Post on 11-Jan-2016
Elderly Falls in Florida: Defining
the Issue, Tackling the Challenge
Florida Department of Health
Office of Injury Prevention
The Appleseed Workshop: Elderly Falls Prevention
September 15, 2009
Florida’s Senior Population
> 3.26 Million Residents Ages 65+
17% of Population
56% Female, 44% Male
91% White, 8% Black, 1% Other Non-White
(2008)
Objectives• By the end of this presentation,
workshop participants will understand the basic...1.Who2.What3.When4.Where5.& How Much
of fall-related injuries among Florida’s residents aged 65 years and older.
What is an Injury?
Injury
Nature & Body Region
Person, Place & Time
Burden and Economic Impact
Mechanism & Intent
“An acute exposure to external physical agents such as mechanical energy, heat, electricity, chemicals, and ionizing radiation, in amounts or at levels above or below the threshold of human tolerance that damage the body.”
The Injury Pyramid
Deaths
Hospitalizations
Emergency Department Visits
Other Outpatient & Home Care
----FOCUS*----
*All Data is for 2005-2008 Unless Otherwise Noted; 2008 Death Data is Preliminary and Subject to Change
The Big Picture
Fall-Related Injuries Among Florida’s Senior Population
Fall-Related Injury Rates* by Year, Florida Seniors, 2005-2008
*Deaths and Non-Fatal Hospitalizations/Emergency Department Visits
43 43 4446
0
10
20
30
40
50
60
2005 2006 2007 2008
Year
Ra
te/1
,00
0 S
en
iors
0% 20% 40% 60% 80% 100%Deaths
Non-Fatal Hospitalizations
Non-Fatal Emergency Department Visits
Fall-Related Injuries by Severity,Florida Seniors, 2005-2008
1% 72%27%
Nature & Body Region
Fall-Related Injuries Among Florida’s Senior Population
Most Common Fall-Related Injuries, Florida Seniors, Any Year
• Deaths• Traumatic Brain Injuries, Lower Extremity Injuries, Internal Organ Damage, Fractures
• Non-Fatal Hospitalizations• Hip, Pelvic, Shoulder & Upper Arm Fractures
• Non-Fatal Emergency Department Visits• Head, Face, Neck & Extremity Injuries• Superficial Wounds, Contusions, Fractures, Open Wounds, Sprains & Strains
Mechanism & Intent
Fall-Related Injuries Among Florida’s Senior Population
Fall-Related Injuries vs. Other Injuries, Florida Seniors, 2005-2008
Injury Deaths
Non-Fatal Injury
Hospitalizations
Non-Fatal Injury Emergency Dept Visits
Other/ Unspecified
56%
Fall44%
Fall74%
Other/ Unspecified
26%
Fall54%
Other/ Unspecified
46%
Fall-Related Injuries* by Intent, Florida Seniors, 2005-2008
*Deaths and Non-Fatal Hospitalizations/Emergency Department Visits
Most Common Types of Falls*,Florida Seniors, Any Year
*Deaths and Non-Fatal Hospitalizations/Emergency Department Visits
Person, Place & Time
Fall-Related Injuries Among Florida’s Senior Population
Fall-Related Injuries by Sex, Florida Seniors, 2005-2008
0%
20%
40%
60%
80%
100%
Deaths Non-FatalHospitalizations
Non-Fatal EDVisits
Females Males
Fall-Related Injury Rates* by Race, Florida Seniors, 2005-2008
*Deaths and Non-Fatal Hospitalizations/Emergency Department Visits
28
45
64
0 10 20 30 40 50 60 70
Black
White
Other Non-White
Rac
e
Rate/1,000 Seniors
Fall-Related Injury Rates* by Age, Florida Seniors, 2005-2008
*Deaths and Non-Fatal Hospitalizations/Emergency Department Visits
21 2639
59
104
0
25
50
75
100
125
65-69 70-74 75-79 80-84 85+
Age
Ra
te/1
,00
0 S
en
iors
Fatal Fall-Related Injuries by Place of Fall, Florida Seniors, 2005-2008
Places of
Residence ≥80%≥80%
Non-Fatal Fall-Related Injuries* by Place of Fall, Florida Seniors, 2005-2008
69%69%
*Non-Fatal Hospitalizations/Emergency Department Visits
Home20%
Other6%
Unspecified5%
Residential Institution
5%
No Place Code64%
Fall-Related Injuries by Quarter, Florida Seniors, 2005-2008
JUNE
JULY AUGUST
MAY
JANUARY MARCHFEBRUARY
APRIL
OCTOBER NOVEMBER DECEMBER
SEPTEMBER
29%
22%
23%
26%
*Deaths and Non-Fatal Hospitalizations/Emergency Department Visits
Burden & Economic Impact
Fall-Related Injuries Among Florida’s Senior Population
Non-Fatal Fall-Related Injuries by Cost of Admission/Visit, Florida Seniors, 2008
Median Length of Stay
Median
ChargeTotal Charges
Emergency Department Visits
0 Days $1,914$616
Million
Hospital Admissions 4 Days $36,602
$1.84 Billion
Non-Fatal Fall-Related Injury Hospitalizations by Discharge Status, Florida Seniors, 2005-2008
Continued Continued Medical Medical Care 87%Care 87%
Home13%
Home Health Care12%
Inpatient Rehab7%
Oth Institution/ Facility
8%
Hospice3%
Skilled Nursing Facility57%
Personal Costs• Loss of Independence• Family Strain• Quality of Life• Fear of Falling• Social Isolation• Loss of Productivity• ………
Questions
Lisa_VanderWerf-Hourigan@doh.state.fl.us
850.245.4440 x2776