Non-occupational falls from ladders in men 50 years and over: Contributing factors and impact.
Background: Research into falls from ladders in older men in the non-occupational setting is limited, yet such falls are increasing.Aim: To explore non-occupational falls from ladders in older men presenting to a major trauma centre; identify factors influencing ladder climbing behaviour and explore...
| Publicado en: | Injury Vol. 51; no. 8; pp. 1798 - 1805 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Aug2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144751494&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144751494 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201383 JGC jtl: Injury issn: 00201383 maglogo: N pubinfo: dt: Aug2020 vid: 51 iid: 8 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 144751494 144751494 NLM32493617 144751494 10.1016/j.injury.2020.04.049 NLM32493617 144751494 ppf: 1798 ppct: 7 formats: tig: atl: Non-occupational falls from ladders in men 50 years and over: Contributing factors and impact. aug: au: Schaffarczyk, Katherine Nathan, Sally Marjadi, Brahmaputra Hsu, Jeremy Poulos, Roslyn affil: Westmead Hospital, Westmead, New South Wales, Australia sug: subj: Trauma Centers Accidental Falls Retrospective Design Trauma Severity Indices Middle Age Hospitalization Aged Scales Human Middle Aged: 45-64 years Aged: 65+ years ab: Background: Research into falls from ladders in older men in the non-occupational setting is limited, yet such falls are increasing.Aim: To explore non-occupational falls from ladders in older men presenting to a major trauma centre; identify factors influencing ladder climbing behaviour and explore the post fall impacts.Methods: We conducted a retrospective review of medical records of men aged 50 years and older admitted to a major trauma centre following a non-occupational ladder fall between February 2011 and December 2013. Interviews were conducted with a sample of men (and their partners where possible) after discharge from hospital. The Late Life Functional Disability Instrument-computer adaptive testing (LLFDI-CAT) was administered to determine pre-and post-fall function. Basic descriptive analysis was undertaken on medical record data. Thematic analysis was used with the socioecological (SE) model as an interpretive frame.Results: Of 86 men included in the study (range 50-85 years, mean age 64.7 years), 27% sustained severe trauma. The median length of stay was 4 days. Fourteen interviews were conducted with 19 participants (12 men, 7 spouses). The most salient pre-fall factor was a lack of assessment of risk, reflecting individual and community factors. Post fall impacts were identified in all domains of the SE model. A statistically significant decrease in self-reported post-fall compared with pre-fall LLFDI-CAT scores for interviewed men was found, despite seven having minor trauma (Injury Severity Score [ISS]<12) on admission.Conclusion: Ladder fall injuries cause marked morbidity, often with life changing impacts, even with minor trauma. Contributing factors are multifactorial. Injury prevention strategies should address these factors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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