Table 3.
Characteristics of older adult fall patients who died at various time intervals after their initial ED visit, N=21,340, February 1, 2005-December 31, 2011
| Incident Visit | Accumulated Death rate by 3 days | Accumulated Death rate by 7 days | Accumulated Death rate by 30 days | Accumulate Death rate by 1 year | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| No | Yes | No | Yes | No | Yes | No | Yes | P | ||
| N=21,340 | N=21084 (99%) | N=256 (1.2%) | N=20923 (98%) | N=417 (2%) | 20405 (96%) | 935 (4.4) | 18105 | 3235 (15) | ||
| Age, mean (SD) | 79 (8) | 78.6 (8.3) | 82.1 (8.0) | 78.6 (8.3) | 82.7 (8.0) | 78.5 (8.3) | 82.7 (8.3) | 78.0 (8.2) | 82.1 (8.3) | <0.0001, <0.0001, <0.0001, <0.0001 |
| Sex, Male (%) | 7,419 (35) | 7292 (35) | 127 (50) | 7224 (34) | 195 (47) | 6985 (34) | 434 (37) | 5984 (33) | 1435 (44) | <0.0001, <0.0001, <0.0001, <0.0001 |
| Race/Ethnicity | 0.004, <0.0001, <0.0001, <0.0001 | |||||||||
| White (%) | 17,549 (82) | 17325 (82) | 224 (88) | 17180 (82) | 369 (88) | 16712 (82) | 837 (90) | 14723 (81) | 2826 (87) | |
| Black (%) | 1,251 (6) | 1247 (6) | 4 (2) | 1245 (6) | 6 (1) | 1227 (6) | 24 (3) | 1112 (6) | 139 (4) | |
| Hispanic (%) | 888 (4) | 883 (4) | 5 (2) | 878 (4) | 10 (2) | 871 (4) | 17 (2) | 823 (5) | 65 (2) | |
| Asian (%) | 433 (2) | 431 (2) | 2 (0) | 430 (2) | 3 (1) | 422 (2) | 11 (1) | 380 (2) | 53 (2) | |
| Other (%) | 242 (1) | 239 (1) | 3 (1) | 237 (1) | 5 (1) | 234 (1) | 8 (1) | 222 (1) | 20 (.1) | |
| Unknown (%) | 977 (5) | 959 (5) | 18 (7) | 953 (5) | 24 (6) | 939 (5) | 38 (4) | 845 (5) | 132 (4) | |
| Primary Language | ||||||||||
| English (%) | 18,865 (88) | 18630 (8) | 235 (92) | 18484 (88) | 381 (91) | 18008 (88) | 857 (92) | 15881 (88) | 2984 (92) | 0.09, 0.06, 0.001, <0.0001 |
| Median Income, mean (SD) | 70,152 (25,778) | 70134 (25805) | 71670 (23381) | 70106 (25811) | 72480 (23979) | 70033 (25824) | 72746 (24614) | 69998 (25918) | 71009 (24969) | 0.31, 0.05, 0.001, 0.04 |
| Insurance Medicare (%) | 15,808 (74) | 15620 (74) | 188 (73) | 15489 (74) | 319 (76) | 15097 (74) | 711 (76) | 13291 (73) | 2517 (78) | 0.23, 0.03, 0.001, <0.0001 |
| Private (%) | 3,024 (14) | 2978 (14) | 46 (18) | 2955 (14) | 69 (17) | 2880 (14) | 144 (15) | 2612 (14) | 412 (13) | |
| Medicaid/Commonwealth (%) | 577 (3) | 574 (3) | 3 (1) | 573 (3) | 4 (1) | 565 (3) | 12 (1) | 532 (3) | 45 (0) | |
| Self pay (%) | 358 (2) | 355 (2) | 3 (1) | 352 (2) | 6 (1) | 336 (2) | 22 (2) | 257 (1) | 101 (1) | |
| Other (%) | 1,573 (7) | 1517 (7) | 16 (6) | 1514 (7) | 19 (5) | 1487 (7) | 46 (5) | 1373 (8) | 160 (5) | |
| Primary care physician listed (%) | 21,263 (100) | 21009 (100) | 254 (95) | 20848 (100) | 415 (100) | 20330 (100) | 933 (100) | 18036 | 3227 (100) | |
| Charlson Comorbidity, mean (SD) | 2.7 (3) | 2.7 (2.8) | 3.4 (2.8) | 2.6 (2.8) | 3.6 (2.8) | 2.6 (2.8) | 3.9 (3.1) | 2.4 (2.6) | 4.3 (3.3) | <.0001, <0.0001, <0.0001, <0.0001 |
| Injury Severity Score, mean (SD) | 5.8 (6) | 5.7 (5.5) | 12.9 (6.6) | 5.7 (5.5) | 12.7 (6.5) | 5.6 (5.4) | 11.3 (6.9) | 5.4 (5.3) | 8.3 (6.7) | <0.0001, <0.0001, <0.0001, <0.0001 |
| Index ED visit disposition | ||||||||||
| Admitted (%) | 9191 (43) | 9008 (42.7) | 183 (71.5) | 8882 (42.5) | 309 (74.1) | 8510 (41.7) | 681 (72.8) | 7246 (40.0) | 1945 (60.1) | |
| Hospital (%) | 7977 (37) | 7797 (37.0) | 180 (70.3) | 7675 (36.7) | 302 (72.4) | 7315 (35.8) | 662 (70.8) | 6151 (34.0) | 1826 (56.4) | <0.0001, <0.0001, <0.0001, <0.0001 |
| Observation unit (%) | 1214 (6) | 1211 (5.7) | 3 (1.2) | 1207 (5.8) | 7 (1.7) | 1195 (5.9) | 19 (2.0) | 1095 (6.0) | 119 (3.7) | 0.002, 0.0004, <0.0001, <0.0001 |
| Discharged | 12,149 (57) | 12076 (57.3) | 73 (28.5) | 12041 (57.5) | 108 (25.9) | 11895 (58.3) | 254 (27.1) | 10859 (60.0) | 1290 (39.9) | |