels in a suburban county.DESIGN:
Retrospective county-wide trauma registry review from 2004 to 2013.SETTING:
Suburban county with regionalized trauma care consisting of 11 hospitals.PARTICIPANTS:
Adult trauma patients aged ≥65 years who were admitted after falling from <3 feet. MEASUREMENTS Demographic characteristics, comorbidities, and outcomes.RESULTS:
Spinal fractures occurred in 18% of 4,202 older adult patients admitted following trauma over this 10-year time period, in the following distribution 43% cervical spine, 5.7% thoracic, 4.9% lumbar spine, 36% sacrococcygeal, and 9.6% multiple spinal regions. As compared to non-spinal fracture patients, more spinal fracture patients went to acute/subacute rehabilitation (47% vs 34%, P < .001) and fewer were discharged home (21% vs 35%, P < .001). In-hospital mortality rate in spinal and non-spinal fracture patients was similar (8.5% vs 9.3%, P = .5).CONCLUSION:
Low-level falls often resulted in a spinal fracture at a variety of levels. Vigilance in evaluation of the entire spine in this population is suggested.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acidentes por Quedas
/
Fraturas da Coluna Vertebral
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Hospitalização
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
Idioma:
En
Revista:
J Am Geriatr Soc
Ano de publicação:
2017
Tipo de documento:
Article