recognizing trends in older adult falls · andzelika rzucidlo, injury prevention epidemiologist...
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Recognizing Trends in Older Adult Falls
Andzelika Rzucidlo, Injury Prevention EpidemiologistTrauma and Injury Prevention Division
Email questions to: [email protected]
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*
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
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)
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
Comparison – Rural vs. Urban
Urban,
56%
Rural,
44%
Frequency
5.41
4.76
Mean LOS
2.45
2.4
Mean PS
Urban UrbanRural Rural
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
MalesLiving in Urban
Counties
History of Falls
Populations at Risk of Severe Falls
Limitations
• ICD-10-CM reporting of history of falls (Z91.81)
• Hospital Discharge Dataset variables
• PS scores are only reported for hospitalizations
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/
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
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
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]