Clare E Guse1, Rebecca Porinsky. 1. Department of Family and Community Medicine and Injury Research Center, Medical College of Wisconsin, Milwaukee, Wis 53226, USA. cguse@mcw.edu
Abstract
OBJECTIVE: To identify risk factors associated with hospitalizations for falls in Wisconsin in patients aged 65 and older. METHODS: This study was a cross-sectional study of year 2000 hospital inpatient discharge records for patients aged 65 and older who did not have a diagnosis-related group code indicating rehabilitation, obtained from the Wisconsin Bureau of Health Information. The database includes all discharges from all non-federal Wisconsin hospitals. RESULTS: Of 223,085 discharged older adults, 6.9% had an unintentional fall diagnosis. Independent predictors of an unintentional fall diagnosis were age, sex, time of year of discharge, region of residence, alcohol-related problems, dementia, Parkinson's disease, mechanical and motor problems, altered consciousness, convulsions/epilepsy, anemia, and glaucoma. CONCLUSIONS: Alcohol-related problems and mechanical and motor problems significantly increased the risk of a fall diagnosis in hospitalized patients aged 65 and over.
OBJECTIVE: To identify risk factors associated with hospitalizations for falls in Wisconsin in patients aged 65 and older. METHODS: This study was a cross-sectional study of year 2000 hospital inpatient discharge records for patients aged 65 and older who did not have a diagnosis-related group code indicating rehabilitation, obtained from the Wisconsin Bureau of Health Information. The database includes all discharges from all non-federal Wisconsin hospitals. RESULTS: Of 223,085 discharged older adults, 6.9% had an unintentional fall diagnosis. Independent predictors of an unintentional fall diagnosis were age, sex, time of year of discharge, region of residence, alcohol-related problems, dementia, Parkinson's disease, mechanical and motor problems, altered consciousness, convulsions/epilepsy, anemia, and glaucoma. CONCLUSIONS:Alcohol-related problems and mechanical and motor problems significantly increased the risk of a fall diagnosis in hospitalized patients aged 65 and over.
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