Geriatric Falls: Injury Severity Is High and Disproportionate to Mechanism
Published 1 January 2001
Daniel A. Sterling, Judith A. O Connor, John Bonadies
Citations790
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TL;DR
Falls among the elderly, including same-level falls, are a common source of both high injury severity and mortality, much more so than in younger patients, and a different pattern of injury between older and younger fall patients also exists.
Abstract
Falls among the elderly, including same-level falls, are a common source of both high injury severity and mortality, much more so than in younger patients. A different pattern of injury between older and younger fall patients also exists.
Keywords
MedicineHealth Professions
PubMedThe injury severity score: a method for describing patients with multiple injuries and evaluating emergency care.
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JAMAThe Effect of Preexisting Conditions on Mortality in Trauma Patients
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Age and AgeingPhysiological Factors and Medications as Predictors of Injurious Falls by Elderly People: A Prospective Population-based Study
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BonePrevention of falls in the elderly
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The role of physical activity as a means of preventing hip fractures through the prevention of falls is examined to examine and the potential for maintenance of benefits gained from all fall interventions needs further examination.
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PubMedGeriatric trauma: injury patterns and outcome.
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160 Citations1998Richard W. Sattin, Juan Gabriel Rodríguez +3 more
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Annals of SurgerySurvival after Trauma in Geriatric Patients
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Archives of SurgeryLong-term Survival of Elderly Trauma Patients
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Critical Care MedicineFactors influencing survival of elderly trauma patients
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