Aetiology and implications of domestic injuries in the elderly

This study was conducted in ten major city hospitals and twelve city council health clinics in Nairobi. Hospital records covering the period 1986 to 1990 were reviewed. Information on age, sex, occupation, type and cause of injury, the management and outcome of treatment was extracted from the records. This article focuses on the elderly, aged 55 years and above. The results indicate that falls inside the house accounted for most (69%) of the injuries. This was followed by accidental cuts (27%) and injuries resulting from domestic violence (26%). The main types of injuries recorded were open wounds (56%), followed by head injuries (24%) and fractures (21%). Most of the injuries (more than 63%) occurred in the low income areas (mainly Mathare and Eastlands). These injuries have implications on care for the elderly and on the cost to the individual, the health facilities and the nation. The results indicate that domestic injuries are a common occurrence among the elderly and there is need to focus on prevention and cost-effective case management strategies.