ArticleAustralasian journal on ageing2026
Predictors of Hospital Admission Following Emergency Department Presentation for Falls Among Older Adults: A Retrospective Analysis.
Article in Australasian journal on ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Factors Associated with a Disposition-Based Indicator of Severe Injury Among Older Adults with Fall-Related Injuries: A Secondary Analysis of the 2023 Emergency Department-Based Injury In-Depth Surveillance.Healthcare (Basel, Switzerland) · 2026Article
- Response to Letter to the Editor 'Falls as Sentinel Signals of Transitional Vulnerability in Older Adults'.Australasian journal on ageing · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify demographic, clinical and injury-related factors independently associated with hospital admission among older adults presenting to the emergency department (ED) after a fall.
methodsWe conducted a retrospective chart review of electronic medical records for 574 patients aged 65 years and older who presented to the ED of a general hospital between January and June 2023 with non-traumatic fall presentations. Data included demographics, fall circumstances, mode of arrival, comorbidities, medication exposure and ED diagnoses. Multivariable logistic regression was used to identify independent predictors of hospital admission.
resultsOf 574 older adults, 187 (33%) were admitted. Admission was independently associated with female sex (aOR 2.29, 95% CI 1.35-3.89), age 78 years and older and ambulance arrival. Comorbidities including hypertension, diabetes, dementia, Parkinson's disease and multimorbidity were also associated with higher odds of admission. Use of fall-risk-increasing medications remained a significant predictor. Serious injuries, particularly fractures and intracranial haemorrhage, were strongly associated with admission.
conclusionsHospital admission after ED presentation for falls in older adults reflects both injury severity and underlying clinical vulnerability. Incorporating comorbidity burden and medication risk into ED assessment may support disposition decisions and help target secondary prevention, especially for individuals discharged directly from the ED.
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