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Titolo:
Functional decline in independent elders after minor traumatic injury
Autore:
Shapiro, MJ; Partridge, RA; Jenouri, I; Micalone, M; Gifford, D;
Indirizzi:
Brown Univ, Rhode Isl Hosp, Sch Med, Dept Emergency Med,Div Emergency Med,Providence, RI 02903 USA Brown Univ Providence RI USA 02903 Emergency Med,Providence, RI 02903 USA Brown Univ, Rhode Isl Hosp, Sch Med, Injury Prevent Ctr, Providence, RI 02903 USA Brown Univ Providence RI USA 02903 Prevent Ctr, Providence, RI 02903 USA Brown Univ, Sch Med, Div Geriatr, Providence, RI 02903 USA Brown Univ Providence RI USA 02903 Div Geriatr, Providence, RI 02903 USA Sturdy Hosp, Dept Emergency Med, Attleboro, MA USA Sturdy Hosp Attleboro MA USA Hosp, Dept Emergency Med, Attleboro, MA USA St Vincents Hosp, Dept Emergency Med, Worcester, MA USA St Vincents Hosp Worcester MA USA Dept Emergency Med, Worcester, MA USA
Titolo Testata:
ACADEMIC EMERGENCY MEDICINE
fascicolo: 1, volume: 8, anno: 2001,
pagine: 78 - 81
SICI:
1069-6563(200101)8:1<78:FDIIEA>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
RISK-FACTORS; FALLS;
Keywords:
elders; functional decline; health status; geriatrics; injury;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Shapiro, MJ Brown Univ, Rhode Isl Hosp, Sch Med, Dept Emergency Med,Div Emergency Med,593 Eddy St,Samuels Bldg 2nd Floor, Providence, RI 02903 USA Brown Univ 593 Eddy St,Samuels Bldg 2nd Floor Providence RI USA 02903
Citazione:
M.J. Shapiro et al., "Functional decline in independent elders after minor traumatic injury", ACAD EM MED, 8(1), 2001, pp. 78-81

Abstract

Objectives: To describe injury types, patterns, and health status in independently functioning elder patients presenting to the emergency department (ED) after a minor traumatic injury; and 2) to assess short-term functionaldecline in this population at three-month follow-up. Methods: This was a prospective observational study of elder patients (age > 65 years) discharged home from the ED after evaluation and treatment for an acute traumatic injury. Patients were excluded if they were not independently functioning or had an acute delirium. Type and mechanism of injury sustained during the EDvisit were recorded. Functional status was assessed during the visit and three months later using activities of daily living (ADL) and instrumental activities of daily living (IADL) scores. Results: One hundred six subjects were enrolled in the study. Mean age was 74.8 years. The most common injuries observed were contusion (n = 35, 33%, 95% CI = 24% to 42%), fractures (n= 28, 26%, 95% CI = 18% to 36%), lacerations (n = 20, 19%, 95% CI = 12% to28%), and sprains (n = 12, 11%, 95% CI = 6% to 19%), which represented more than 90% of the injuries. Eighty-eight (83%) patients completed three-month follow up. Of these, 6 of 88 (6.82%, 95% CI = 3% to 14%) declined in their ADL scores and 20 of 88 (22.73%, 95% CI = 14% to 33%) declined in their IADL scores at three months. Primary injury type, specifically contusion, was more prevalent in patients who had a decline in ADL score, as compared with those who did not have a decline in ADL score (chi-square p < 0.001). In addition, anatomic locations of injury were different between those patients with and without a decline in IADL scores (chi-square p = 0.008). Gender differences were also found; females were more likely to be injured by a slip, trip, or fall indoors (36 of 58, 62%) than outdoors (22 of 58, 38%); males injured by this mechanism were more likely to be injured outdoors (14of 20, 70%) as opposed to indoors (6 of 20, 30%), chi-square p = 0.013. Conclusions: A significant proportion of functional elder patients with minortraumatic injury are at risk for short-term functional decline. Decline inADL is related to injury type, while IADL decline is related to anatomic location of injury. Emergency physicians should consider initiating follow-up evaluation and possible intervention in highly functioning elders after minor traumatic injury.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 18:22:47