کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5731337 | 1611476 | 2016 | 9 صفحه PDF | دانلود رایگان |
BackgroundFalls are the leading cause of trauma-related death in the elderly, but postdischarge outcomes' data are lacking. The purpose of this study was to evaluate 12-month postdischarge mortality and causes of death.MethodsA retrospective review was conducted of patients 65Â years and older admitted for a fall and discharged alive. Data collection included demographics, injury characteristics, hospitalization details, and outcomes. A state death database and hospital records were queried to identify patients who died within 12Â months of hospital discharge.ResultsOf 347 patients meeting inclusion criteria, 74 (21.3%) died within 12Â months postdischarge. These patients were older than those who survived (83.4 vs 79.1Â years, P < .001). Most injury patterns were not predictive of postdischarge death, whereas several comorbidities were more common in those who died. Death was fall-related in 13 of 74 (17.6%) who died.ConclusionsInjury characteristics do not predict postdischarge mortality. However, pre-existing comorbidities, including advanced age were predictive of postdischarge mortality. Further study is needed to determine whether a focus on medical optimization can reduce 1-year postdischarge death.
Journal: The American Journal of Surgery - Volume 212, Issue 6, December 2016, Pages 1106-1114