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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Updated: Jul 12, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Hospitalization and readmission after single-level fall: a population-based sample.

Alan Cook1, Rebecca Swindall2, Katherine Spencer3

  • 1Trauma Services, UT Health East Texas, 1020 E. Idel St., Tyler, TX, 75701, USA.

Injury Epidemiology
|October 20, 2023
PubMed
Summary
This summary is machine-generated.

Single-level falls in older adults lead to costly readmissions. Brain and vascular injuries, and transfer to short-term hospitals predict readmission, while palliative care may reduce it.

Keywords:
FallsGeriatric traumaHospital chargesHospitalizationPalliative careReadmission

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Area of Science:

  • Gerontology
  • Trauma Surgery
  • Health Services Research

Background:

  • Single-level falls (SLFs) are a growing cause of hospitalization in older adults.
  • Unscheduled hospital readmissions are a marker of care quality and a significant healthcare burden.

Purpose of the Study:

  • To identify predictors of 30-day readmission after hospitalization for single-level fall injuries in patients aged 65 and older.

Main Methods:

  • Retrospective cohort study using the 2018-2019 Nationwide Readmission Database.
  • Included patients aged 65+ admitted emergently for SLF injuries.
  • Hierarchical logit regression analyzed factors associated with 30-day readmission.

Main Results:

  • Over 11% of SLF patients were readmitted within 30 days.
  • Transfer to short-term hospitals, brain injuries, and vascular injuries independently predicted readmission (ORs 2.50, 1.31, 1.42).
  • Palliative care consultation was protective (OR 0.41); higher income and non-urban settings showed modest protective effects.

Conclusions:

  • Single-level falls impose substantial costs on patients and healthcare systems.
  • Developing mitigation strategies for transfer to short-term hospitals and addressing brain/vascular injuries is crucial.
  • Expanding palliative care consultation may reduce readmissions.