TY  - JOUR
PY  - 2020//
TI  - Fall related injuries in elderly patients in a tertiary care centre in Beirut, Lebanon
JO  - Journal of emergencies, trauma and shock
A1  - Ismail, Raed A.
A1  - El Sibai, Rayan H.
A1  - Dakessian, Alik V.
A1  - Bachir, Rana H.
A1  - El Sayed, Mazen J.
SP  - 142
EP  - 145
VL  - 13
IS  - 2
N2  - Context: Falls cause significant morbidity and mortality, constituting 38.9% of trauma visits to the emergency department (ED) in Lebanon. Elderly have increased risk of falls due to co-morbidities. Injury-related deaths are most common in developing countries, and few studies have examined falls internationally.     Aims: Describe characteristics, injury patterns, and outcomes of elderly treated for fall injuries at a tertiary care center in Lebanon.   Settings and Design: Retrospective observational chart review of elderly presenting after a fall to the ED.     Subjects and Methods: Retrospective observational study of elderly (≥65 years) patients who presented to the ED at a tertiary care center in Lebanon with the chief complaint of "fall" over a 6-year period.     Statistical Analysis Used: Descriptive analysis.     Results: Two hundred and thirty-five patients were included; mean age was 78.1 (±7.2) years with female predominance (60.5%). Falls occurred at home (99.2%) and from ground level (96.4%). Patients presented by private transport (85.8%). The initial impact was to the head in 31.2% of patients with 47.8% on antiplatelet/anticoagulation therapy. Imaging includes extremity X-ray (46.6%) and head/cervical spine computed tomography (39.5%). Dispositions included home (58.9%), regular floor (23.3%), operating room (7.9%), and intensive care unit (5.9%). Pelvic/hip repair was the most common surgical procedure. Most injuries were nonlife-threatening. Overall mortality was 2%.     Conclusions: Falls have a high impact on the elderly population in Lebanon, with most occurring at home, resulting in pelvic/hip injuries and a mortality of 2%. There is a need to implement multifaceted fall prevention programs to mitigate such injuries and improve patient safety and outcomes.<p />  <p>Language: en</p>
LA  - en
SN  - 0974-2700
UR  - http://dx.doi.org/10.4103/JETS.JETS_84_19
ID  - ref1
ER  -