Falls From Sitting to Standing
Study Details
Study Description
Brief Summary
Background: When evaluating trauma patients, many centers perform computed tomography of the head, cervical spine, chest, abdomen, and pelvis, the so-called "pan-scan." Here, we evaluate the utility of pan-scan in geriatric patients who sustained ground-level falls.
Study Design: We performed a retrospective review of consecutive patients from the trauma registry of a large, urban Level 1 trauma center. Inclusion criteria were registration during the 2019 calendar year, age ≥ 65, mechanism of fall from either sitting or standing, and performance of "pan-scan" at time of assessment. Patient demographics, physical exam findings, CT results, injuries, and patient disposition were recorded. The sensitivity, specificity, positive and negative predictive values of the physical exam for significant injuries were calculated.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Study Design
Outcome Measures
Primary Outcome Measures
- Sensitivity of physical exam compared to CT scan and identifying traumatic injuries [2 years]
Sensitivity of physical exam compared to CT scan and identifying traumatic injuries. Sensitivity is a statistical measure which was calculated using our SAS software as described in methods. CT scan was used as the gold standard. Both physical exam and CAT scan were performed on initial presentation with a time frame on the order of minutes to hours.
- Prevalence of injury. [2 years]
Traumatic injuries were determined by CT scan, tabulated, and broken down by body region as well as injury type. These data were collected at the time of CT scan on initial presentation. These data presented as whole numbers and percentages.
- Disposition from ED [2 years]
Dispositions were determined by chart review, tabulated, and broken down by disposition location. These data collected at the time of admission
- Disposition from hospital. [2 years]
Dispositions were determined by chart review, tabulated, and broken down by disposition location, including patient expiration in some cases. These data were collected at the time of discharge
Eligibility Criteria
Criteria
Inclusion criteria
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age >65
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presented with fall from sitting or standing from 01/01/2019-12/31/2019
Exclusion criteria included
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age <65 years,
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falls from height,
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GCS less than 14,
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patients who did not undergo the complete pan-scan.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | SIUH Northwell Health | New York | New York | United States | 10305 |
Sponsors and Collaborators
- Northwell Health
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 20-0850 SIUHN