TY  - JOUR
PY  - 2012//
TI  - Fall-related sub-acute and non-acute care and rehabilitation-related acute care: what is the impact?
JO  - Injury prevention
A1  - Mitchell, R.
A1  - Close, Jacqueline C. T.
A1  - Cameron, Ian D.
A1  - Lord, Stephen R.
SP  - A120
EP  - A120
VL  - 18
IS  - Suppl 1
N2  - Background Falls are one of the leading causes of injury in older people. Rehabilitation services can assist individuals to improve mobility and function after sustaining a fall-related injury. However, the true impact of fall-related injuries resulting in hospitalisation are often underestimated because of failure to consider sub-acute and non-acute care provided following an acute care episode.    Aim To examine fall-related sub-acute and non-acute care and to establish and project the burden of fall-related rehabilitation in acute care to 2020.    Method Retrospective review of sub-acute and non-acute records linked to hospital admission and/or emergency department presentations during 2001-2002 to 2008-2009 in New South Wales (NSW), Australia. Analysis of temporal trends and projections to 2020 of rehabilitation-related (ICD-10-AM: Z47, Z48, Z50, Z75.1) acute hospital admissions.    Results There were 4317 individuals with a fall-related injury who were admitted to hospital and later admitted for sub-acute and non-acute care; 84% of these were aged 65+ years; 70.4% were female; 27.2% had femur fractures. Total mean FIM scores significantly increased from 78.4 to 94.6 (p<0.0001) between admission and discharge. Fall-related acute rehabilitation episodes are increasing by 9.1% each year for individuals aged 65 years and older and are projected to rise from 18 300 in 2010-11 to 50 000 admissions by 2020.    Significance This is the first study to provide a snap-shot of the epidemiological profile of individuals using sub-acute and non-acute care in NSW using linked data. This information can be used to inform resource implications for fall-related sub-acute and non-acute care and acute rehabilitation services.     This is an abstract of a presentation at Safety 2012, the 11th World Conference on Injury Prevention and Safety Promotion, 1-4 October 2012, Michael Fowler Center, Wellington, New Zealand. Full text does not seem to be available for this abstract. <p />
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2012-040590e.6
ID  - ref1
ER  -