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Published on: August 17, 2017
The Accident Environment Resulting in Fragility Fractures: A 20-year National Epidemiologic Study
Gabriel S Makar1, William Davis, Michael Suk
1From the Department of Orthopaedic Surgery, Geisinger Medical Center, Danville, PA (Makar, Suk, and Bowen), and the Department of Surgery, New York Presbyterian-Queens, Flushing, NY (Davis).
Flooring, stairs, and bedding are the leading causes of fragility fractures in older adults. Identifying these common products can help prevent future injuries and reduce healthcare costs.
Area of Science:
- Gerontology
- Orthopedics
- Public Health
Background:
- Fragility fractures are a significant cause of morbidity and rising healthcare costs in the elderly.
- While falls are the primary cause, specific product associations with elderly fractures are not well-documented.
Purpose of the Study:
- To stratify primary products associated with fractures in elderly patients.
- To describe the anatomic location and injury setting of these fractures.
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) database.
- Analyzed data for patients aged 65 and older from 2000-2019.
- Focused on demographic data, fracture location, injury setting, and top 20 fracture causes.
Main Results:
- Reviewed 901,418 Emergency Department visits, with 216,657 (24%) involving fractures.
- Flooring (33.6%), stairs/steps (17.2%), and bed/bed frames (10.9%) were the top products linked to fractures.
- Lower extremity fractures were most common (56%), often occurring at home (65.2%).
Conclusions:
- Products related to flooring, stairs, and bedding are most frequently associated with elderly fractures.
- Findings provide a detailed understanding to inform preventive strategies for reducing fracture risk.
- Aids healthcare providers and communities in developing targeted fall prevention programs.
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