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Epidemiological and Clinical Characteristics of Elderly fall Patients Visit to the Emergency Department: A Comparison by Gender
J Trauma Inj 2018;31(3):117-124
Published online December 31, 2018
© 2018 The Korean Society of Trauma.

Jun Kew Kim, M.D.1, Sun Pyo Kim, M.D.1, Sun Hyu Kim, M.D.2,
Gyu Chong Cho, M.D.3, Min Joung Kim, M.D.4, Ji Sook Lee, M.D.5, Chul Han, M.D.6

1Department of Emergency Medicine, Chosun University Hospital, College of Medicine, Chosun University, Gwangju, Korea
2Department of Emergency Medicine, University of Ulsan College of Medicine, Ulsan, Korea
3Department of Emergency Medicine, School of Medicine, Hallym University, Seoul, Korea
4Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea
5Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea
6Department of Emergency Medicine, Ewha Womans University School of Medicine, Seoul, Korea
Correspondence to: Sun Pyo Kim, M.D.
Department of Emergency Medicine, Chosun University Hospital, College of Medicine, Chosun University, 365 Pilmun-daero, Dong-gu, Gwangju 61453, Korea
Tel: +82-62-220-3285
Fax: +82-62-224-3501
E-mail: ksp93133@naver.com
Received July 6, 2018; Revised September 28, 2018; Accepted October 1, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: This study was to analyze clinical and epidemiological characteristics of elderly patients who were admitted to the emergency department (ED) due to falls by separating male and female.
Methods: We retrospectively analyzed the fall patients aged 65 years or older from the data of the in-depth surveillance study of injured patients visit to the ED under the supervision of the Korea Centers for Disease Control and Prevention (KCDC) from 2011 to 2016 by separating male and female.
Results: A total of 361,588 elderly fall patients were analyzed and, among them, 14,429 (37.3%) were males and 24,208 (62.7%) were females. Male and female showed similar frequency of damage happening season. However, they showed falling accident mostly on winter. The time of injury occurrence is mostly from 12:00 to 18:00 with 4,949 (34.3%) male and 8,564 (35.4%) female. Most falls occurred in daily activities, accounting for 7,614 (52.8%) in males and 14,957 (61.8%) in females, respectively. Unintentional damage accounted for the most part and 7,395 (51.2%) of male and 15,343 (63.4%) of female were injured indoors. Head and neck were the most common site of injuring, with 8,392 (58.2%) in males and 7,851 (32.4%) in females. According to ED examination outcomes, most of the patients were discharged, while the majority of the hospitalized patients were admitted to the general patient room.
Conclusions: The elderly falls occurred mostly from 12:00 to 18:00, during winter and to elderly women. Also, they happened unintentionally indoors in everyday life, mostly. Proved clinical, epidemiological characteristics from this research will be used as useful indicator at validity research of development of prevent program of falling accident for elderly people.
Keywords : Elderly; Falls; Emergency; Injuries


December 2018, 31 (3)
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