Cargando…

Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study

The objective of this retrospective multicenter study was to investigate the mechanism and characteristics of trauma experienced by patients aged ≥65 years who were transferred from a long-term care hospital to one of five university hospital emergency departments. Of 255,543 patients seen in one of...

Descripción completa

Detalles Bibliográficos
Autores principales: Namgung, Myeong, Kim, Keon, Lee, Dong Hoon, Yune, Ho Young, Wee, Jung Hee, Kim, Duk Ho, Kim, Eui Chung, Lim, Jee Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582857/
https://www.ncbi.nlm.nih.gov/pubmed/31275655
http://dx.doi.org/10.1155/2019/7803184
_version_ 1783428412278308864
author Namgung, Myeong
Kim, Keon
Lee, Dong Hoon
Yune, Ho Young
Wee, Jung Hee
Kim, Duk Ho
Kim, Eui Chung
Lim, Jee Yong
author_facet Namgung, Myeong
Kim, Keon
Lee, Dong Hoon
Yune, Ho Young
Wee, Jung Hee
Kim, Duk Ho
Kim, Eui Chung
Lim, Jee Yong
author_sort Namgung, Myeong
collection PubMed
description The objective of this retrospective multicenter study was to investigate the mechanism and characteristics of trauma experienced by patients aged ≥65 years who were transferred from a long-term care hospital to one of five university hospital emergency departments. Of 255,543 patients seen in one of the five emergency departments, 79 were transferred from a long-term care hospital because of trauma. The most common trauma mechanism was slipping down, with 33 (58.9%) patients, followed by falling from a bed (17.9%), striking an object such as a wall or corner (10.7%), overextending a joint (8.9%), and unknown mechanisms (3.6%). Many cases of slip (39.4%) occurred in relation to the bathroom. Comparing slip and fall from a bed, we found more hip fractures (95.2%) because of slipping down than falling from a bed (57.1%); traumatic brain injury only occurred in slip cases. These traumas cause significant morbidity in elderly patients; therefore, we sought to identify strategies that prevent slip in long-term care hospitals.
format Online
Article
Text
id pubmed-6582857
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-65828572019-07-04 Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study Namgung, Myeong Kim, Keon Lee, Dong Hoon Yune, Ho Young Wee, Jung Hee Kim, Duk Ho Kim, Eui Chung Lim, Jee Yong Emerg Med Int Research Article The objective of this retrospective multicenter study was to investigate the mechanism and characteristics of trauma experienced by patients aged ≥65 years who were transferred from a long-term care hospital to one of five university hospital emergency departments. Of 255,543 patients seen in one of the five emergency departments, 79 were transferred from a long-term care hospital because of trauma. The most common trauma mechanism was slipping down, with 33 (58.9%) patients, followed by falling from a bed (17.9%), striking an object such as a wall or corner (10.7%), overextending a joint (8.9%), and unknown mechanisms (3.6%). Many cases of slip (39.4%) occurred in relation to the bathroom. Comparing slip and fall from a bed, we found more hip fractures (95.2%) because of slipping down than falling from a bed (57.1%); traumatic brain injury only occurred in slip cases. These traumas cause significant morbidity in elderly patients; therefore, we sought to identify strategies that prevent slip in long-term care hospitals. Hindawi 2019-06-02 /pmc/articles/PMC6582857/ /pubmed/31275655 http://dx.doi.org/10.1155/2019/7803184 Text en Copyright © 2019 Myeong Namgung et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Namgung, Myeong
Kim, Keon
Lee, Dong Hoon
Yune, Ho Young
Wee, Jung Hee
Kim, Duk Ho
Kim, Eui Chung
Lim, Jee Yong
Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study
title Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study
title_full Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study
title_fullStr Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study
title_full_unstemmed Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study
title_short Characteristics of Elderly Long-Term Care Residents Who Were Injured and Transferred to Hospital Emergency Departments in Korea: A Retrospective Multicenter Study
title_sort characteristics of elderly long-term care residents who were injured and transferred to hospital emergency departments in korea: a retrospective multicenter study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6582857/
https://www.ncbi.nlm.nih.gov/pubmed/31275655
http://dx.doi.org/10.1155/2019/7803184
work_keys_str_mv AT namgungmyeong characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT kimkeon characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT leedonghoon characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT yunehoyoung characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT weejunghee characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT kimdukho characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT kimeuichung characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy
AT limjeeyong characteristicsofelderlylongtermcareresidentswhowereinjuredandtransferredtohospitalemergencydepartmentsinkoreaaretrospectivemulticenterstudy