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A 4-year review of severe pediatric trauma in eastern Ontario: a descriptive analysis.

https://arctichealth.org/en/permalink/ahliterature191929
Source
J Trauma. 2002 Jan;52(1):8-12
Publication Type
Article
Date
Jan-2002
Author
Martin H Osmond
Maureen Brennan-Barnes
Allyson L Shephard
Author Affiliation
Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada. osmond@cheo.on.ca
Source
J Trauma. 2002 Jan;52(1):8-12
Date
Jan-2002
Language
English
Publication Type
Article
Keywords
Accident prevention
Accidental Falls - prevention & control - statistics & numerical data
Accidents, Traffic - prevention & control - statistics & numerical data
Adolescent
Age Distribution
Athletic Injuries - epidemiology - etiology - prevention & control
Child
Child Abuse - prevention & control - statistics & numerical data
Child, Preschool
Craniocerebral Trauma - epidemiology - etiology - prevention & control
Female
Hospitals, Pediatric - statistics & numerical data
Humans
Infant
Infant, Newborn
Male
Ontario - epidemiology
Retrospective Studies
Sex Distribution
Time Factors
Trauma Centers - statistics & numerical data
Trauma Severity Indices
Wounds and Injuries - epidemiology - etiology - prevention & control
Abstract
The objective of this study was to describe a population of children admitted to a tertiary care pediatric hospital with severe trauma to identify key areas for injury prevention research, and programming.
Retrospective chart review conducted on all children 0-17 years admitted to the Children's Hospital of Eastern Ontario (CHEO) between April 1, 1996, and March 31, 2000, following acute trauma. Each record was reviewed and assigned an ISS using the AIS 1990 revision. All cases with an ISS > 11 were included in the study.
There were 2610 trauma cases admitted to CHEO over the study period. Of these, 237 (9.1%) had severe trauma (ISS > 11). Sixty-two percent were male. Twenty-nine percent were between the ages of 10 and 14 years, 27% between 5 and 9 years, 16% between 15 and 17 years, 15% between 1 and 4 years, and 13% less than 1 year old. The most common mechanisms of injury were due to motor vehicle traffic (39%), falls (24%), child abuse (8%), and sports (5%). Of those resulting from motor vehicle traffic, 53 (57%) were occupants, 22 (24%) were pedestrians, and 18 (19%) were cyclists. When combining traffic and nontraffic mechanisms, 26 (11% of all severe trauma cases) occurred as a result of cycling incidents. The most severe injury in 65% of patients was to the head and neck body region.
Research efforts and activities to prevent severe pediatric trauma in our region should focus on road safety, protection from head injuries, avoidance of falls, and prevention of child abuse.
PubMed ID
11791045 View in PubMed
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[Accidental falls among the elderly--can anything be done for this problem?].

https://arctichealth.org/en/permalink/ahliterature222883
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2949
Publication Type
Article
Date
Oct-19-1992
Author
A. Poulstrup
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2949
Date
Oct-19-1992
Language
Danish
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Aged
Denmark - epidemiology
Humans
Notes
Comment In: Ugeskr Laeger. 1993 Jan 4;155(1):43-48421851
Comment In: Ugeskr Laeger. 1993 Jan 4;155(1):438421850
PubMed ID
1462380 View in PubMed
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Accidental falls and related fractures in 65-74 year olds: a retrospective study of 332 patients.

https://arctichealth.org/en/permalink/ahliterature198241
Source
Acta Orthop Scand. 2000 Apr;71(2):175-9
Publication Type
Article
Date
Apr-2000
Author
E. Nordell
G B Jarnlo
C. Jetsén
L. Nordström
K G Thorngren
Author Affiliation
Department of Orthopedics, Lund University Hospital, Sweden. eva.nordell@ort.lu.se
Source
Acta Orthop Scand. 2000 Apr;71(2):175-9
Date
Apr-2000
Language
English
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Activities of Daily Living
Age Distribution
Age Factors
Aged
Documentation
Emergency Service, Hospital - utilization
Female
Fractures, Bone - epidemiology - etiology - prevention & control
Geriatric Assessment
Humans
Male
Population Surveillance
Postural Balance
Referral and Consultation
Registries
Retrospective Studies
Risk factors
Sex Distribution
Sweden - epidemiology
Abstract
We investigated, by studying medical records, background factors and consequences of accidental falls of patients 65-74 years who attended the Department of Orthopedics' emergency clinic in Lund. We also assessed possible prevention measures. Fractures occurred in three quarters of the registered falls. Women were more prone to sustain fractures than men. Forearm fractures were commonest among women while hip fractures were commonest among men. One third of the patients were admitted to an orthopedic ward because of the fall. The patients who were less healthy had sustained fractures oftener and also needed more hospital care. Information regarding risk factors for falls and fractures were often missing in the patients' medical records. Impaired walking and balance, and medication increased the risk of falls. Such patients constitute a high risk group for future falls and fractures. A newly developed instrument is suggested as a routine in the emergency department to increase the awareness of risk factors for falls in the elderly. Satisfactory documentation is a prerequisite for further treatment and referrals to prevent falls and fractures.
PubMed ID
10852324 View in PubMed
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Source
CMAJ. 2001 Aug 21;165(4):468
Publication Type
Article
Date
Aug-21-2001
Author
E. Weir
Source
CMAJ. 2001 Aug 21;165(4):468
Date
Aug-21-2001
Language
English
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Adolescent
Adult
Canada
Child
Child, Preschool
Humans
Male
Notes
Cites: J Pediatr Surg. 1999 Jul;34(7):1060-310442588
Cites: J Pediatr Orthop. 2000 Mar-Apr;20(2):197-20210739282
Cites: Surg Clin North Am. 1991 Apr;71(2):331-442003254
PubMed ID
11531065 View in PubMed
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[Accidental falls in nursing homes. A study of the extent and circumstances of accidental falls in nursing homes]

https://arctichealth.org/en/permalink/ahliterature8144
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2950-5
Publication Type
Article
Date
Oct-19-1992
Author
B. Viskum
Author Affiliation
Embedslaegeinstitutionen for Vejle Amt.
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2950-5
Date
Oct-19-1992
Language
Danish
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Aged
Cohort Studies
Denmark - epidemiology
English Abstract
Female
Homes for the Aged - statistics & numerical data
Humans
Male
Nursing Homes - statistics & numerical data
Research Support, Non-U.S. Gov't
Abstract
Accidental falls in 54 nursing homes with 2228 elderly residents aged 65 years and over were registered during a period of seven months. During the seven months, 512 of the elderly residents fell on a total of 934 occasions. Forty-two fractures of the neck of the femur occurred. The risk of falls for elderly residents of nursing homes is very high, but the majority of falls do not result in permanent damage. In this investigation, no differences could be demonstrated between staff groups or circumstances concerning falls with and without resultant damage. All falls should be regarded as warnings and result in detailed investigation of the circumstances of the fall in view of prophylactic measures. Accidental falls are caused by a complex interaction between a series of health, therapy, furnishing and attitudes. Various circumstances are emphasized in this investigation which are connected with an increased risk of falling, e.g. vertigo, problems of balance, certain aids and activities in connection with toileting.
PubMed ID
1462381 View in PubMed
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[Accidental falls in nursing homes. A study on the role of drugs in accidental falls in nursing homes].

https://arctichealth.org/en/permalink/ahliterature222882
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2955-8
Publication Type
Article
Date
Oct-19-1992
Author
B. Viskum
S. Juul
Author Affiliation
Embedslaegeinstitutionen for Vejle Amt.
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2955-8
Date
Oct-19-1992
Language
Danish
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Aged
Antiparkinson Agents - adverse effects
Cohort Studies
Denmark - epidemiology
Diuretics - adverse effects
Drug Utilization
Drug-Related Side Effects and Adverse Reactions
Female
Homes for the Aged - statistics & numerical data
Humans
Hypnotics and Sedatives - adverse effects
Male
Nursing Homes - statistics & numerical data
Psychotropic Drugs - adverse effects
Risk factors
Abstract
The drug consumptions of 2228 residents in nursing homes aged 65 years and over were investigated and related to accidental falls during a period of seven months. 95% of the residents received treatment with one or more drugs and 33% with six or more drugs. The risk of accidental falls was significantly increased in persons receiving hypnotics, psychomarmaca and anti-Parkinson medicine. Individuals receiving diuretics, particularly thiazides, were less at risk for accidental falls. This investigation revealed an increased risk of falls particularly when residents were receiving treatment with a short-term hypnotic (Triazolam). It is recommended that this finding should be investigated further.
PubMed ID
1462382 View in PubMed
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[Age-specific peculiarities of manifestations of a craniocerebral injury in children and adolescents with a combined blunt trauma].

https://arctichealth.org/en/permalink/ahliterature131880
Source
Sud Med Ekspert. 2011 May-Jun;54(3):23-7
Publication Type
Article
Author
V M Karavaev
Source
Sud Med Ekspert. 2011 May-Jun;54(3):23-7
Language
Russian
Publication Type
Article
Keywords
Accident prevention
Accidental Falls - prevention & control - statistics & numerical data
Accidents, Traffic - prevention & control - statistics & numerical data
Adolescent
Age Distribution
Child
Child, Preschool
Female
Forensic Pathology
Head Injuries, Closed - epidemiology - pathology
Humans
Infant
Infant, Newborn
Male
Multiple Trauma - epidemiology - pathology
Population Surveillance
Russia - epidemiology
Trauma Severity Indices
Abstract
This study was designed to estimate the frequency of head injuries and selected manifestations of craniocerebral traumas in children and adolescents with a fatal combined blunt trauma. It is included 289 cases of death from a combined blunt trauma (101 original observations and data of 188 archival documents). The victims were categorized into 3 age groups. One group was comprised of cases from 0 to 3 years of life, group 2 included children aged from 4 to 11 years, and group 3 those at the age from 12 to 18 years. The age was shown to significantly influence both the frequency of head injuries and their severity. The maximum values of the two variables were recorded in the youngest age group. The frequency of head injuries and the number of selected manifestations of the craniocerebral trauma decreased with age.
PubMed ID
21866843 View in PubMed
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An examination of the impact of gender and veteran status on falls among community-dwelling seniors: implications for targeting falls prevention activities.

https://arctichealth.org/en/permalink/ahliterature164363
Source
Fam Community Health. 2007 Apr-Jun;30(2):121-8
Publication Type
Article
Author
Lori E Weeks
Author Affiliation
Department of Family and Nutritional Sciences, University of Prince Edward Island, Prince Edward Island, Canada. lweeks@upei.ca
Source
Fam Community Health. 2007 Apr-Jun;30(2):121-8
Language
English
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Activities of Daily Living
Age Factors
Aged
Aged, 80 and over
Canada - epidemiology
Female
Frail Elderly
Geriatric Assessment
Health Services for the Aged - utilization
Health Surveys
Humans
Male
Psychometrics
Public Health Administration
Residence Characteristics
Risk assessment
Risk factors
Sex Factors
Social Work
Veterans - statistics & numerical data
Wounds and injuries - epidemiology - prevention & control
Abstract
The objective of this study was to broaden our understanding of the specific characteristics of community-dwelling seniors who are at increased risk of falling and becoming injured, by paying particular attention to gender and veteran status. The 137 respondents included 69 senior male veterans and 68 seniors in the general population. Results indicated that the veterans were at higher risk of falling than the general senior population, and were at higher risk of becoming injured after falling. Senior women were at less risk of falling and becoming injured than the veterans, but were at higher risk than the senior nonveteran men. It is imperative to target screening and falls prevention activities at these and other specific subgroups in the senior population that are at high risk of falling and becoming injured.
PubMed ID
19241648 View in PubMed
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The association between anemia and falls in community-living women and men aged 65 years and older from the fifth Tromsø Study 2001-02: a replication study.

https://arctichealth.org/en/permalink/ahliterature293028
Source
BMC Geriatr. 2017 12 27; 17(1):292
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
12-27-2017
Author
Laila Arnesdatter Hopstock
Elisabeth Bøe Utne
Alexander Horsch
Tove Skjelbakken
Author Affiliation
Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037, Tromsø, Norway. laila.hopstock@uit.no.
Source
BMC Geriatr. 2017 12 27; 17(1):292
Date
12-27-2017
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Aged
Aged, 80 and over
Anemia - complications - diagnosis - epidemiology - physiopathology
Cohort Studies
Female
Frailty - diagnosis - epidemiology - physiopathology
Geriatric Assessment - methods
Hemoglobins - analysis
Humans
Independent Living - statistics & numerical data
Male
Norway - epidemiology
Risk Assessment - methods
Risk factors
Self Report
Statistics as Topic
Abstract
Falls are common among elderly people, and the risk increase with age. Falls are associated with both health and social consequences for the patient, and major societal costs. Identification of risk factors should be investigated to prevent falls. Previous studies have shown anemia to be associated with increased risk of falling, but the results are inconsistent. The aim of this study was to investigate the association between anemia and self-reported falls among community-living elderly people. The study is a replication of the study by Thaler-Kall and colleagues from 2014, who studied the association between anemia and self-reported falls among 967 women and men 65 years and older in the KORA-Age study from 2009.
We included 2441 participants (54% women) 65 years and older from the population-based Tromsø 5 Study 2001-2002. Logistic regression models were used to investigate the association between anemia (hemoglobin
Notes
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Cites: Age Ageing. 1997 May;26(3):189-93 PMID 9223714
PubMed ID
29282000 View in PubMed
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Bayesian spatial methods for small-area injury analysis: a study of geographical variation of falls in older people in the Wellington-Dufferin-Guelph health region of Ontario, Canada.

https://arctichealth.org/en/permalink/ahliterature128674
Source
Inj Prev. 2012 Oct;18(5):303-8
Publication Type
Article
Date
Oct-2012
Author
Wing C Chan
Jane Law
Patrick Seliske
Author Affiliation
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. wing.chan@uwaterloo.ca
Source
Inj Prev. 2012 Oct;18(5):303-8
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Accidents, Home - prevention & control - statistics & numerical data
Aged
Aged, 80 and over
Bayes Theorem
Female
Hospitalization - statistics & numerical data
Humans
Male
Markov Chains
Ontario - epidemiology
Prevalence
Public Health
Risk assessment
Risk factors
Sex Distribution
Small-Area Analysis
Socioeconomic Factors
Spatial Analysis
Urban Population - statistics & numerical data
Abstract
To examine falls in older people in the Wellington-Dufferin-Guelph (WDG) health region of Ontario, Canada, and to identify areas with excess RR and associated risk factors, particularly those related to private dwellings.
Cases of hospitalisation following falls among older people in the WDG health region between 2002 and 2006 were geocoded to the dissemination area level and used in the spatial analysis. The falls data and covariates from the 2006 Canadian census were analysed using Poisson log-linear models with (spatial and non-spatial) random effects at the dissemination area level. A Bayesian approach with Markov chain Monte Carlo simulation allowed the spatial random effects models to be fitted. Map decomposition was used to visualise the results.
The percentage of occupied private dwellings requiring repairs and median income were significantly associated with falls in older people in the WDG health region. Twenty-six dissemination areas with high RR of falls in older people in the WDG health region were identified. Map decomposition revealed that RR were also driven by unknown factors that have spatial patterns.
This research identified an association between falls in older people and housing conditions; the higher the percentage of dwellings requiring repairs in an area, the higher its risk of falls in older people. Bayesian spatial modelling accounts for measurement errors and unobserved or unknown risk factors that have spatial patterns. The findings have the potential to contribute to future research in reducing falls in older people and generate more interest in using Bayesian spatial modelling approaches in injury and public health research.
PubMed ID
22180618 View in PubMed
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96 records – page 1 of 10.