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



(1) elder abuse


Additional factors not mentioned:

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


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