Evidence map›Paper›PMID 26875172›Full record

ArticleJournal of safety research2016

Unintentional injuries treated in hospital emergency departments among persons aged 65 years and older, United States, 2006-2011.

Xinyao DeGrauw, Joseph L Annest, Judy A Stevens, Likang Xu, Victor Coronado

Abstract read
In one paragraph

Article in Journal of safety research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
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  8. Prevalence and risk factors for Falls among older adults in a primary care facility in Ghana.Malawi medical journal : the journal of Medical Association of Malawi · 2022
    Article
  9. Article
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  11. The association between hyperkyphosis and fall incidence among community-dwelling older adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
  12. Article
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  18. Non-fatal Home Injuries among the Elderly in Tamil Nadu, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xinyao DeGrauwRollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, United States.
Joseph L AnnestNational Center for Injury Prevention & Control Centers for Disease Control & Prevention, 4770 Buford Highway, F-62, Atlanta, GA, 30341, United States.
Judy A StevensNational Center for Injury Prevention & Control Centers for Disease Control & Prevention, 4770 Buford Highway, F-62, Atlanta, GA, 30341, United States. Electronic address: jas2@cdc.gov.
Likang XuNational Center for Injury Prevention & Control Centers for Disease Control & Prevention, 4770 Buford Highway, F-62, Atlanta, GA, 30341, United States.
Victor CoronadoNational Center for Injury Prevention & Control Centers for Disease Control & Prevention, 4770 Buford Highway, F-62, Atlanta, GA, 30341, United States.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

introductionWith the aging of the United States population, unintentional injuries among older adults, and especially falls-related injuries, are an increasing public health concern.

methodsWe analyzed emergency department (ED) data from the Nationwide Emergency Department Sample, 2006-2011. We examined unintentional injury trends by 5-year age groups, sex, mechanism, body region, discharge disposition, and primary payer. For 2011, we estimated the medical costs of unintentional injury and the distribution of primary payers, plus rates by injury mechanisms and body regions injured by 5-year age groups.

resultsFrom 2006 to 2011, the age-adjusted annual rate of unintentional injury-related ED visits among persons aged ≥ 65 years increased significantly from 7987 to 8163, per 100,000 population. In 2011, 65% of injuries were due to falls. Rates for fall-related injury ED visits increased with age and the highest rate was among those aged ≥ 100. Each year, about 85% of unintentional injury-related ED visits in this population were expected to be paid by Medicare. In 2011, the estimated lifetime medical cost of unintentional injury-related ED visits among those aged ≥ 65 years was $40 billion.

conclusionIncreasing rates of ED-treated unintentional injuries, driven mainly by falls among older adults, will challenge our health care system and increase the economic burden on our society. Prevention efforts to reduce falls and resulting injuries among adults aged ≥ 65 years have the potential to increase well-being and reduce health care spending, especially the costs covered by Medicare. PRACTICAL APPLICATIONS: With the aging of the U.S. population, unintentional injuries, and especially fall-related injuries, will present a growing challenge to our health care system as well as an increasing economic burden. To counteract this trend, we must implement effective public health strategies, such as increasing knowledge about fall risk factors and broadly disseminating evidence-based injury and fall prevention programs in both clinical and community settings.

Indexed as

Accidental FallsAgedAgingCosts and Cost AnalysisEmergency Service, HospitalFemaleHumansMaleMedicareRisk FactorsUnited StatesWounds and InjuriesElderlyEmergency departmentFallsOlder adultsUnintentional injury

Identifiers

PMID26875172
PMCPMC11705232

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.