IP

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
[Advanced]

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this link to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Shinoda-Tagawa, T
Right arrow Articles by Clark, D E
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Shinoda-Tagawa, T
Right arrow Articles by Clark, D E
Inj Prev 2003;9:214-219
© 2003 BMJ Publishing Group


ORIGINAL ARTICLE

Trends in hospitalization after injury: older women are displacing young men

T Shinoda-Tagawa, D E Clark

Harvard Injury Control Research Center, Boston

Correspondence to:
Dr David E Clark, 887 Congress Street, Suite 210, Portland, ME 04102, USA;
clarkd{at}mmc.org

Objective: To evaluate trends in hospitalization after injuries in the USA.

Design: National Hospital Discharge Survey data from 1979 to 2000 were evaluated annually by age group, sex, injury severity score (ISS), length of stay, and discharge destination.

Setting and subjects: National probability sample of hospitalized patients.

Interventions: None.

Main outcome measures: Incidence, duration, outcome, and population based rates of hospital admission after injuries.

Results: The number of young males admitted to hospitals after injuries has decreased dramatically; older females are now the group most frequently admitted. Total days in the hospital have decreased in all age groups, but have declined less in the older population than in the younger population; furthermore, most patients aged 65 and over were formerly discharged home, but now most are discharged to long term care facilities. Overall hospitalization rates after injury have decreased in all age groups, but have declined less in the older population; furthermore, male and female hospitalization rates for serious injury (ISS at least 9, excluding isolated hip fracture) are decreasing in younger age groups while increasing in older age groups.

Conclusions: Older patients comprise a growing proportion of injuries requiring hospitalization. Trauma systems must address this change, and preventing injuries in older people is increasingly important.


Keywords: aged; trauma systems; National Hospital Discharge Survey; hospitalization

Abbreviations: AIS, abbreviated injury score; CDC, Centers for Disease Control and Prevention; ICD-9-CM, International Classification of Disease, ninth revision, clinical modification; ISS, injury severity score; NHDS, National Hospital Discharge Survey; SNF, skilled nursing facility




This article has been cited by other articles:


Home page
Am. J. Public HealthHome page
A. Icks, B. Haastert, and G. Meyer
REMARKABLE DECLINE IN HIP FRACTURE INCIDENCE IN YOUNGER AGE GROUPS IN GERMANY
Am J Public Health, October 1, 2007; 97(10): 1733 - 1734.
[Full Text] [PDF]


Home page
J. Gerontol. A Biol. Sci. Med. Sci.Home page
P. Kannus, M. Palvanen, S. Niemi, and J. Parkkari
Alarming Rise in the Number and Incidence of Fall-Induced Cervical Spine Injuries Among Older Adults
J. Gerontol. A Biol. Sci. Med. Sci., February 1, 2007; 62(2): 180 - 183.
[Abstract] [Full Text] [PDF]


Home page
Am J Crit CareHome page
T. S. Richmond, H. J. Thompson, D. Kauder, K. M. Robinson, and N. E. Strumpf
A Feasibility Study of Methodological Issues and Short-Term Outcomes in Seriously Injured Older Adults
Am. J. Crit. Care., March 1, 2006; 15(2): 158 - 165.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Public HealthHome page
P. Kannus, J. Parkkari, S. Niemi, and M. Palvanen
Fall-Induced Deaths Among Elderly People
Am J Public Health, March 1, 2005; 95(3): 422 - 424.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Public HealthHome page
D. E. Clark, M. A. DeLorenzo, F.L. Lucas, and D. E. Wennberg
Injuries Among Older Americans With and Without Medicare
Am J Public Health, February 1, 2005; 95(2): 273 - 278.
[Abstract] [Full Text] [PDF]


Home page
Biol Res NursHome page
C. J. Kirkness, R. L. Burr, P. H. Mitchell, and D. W. Newell
Is there a Sex Difference in the Course Following Traumatic Brain Injury?
Biol Res Nurs, April 1, 2004; 5(4): 299 - 310.
[Abstract] [PDF]


Home page
BMJHome page
Minerva
BMJ, September 27, 2003; 327(7417): 758 - 758.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2003 by the BMJ Publishing Group Ltd.