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Table 1 Characteristics of fall-related head injury and non-head injury in the older adults

From: Characteristics of fall‐related head injury versus non‐head injury in the older adults

 

Head injury

(n = 14,433)

Non-head injury

(n = 19,933)

p

Average age, yrs

72.8.3 ± 8.6

74.5 ± 8.8

0.000

Age group, years old, (%)

  

0.000

 60 ~ 69

5793 (40.1)

6457 (32.4)

 

 70 ~ 79

5263 (36.5)

7385 (37.0)

 

 ≥ 80

3377 (23.4)

6091 (30.6)

 

Sex, male (%)

7795 (54.0)

5747 (28.8)

0.000

Season of injury occurrence (%)

  

0.258

 Spring (March ~ May)

3355 (23.2)

4487 (22.5)

 

 Summer(June ~ August)

3338 (23.1)

4603 (23.1)

 

 Autumn (September ~ November)

3963 (27.5)

5466 (27.4)

 

 Winter (December ~ February)

3777 (26.2)

5377 (27.4)

 

Time of injury occurrence (%)

  

0.000

 00:00–05:59

2273 (15.7)

3615 (18.1)

 

 06:00–11:59

2539 (17.6)

4528 (22.7)

 

 12:00–17:59

4704 (32.6)

6918 (34.7)

 

 18:00–23:59

4917 (34.1)

4872 (24.4)

 

Location of injury occurrence (%)

n = 14,406

n = 19,895

0.000

 Residential facility

6696 (46.5)

11,326 (56.9)

 

 Medical facility

359 (2.5)

556 (2.8)

 

 Sports facility or work place

309 (2.1)

498 (2.5)

 

 Transportation area

5238 (36.4)

5295 (26.6)

 

 Public or commercial facility

1361 (9.4)

1375 (6.9)

 

 Other outdoor area

443 (3.1)

845 (4.2)

 

Indoor or outdoor fall injury (%)

n = 14,417

n = 19,922

0.000

 Outdoor

7375 (50.9)

8228 (41.3)

 

Activity during injury occurrence (%)

n = 14,170

n = 19,529

0.000

 Paid work

291 (2.1)

439 (2.2)

 

 Unpaid work

534 (3.8)

709 (3.6)

 

 Sports or leisure activity

2547 (18.0)

2769 (14.2)

 

 Daily activity

10,798 (76.2)

15,612 (79.9)

 

Alcohol ingestion, case n/total n (%)

2601/11,534 (22.6)

652/14,974 (4.4)

0.000

Education (%)

n = 1224

n = 2995

0.001

 Uneducated or elementary school

570 (46.6)

1570 (52.4)

 

 Junior high school

214 (17.5)

499 (16.7)

 

 High school

270 (22.1)

614 (20.5)

 

 ≥ College

170 (13.9)

312 (10.4)

 

Occupation, employed or unemployed (%)

n = 3064

n = 9230

0.000

 Employed

513 (16.7)

685 (7.4)

 

Mechanism of fall (%)

  

0.000

 Fall from stairs

2243 (15.5)

2220 (11.1)

 

 Slip down on same level

6157 (42.7)

9643 (48.4)

 

 Others including fall over

6033 (41.8)

8070 (40.5)

 

Environment of floor while occur fall (%)

   

 Slippery condition of floor or non-slippery

n = 14,261

n = 19,590

0.000

  Slippery

1165 (8.2)

2324 (11.9)

 

 Type of floor, concrete or others

n = 14,273

n = 19,582

0.000

  Concrete

12,024 (84.2)

15,338 (78.3)

 

 Slope of floor, sloping or flat

n = 14,302

n = 19,646

0.000

  Sloping

1981 (13.9)

2275 (11.6)

 

 Existing of obstacle, yes or none

n = 14,306

n = 19,649

0.000

  Yes

1708 (11.9)

1905 (9.9)

 

Blood pressure, mmHg

n = 12,000

n = 16,280

 

 Systolic blood pressure

142.1 ± 27.4

142.2 ± 25.3

0.813

 Diastolic blood pressure

80.0 ± 14.5

79.2 ± 13.9

0.000

Transportation to ED (%)

  

0.000

 Public ambulance

6588 (45.6)

7231 (36.3)

 

 Other medical facility

1377 (9.5)

3076 (15.4)

 

 Individual transportation

6468 (44.8)

9626 (48.3)

 

Consciousness at ED (%)

n = 11,124

n = 15,546

0.000

 Alert

10,331 (92.9)

15,424 (99.2)

 

 Verbal response

480 (4.3)

94 (0.6)

 

 Pain response

254 (2.3)

19 (0.1)

 

 Unresponsive

59 (0.5)

9 (0.1)

 

Major injury region

 Head and neck

14,433 (100.0)

  

 Thorax

 

1712 (8.6)

 

 Abdomen

 

2556 (12.8)

 

 Upper extremity

 

4801 (24.1)

 

 Hip and thigh

 

6348 (31.8)

 

 Lower extremity

 

2624 (13.2)

 

 Multiple body region

 

1892 (9.5)

 

EMR-ISS

16.3 ± 11.7 (n = 14,414)

11.3 ± 8.1 (n = 19,897)

0.000

Result of ED treatment (%)

   

 Discharge

11,196 (77.6)

10,813 (54.2)

0.000

 Transfer to other facility

423 (2.9)

422 (2.1)

 

 Admission to general ward

1626 (11.3)

8362 (42.0)

 

 Admission to intensive care unit

1158 (8.0)

324 (1.6)

 

 Death at emergency department

30 (0.2)

12 (0.1)

 

 Operation, case n/total n (%)

1187/10,697 (11.1)

4064/15,287 (26.6)

0.000

 Severe patients (%)

1425 (9.9)

748 (3.8)

0.000

  1. ED emergency department; EMR-ISS Excess Mortality Ratio-adjusted Injury Severity Score