recognizing trends in older adult falls · andzelika rzucidlo, injury prevention epidemiologist...
TRANSCRIPT
![Page 1: Recognizing Trends in Older Adult Falls · Andzelika Rzucidlo, Injury Prevention Epidemiologist Trauma and Injury Prevention Division Email questions to: Indianatrauma@isdh.in.gov](https://reader036.vdocuments.us/reader036/viewer/2022081620/610b264a015a4c4ba3335d50/html5/thumbnails/1.jpg)
Recognizing Trends in Older Adult Falls
Andzelika Rzucidlo, Injury Prevention EpidemiologistTrauma and Injury Prevention Division
Email questions to: [email protected]
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Purpose
• Adults, 65 and older, account for almost 76% of all unintentional fall hospitalizations
• Over 10,000 in 2017
12,895
13,287
2016 2017
*Hospitalizations resulting in death were included
Indiana Hospitalizations*
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Process Taken
2017 Inpatient Hospital
Discharge Data
Indiana Residents
kept
Only patients with a
primary diagnosis of injury included
Only patients with
unintentional falls included
Patients aged 64
and younger removed
Transfers removed
Subset of Indiana
Seniors with a Fall-related
Hospitalization in 2017
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Variables Used in Addition to
ICD-10-CM Codes
AgeTime of
Admission
SexCounty of Residence
Patient Severity
(PS)
Based on 3M All Patient Refined Diagnosis Related Groups
Length of Stay
(LOS)
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Comparison – Females vs. Males
Males,
36%
Females,
64%
Frequency 5.43
4.84
Mean LOS
2.35
2.15
Mean PS
Males Females Males Females
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Comparison – Rural vs. Urban
Urban,
56%
Rural,
44%
Frequency
5.41
4.76
Mean LOS
2.45
2.4
Mean PS
Urban UrbanRural Rural
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Comparison – All Falls vs. Hx of Falls
2.43
2.52
Mean PS
All Falls
5.13
5.25Mean LOS
All Falls Hx of Falls Hx of Falls
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MalesLiving in Urban
Counties
History of Falls
Populations at Risk of Severe Falls
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Limitations
• ICD-10-CM reporting of history of falls (Z91.81)
• Hospital Discharge Dataset variables
• PS scores are only reported for hospitalizations
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Stepping On
• Stepping On is a high-level, evidence-based program proven to reduce falls and build confidence in older adults
• In Wisconsin, it has shown a 50% reduction in falls in participants from 2008 to 2011
Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410405/
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Stepping On Cont.
• Stepping On is a 7-week (once-a-week) evidence-based intervention proven to decrease the incidence of falls in older adults
• Helps older adults learn strategies for avoiding fall hazards
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Stepping On Program Participants
• Participants are 60 years old and over
• ~65% of those who attend are female
• A majority of the programs are being held in Trauma Centers in urban counties
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Contact information
Andzelika Rzucidlo, Injury Prevention Epidemiologist
Trauma and Injury Prevention Division
317.234.7463
Pravy Nijjar, MPH, CPST, Injury Prevention Program Coordinator
Trauma and Injury Prevention Division
317.234.1304
Email questions to: [email protected]