Abstract:
OBJECTIVES:To describe the demographic characteristics and incidence of unintentional fall-related fractures among older adults treated in the US hospital emergency departments (EDs). DESIGN:Retrospective observational study. SETTINGS:Hospitals' ED participants in the National Electronic Injury Surveillance System All Injury Program (NEISS-AIP). PARTICIPANTS:The NEISS-AIP was used to generate national estimates of hospital ED visits for unintentional fall-related fracture among adults aged 65 years or older between 2001 and 2008. Census population estimates were used as the denominator to calculate age-specific and age-adjusted fracture rates per 100 000 persons. MAIN OUTCOME MEASURES:Fall-related fracture rates and ED disposition. RESULTS:On the basis of 70 199 cases, an estimated 4.05 million older adults were treated in US hospital EDs for fall-related fracture during the 8-year period. Two-thirds of the injuries occurred at home and 69.5% (95% CI 59.7% to 77.8%) of the affected individuals were white. Fall-related fracture rates increased gradually with age and were on average twofold higher among women. Of those hospitalised, women and fractures of the lower trunk represented 75.2% and 65.1% of the admissions, respectively. The estimated number of fall-related fractures treated in EDs increased from 574 500 in 2001 to 714 800 in 2008, a 24.4% increase. By gender, a non-significant upward trend in age-adjusted fall-related fracture rates was predominantly seen among men at an annual rate of 1.9% (95% CI -0.1% to 4.0%), whereas fracture rates among women remained stable at 0.9% (95% CI -0.7% to 2.5%) per year. CONCLUSIONS:The oldest old, women and lower trunk fractures account for the majority of fall-related fractures among persons aged 65 years or older treated in US hospital EDs. Increasing ED visits and hospitalisations for fall-related fracture among older adults deserve further research.
journal_name
BMJ Openjournal_title
BMJ openauthors
Orces CHdoi
10.1136/bmjopen-2012-001722subject
Has Abstractpub_date
2013-01-24 00:00:00issue
1issn
2044-6055pii
bmjopen-2012-001722journal_volume
3pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Anaemia is a major global health problem affecting about 43% of preschool children globally and 60% of 6-24-month-old children in rural Bangladesh, half of which is attributed to iron deficiency (ID). Although WHO recommends universal supplementation with iron or home fortification with iron-containing mul...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-018325
更新日期:2017-11-15 00:00:00
abstract:INTRODUCTION:Chronic subdural haematomas (CSDHs) are one of the most common neurosurgical conditions. The goal of surgery is to alleviate symptoms and minimise the risk of symptomatic recurrences. In the past, reoperation rates as high as 20%-30% were described for CSDH recurrences. However, following the introduction ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038275
更新日期:2020-06-21 00:00:00
abstract:OBJECTIVES:Current clinical guidelines discourage long-term prescription of benzodiazepines and Z-drugs (BZD); however, the practice continues to exist. The aim of this study was to investigate the proportion of long-term BZD prescriptions and its risk factors. DESIGN:Retrospective cohort study using a health insuranc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029641
更新日期:2019-07-26 00:00:00
abstract:INTRODUCTION:Maternal and perinatal death surveillance and response (MPDSR), or any related form of audit, is a systematic process used to prevent future maternal and perinatal deaths. While the existence of MPDSR policies is routinely measured, measurement and understanding of policy implementation has lagged behind. ...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2019-031328
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:COVID-19 has posed several medical, psychosocial and economic impacts among the majority of the society. The ambiguity of its transmission, the intense desire of self-protection, family, and friends, the unknown impact of catching the disease itself, unstoppable spread, the panic and outright misinformation ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-043185
更新日期:2021-01-06 00:00:00
abstract:INTRODUCTION:Research indicates that experiencing the suicide of a relative can have a significant impact on family members' emotional health. However, research incorporating the impact of suicide bereavement on family members' physical health is sparse. This paper details the protocol for a mixed-methods study of suic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014707
更新日期:2017-03-30 00:00:00
abstract:OBJECTIVE:To evaluate the application of clinical pathway simulation in machine learning, using clinical audit data, in order to identify key drivers for improving use and speed of thrombolysis at individual hospitals. DESIGN:Computer simulation modelling and machine learning. SETTING:Seven acute stroke units. PARTI...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-028296
更新日期:2019-09-17 00:00:00
abstract:INTRODUCTION:Multiple sclerosis (MS) is a severe debilitating disease that affects patients' quality of life. Up to 90% of patients with MS will develop lower urinary tract dysfunction within the first 18 years of the disease. If oral pharmacotherapy with anticholinergics, behavioural modifications and pelvic floor phy...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013225
更新日期:2017-02-03 00:00:00
abstract:OBJECTIVES:To describe the effect of in utero exposure to the buprenorphine+naloxone combination product in a rural and remote population. SETTING:A district hospital that services rural and remote, fly-in communities in Northwestern Ontario, Canada. PARTICIPANTS:A retrospective cohort study was conducted of 855 moth...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011774
更新日期:2016-10-31 00:00:00
abstract:OBJECTIVE:To explore whether a preconsultation web-based intervention enables patients with diabetes to articulate their agenda in a consultation in the hospital outpatient clinic with their diabetologist. METHODS AND DESIGN:A qualitative study embedded in a pragmatic pilot randomised controlled trial. SETTING:Two ci...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-026588
更新日期:2019-06-14 00:00:00
abstract:OBJECTIVE:To summarise the findings of an updated Cochrane review of interventions aimed at improving the appropriate use of polypharmacy in older people. DESIGN:Cochrane systematic review. Multiple electronic databases were searched including MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (fro...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-009235
更新日期:2015-12-09 00:00:00
abstract:OBJECTIVE:To establish the reliability and validity of the translated version of the Safety Attitudes Questionnaire (SAQ) by evaluating its psychometric properties and to determine possible differences among nurses and physicians regarding safety attitudes. DESIGN:A cross-sectional study utilising the Albanian version...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006528
更新日期:2015-04-15 00:00:00
abstract:INTRODUCTION:In patients with large abdominal aortic aneurysm (AAA), open surgical or endovascular aneurysm repair procedures are often used to minimise the risk of aneurysm-related rupture and death; however, aneurysm repair itself carries a high risk. Low cardiopulmonary fitness is associated with an increased risk o...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2013-004094
更新日期:2014-01-10 00:00:00
abstract:INTRODUCTION:Women at high inherited risk of ovarian cancer are advised to undergo risk-reducing bilateral salpingo-oophorectomy (RRBSO) at age 40-45 years or when their families are complete. Most women are premenopausal at this age, so RRBSO will induce surgical menopause. Despite the clear benefits of RRBSO for canc...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-018758
更新日期:2017-11-14 00:00:00
abstract:OBJECTIVE:CT-diagnosed emphysema is associated with poor prognosis in chronic obstructive pulmonary disease (COPD). Its clinical impacts on prognoses of asthma with chronic airflow obstruction (CAO) are not well known. We sought to compare mortalities and prognostic factors in COPD and asthma with CAO by the presence o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003541
更新日期:2013-11-04 00:00:00
abstract:OBJECTIVES:The study examined medical care utilisation by health insurance status changes. SETTING:The Korean Welfare Panel Study (KoWePs) was used. PARTICIPANTS:This study analysed 14,267 participants at baseline (2006). INTERVENTIONS:The individuals were categorised into four health insurance status groups: contin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009538
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION:Although shortcomings in clinician-family communication and decision making for incapacitated, critically ill patients are common, there are few rigorously tested interventions to improve outcomes. In this manuscript, we present our methodology for the Pairing Re-engineered Intensive Care Unit Teams with N...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033521
更新日期:2020-03-29 00:00:00
abstract:INTRODUCTION:Recent evidence suggests that larger blood pressure reductions and multiple antihypertensive drugs may be harmful in older people, particularly frail individuals with polypharmacy and multimorbidity. However, there is a lack of evidence to support deprescribing of antihypertensives, which limits the practi...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-022930
更新日期:2018-10-04 00:00:00
abstract:OBJECTIVES:To examine the prevalence of binge drinking in adolescence and its persistence into adulthood in an Australian cohort. DESIGN:15-year prospective cohort study. SETTING:Victoria, Australia. PARTICIPANTS:1943 adolescents were recruited from secondary schools at age 14-15 years. PRIMARY OUTCOME MEASURES:Lev...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003015
更新日期:2013-08-19 00:00:00
abstract:OBJECTIVE:To assess changes in incidence, diagnostic procedures, comorbidity profiles, length of hospital stay (LOHS), economic costs and in-hospital mortality (IHM) associated with idiopathic pulmonary fibrosis (IPF). METHODS:We identified patients hospitalised with IPF in Spain from 2004 to 2013. Data were collected...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013156
更新日期:2017-02-13 00:00:00
abstract:OBJECTIVE:To examine current trends in the characteristics of patients visiting California emergency departments (EDs) in order to better direct the allocation of acute care resources. DESIGN:A retrospective study. SETTING:We analysed ED utilisation trends between 2005 and 2015 in California using non-public patient ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-021392
更新日期:2018-07-23 00:00:00
abstract:INTRODUCTION:Despite the strong relationship between smoking and health-related consequences, very few smokers quit. Heavy drinking is a significant risk factor for health consequences, and is implicated in persistent smoking and less success at quitting smoking. Self-efficacy (SE) to abstain from smoking is an importa...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007046
更新日期:2015-01-06 00:00:00
abstract:OBJECTIVES:To quantify the association between socioeconomic status (SES) and type 2 diabetes in India. DESIGN:Nationally representative cross-sectional household survey. SETTING:Urban and rural areas across 29 states in India. PARTICIPANTS:168 135 survey respondents aged 18-49 years (women) and 18-54 years (men). ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-000895
更新日期:2012-07-18 00:00:00
abstract:OBJECTIVES:To compare the costs and cost-effectiveness of managing patients with uncontrolled blood pressure (BP) using telemonitoring versus usual care from the perspective of the National Health Service (NHS). DESIGN:Within trial post hoc economic evaluation of data from a pragmatic randomised controlled trial using...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002681
更新日期:2013-05-28 00:00:00
abstract:INTRODUCTION:Inflammatory bowel diseases (IBD) are among the most common chronic illnesses diagnosed in childhood. Transition from paediatric to adult care is a crucial phase. The implementation of joint visits during the transition period in IBD is widely recommended, however, strong evidence supporting their benefit ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038410
更新日期:2020-10-06 00:00:00
abstract:INTRODUCTION:Falls are a major health problem for older people; 35% of people aged 65+ years fall every year, leading to fractures in 10%-15%. Upper limb fractures are often the first sign of osteoporosis and routine screening for osteoporosis is recommended by the National Institute for Health and Care Excellence to p...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2019-031275
更新日期:2019-08-15 00:00:00
abstract:INTRODUCTION:Up to 1 in 4 pregnancies and 1 in 20 subsequent pregnancies end in miscarriage. Despite such prevalence the psychosocial effects are often unrecognised and unsupported. In the absence of any biomedical sequelae among men such marginalisation may be intensified. Men living through multiple miscarriages may ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035967
更新日期:2020-05-15 00:00:00
abstract:OBJECTIVE:To assess the sociodemographic patterning of changes in glycaemic control of patients with diabetes affected by the 2011 triple disaster in Japan (earthquake, tsunami and nuclear accident). METHODS:A retrospective cohort study was undertaken with 404 patients with diabetes at a public hospital in Minamisoma ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011455
更新日期:2016-07-07 00:00:00
abstract:INTRODUCTION:Recommendations on energy intake are key in body weight management to improve glycaemic control in people with type 2 diabetes (T2D). International clinical guidelines recommend a variety of eating patterns to promote energy restriction as the primary dietetic approach to body weight control in managing T2...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032893
更新日期:2019-11-21 00:00:00
abstract:INTRODUCTION:Hypercholesterolaemia is estimated to cause 2.6 million deaths annually and one-third of the cases of ischaemic heart disease. In Argentina, the prevalence of hypercholesterolaemia increased between 2005 and 2013 from 27.9% to 29.8%. Only one out of four subjects with a self-reported diagnosis of coronary ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-014420
更新日期:2017-01-31 00:00:00