{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:41:54Z","timestamp":1777448514404,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T00:00:00Z","timestamp":1686096000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Little is known about how the COVID-19 pandemic impacted older adults admitted to the hospital with fall-related injuries. This research sought to determine if there was a difference in patient characteristics and hospital outcomes among older adults with fall-related injuries during the COVID-19 pandemic compared to a non-pandemic period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review of patients 65\u00a0years or older admitted for traumatic falls before and during COVID-19 was undertaken. Data abstracted included demographics, fall details, injury data, and hospital course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1598 patients, 50.5% presented during COVID-19 (cases), and 49.5% presented pre-pandemic (controls). Fewer cases fell in rural areas (28.6% vs 34.1%, P = .018) and were transferred from outside hospitals (32.1% vs 38.2%, P = .011). More cases experienced alcohol (4.6% vs 2.4%, P = .017) and substance use disorders (1.4% vs .4%, P = .029). Fewer cases had subdural hemorrhages (11.8% vs 16.4%, P = .007), and more had pneumothoraxes (3.5% vs 1.8%, P = .032). More patients admitted during COVID-19 experienced acute respiratory failure (2.0% vs .0%, P &lt; .001), hypoxia (1.5% vs .3%, P = .005), and delirium (6.3% vs 1.0%, P &lt; .001). Fewer cases were discharged to skilled nursing facilities (50.8% vs 57.3%, P = .009) and more to home with services (13.1% vs 8.3%, P = .002).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This study suggested there was a similar frequency of presentation for falls among older adults during the two study periods. Older adults with fall-related injuries experienced differences in presenting comorbidities, injury patterns, complications, and discharge locations during the study periods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231180919","type":"journal-article","created":{"date-parts":[[2023,6,7]],"date-time":"2023-06-07T14:40:56Z","timestamp":1686148856000},"page":"5988-5995","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Falls Among Older Adults During the COVID-19 Pandemic Compared to a Pre-pandemic Period: A Case-Control Study"],"prefix":"10.1177","volume":"89","author":[{"given":"Marisa-Nicole","family":"Zayat","sequence":"first","affiliation":[{"name":"Department of Population Health, The University of Kansas School of Medicine \u2013 Wichita, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micah Vander","family":"Griend","sequence":"additional","affiliation":[{"name":"Department of Population Health, The University of Kansas School of Medicine \u2013 Wichita, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan","family":"Flesher","sequence":"additional","affiliation":[{"name":"Department of Population Health, The University of Kansas School of Medicine \u2013 Wichita, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Lightwine","sequence":"additional","affiliation":[{"name":"Departments of Trauma Services, Ascension Via Christi Hospital Saint Francis, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Ablah","sequence":"additional","affiliation":[{"name":"Department of Population Health, The University of Kansas School of Medicine \u2013 Wichita, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayrettin","family":"Okut","sequence":"additional","affiliation":[{"name":"Department of Population Health, The University of Kansas School of Medicine \u2013 Wichita, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James M.","family":"Haan","sequence":"additional","affiliation":[{"name":"Department of Population Health, The University of Kansas School of Medicine \u2013 Wichita, Wichita, KS, USA"},{"name":"Departments of Trauma Services, Ascension Via Christi Hospital Saint Francis, Wichita, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,7]]},"reference":[{"key":"bibr1-00031348231180919","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6927a5"},{"key":"bibr2-00031348231180919","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200101000-00021"},{"key":"bibr3-00031348231180919","volume-title":"Centers for Disease Control and Prevention"},{"key":"bibr4-00031348231180919","unstructured":"Tucker H. COVID-19 patient released from Wichita hospital. KWCH12. 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