Factors influencing discharge location after hospitalization resulting from a traumatic fall among older persons

Hyun J. Lim, Raymond Hoffmann, Karen Brasel

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

OBJECTIVE:: To identify significant demographic, clinical, and nonclinical factors among elderly persons influencing the discharge location after hospitalization resulting from a traumatic fall. METHODS:: Population-based case-only study with use of data from the 2003 National Trauma Data Bank. The study analysis included 47,234 subjects admitted to 1 of 405 hospitals in the United States between 1989 and 2003, and aged between 65 and 89 years. Demographic characteristics, clinical factors, and discharge location were obtained from the database. RESULTS:: Eighty-three percent were discharged to home, 7% to a nursing home, and 10% to a rehabilitation facility. Female patients and white patients were more likely discharged to a nursing home or a rehabilitation facility than to home. Compared with commercial insurance, a patients who had Medicare was more likely discharged to a nursing home (odds ratio = 20.9; 95% confidence interval: 18.2-23.9) or a rehabilitation facility (odds ratio = 5.39; 95% confidence interval: 4.86-5.96) than to home. A patient who was injured in the face or neck, thorax, or abdomen was less likely discharged to a nursing home or a rehabilitation facility than to home when compared with a patient injured in an upper and lower extremity. A patient with an injury to the spine was more likely discharged to a rehabilitation facility than to home when compared with a patient injured in any other body region. CONCLUSION:: Gender, race, payment type, body region injured, Injury Severity Score, physiologically based Emergency Department Revised Trauma Score, and need for intensive care unit care were significant predictors of discharge location. Understanding and addressing the factors found in this study can improve the discharge planning process and posttreatment management.

Original languageEnglish (US)
Pages (from-to)902-907
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume63
Issue number4
DOIs
StatePublished - Oct 2007
Externally publishedYes

Fingerprint

Hospitalization
Nursing Homes
Rehabilitation
Body Regions
Wounds and Injuries
Odds Ratio
Demography
Databases
Confidence Intervals
Injury Severity Score
Patient Discharge
Medicare
Insurance
Abdomen
Intensive Care Units
Hospital Emergency Service
Lower Extremity
Spine
Neck
Thorax

Keywords

  • Discharge location
  • Elderly
  • Falls
  • Injury

ASJC Scopus subject areas

  • Surgery

Cite this

Factors influencing discharge location after hospitalization resulting from a traumatic fall among older persons. / Lim, Hyun J.; Hoffmann, Raymond; Brasel, Karen.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 63, No. 4, 10.2007, p. 902-907.

Research output: Contribution to journalArticle

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