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Risk Factors for Intracranial Injury Caused by Falls at Home in Korea Using Data from the Emergency Department-based
Won Il Na1, Ju Ok Park1, Gyu Chong Cho2
1Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Journal of Korean Medical Science
|February 23, 2021
Summary
Unintentional home falls pose risks for intracranial injury (ICI), especially for older adults. Specific locations like corridors, balconies, and kitchens present unique risks based on age and sex, highlighting the need for targeted prevention strategies.
Area of Science:
- Public Health
- Injury Prevention
- Epidemiology
Background:
- Most unintentional home injuries are preventable, yet falls remain a significant concern.
- Identifying age-specific risk factors for home falls is insufficient for comprehensive prevention.
- Intracranial injury (ICI) from home falls requires a detailed understanding of associated risk factors.
Purpose of the Study:
- To identify risk factors for intracranial injury (ICI) resulting from unintentional falls at home.
- To specifically examine the influence of age and the location of falls within the home.
- To analyze interactions between injury location, age, and sex in relation to ICI risk.
Main Methods:
- Utilized data from the Emergency Department (ED)-Based Injury In-depth Surveillance system.
- Analyzed patient data for unintentional falls occurring within the home environment.
- Employed multivariable logistic regression to identify risk factors, considering age groups, sex, and injury locations.
Main Results:
- Older adults exhibited a significantly higher adjusted odds ratio (aOR) for ICI compared to infants (aOR=14.05).
- Specific locations posed differential risks: corridors for males (aOR=2.71) and balconies for females (aOR=2.04) in pediatric groups.
- In adults, kitchens were associated with higher ICI risk in females (aOR=1.38) but lower risk in males (aOR=0.56).
Conclusions:
- ED-based injury surveillance data identified key risk factors for ICI from home falls.
- The risk of ICI varies significantly based on the location of the fall within the home.
- Age and sex are critical factors influencing the relationship between fall location and ICI risk.

