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{
    "pk": 10561,
    "title": "Trends and Characteristics of Emergency Department Visits for Fall-Related Injuries in Older Adults, 2003-2010",
    "subtitle": null,
    "abstract": "Introduction: \nOne third of older adults fall each year, and falls are costly to both the patient in terms ofmorbidity and mortality and to the health system. Given that falls are a preventable cause of injury, ourobjective was to understand the characteristics and trends of emergency department (ED) fall-relatedvisits among older adults. We hypothesize that falls among older adults are increasing and examinepotential factors associated with this rise, such as race, ethnicity, gender, insurance and geography.\nMethods:\n We conducted a secondary analysis of data from the National Hospital AmbulatoryMedical Care Survey (NHAMCS) to determine fall trends over time by examining changes in EDvisit rates for falls in the United States between 2003 and 2010, detailing differences by gender,sociodemographic characteristics and geographic region.\nResults: \nBetween 2003 and 2010, the visit rate for falls and fall-related injuries among people age≥ 65 increased from 60.4 (95% confidence interval [CI][51.9-68.8]) to 68.8 (95% CI [57.8-79.8]) per1,000 population (p=0.03 for annual trend). Among subgroups, visits by patients aged 75-84 yearsincreased from 56.2 to 82.1 per 1,000 (P <.01), visits by women increased from 67.4 to 81.3 (p =0.04), visits by non-Hispanic Whites increased from 63.1 to 73.4 (p < 0.01), and visits in the Southincreased from 54.4 to 71.1 (p=0.03).\nConclusion:\n ED visit rates for falls are increasing over time. There is a national movement toincrease falls awareness and prevention. EDs are in a unique position to engage patients on futurefall prevention and should consider ways they can also partake in such initiatives in a manner that isfeasible and appropriate for the ED setting. [West J Emerg Med. 2017;18(5)785-793.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Geriatrics, Injury Prevention"
        }
    ],
    "section": "Geriatrics",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/85q7t11v",
    "frozenauthors": [
        {
            "first_name": "Kalpana",
            "middle_name": "N.",
            "last_name": "Shankar",
            "name_suffix": "",
            "institution": "Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "A.",
            "last_name": "Ganz",
            "name_suffix": "",
            "institution": "University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California\nVA Greater Los Angeles Healthcare System, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Shan",
            "middle_name": "W.",
            "last_name": "Liu",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts",
            "department": "None"
        }
    ],
    "date_submitted": "2017-01-16T17:57:49Z",
    "date_accepted": "2017-01-16T17:57:49Z",
    "date_published": "2017-07-14T18:30:04Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/10561/galley/5799/download/"
        }
    ]
}