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Risk Factors of Gubler et al for Trauma Recidivism in an Elderly Patient

Description

Gubler et al identified risk factors for recurrent trauma in elderly patients. These can help identify possible interventions that can reduce this risk. The authors are from the San Diego Naval Medical Center, Harborview Injury Prevention and Research Center and University of Washington in Seattle.


 

General risk factors:

(1) age >= 77 years

(2) alcohol abuse

(3) cataracts or other impairment of eyesight

(4) history of previous injury, especially with ISS >= 16

(5) declining health

 

Fall-related risk:

(1) disease or drug-induced postural hypotension

(2) impaired balance

(3) unsteady gait

(4) osteopenia or osteoporosis

 

Other:

(1) elder abuse

 

Additional factors not mentioned:

(1) weather, especially winter conditions (associated with increased fall risk)

 


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