Table 1.
Characteristics | No Self-reported Falls (n=35) |
Any Self-reported Fall (Not Including ED Study Visit Day) (n=34) |
Fall on ED Study Visit Day (n=20) |
|||
---|---|---|---|---|---|---|
N | Mean/% | N | Mean/% | N | Mean/% | |
Age (Mean, in years) | 33 | 75.3 | 34 | 75.9 | 20 | 78.6 |
Gender (%) | ||||||
Female | 20 | 57.1 | 21 | 61.8 | 16 | 80.0 |
Male | 14 | 40.0 | 12 | 35.3 | 4 | 20.0 |
Race/Ethnicity (%) | ||||||
White Non-Hispanic | 29 | 82.9 | 31 | 91.2 | 19 | 95.0 |
Black/African-American | 2 | 5.7 | 1 | 2.9 | 1 | 5.0 |
White Hispanic | 1 | 2.9 | 0 | 0.0 | 0 | 0.0 |
Black Hispanic | 1 | 2.9 | 0 | 0.0 | 0 | 0.0 |
Asian | 1 | 2.9 | 0 | 0.0 | 0 | 0.0 |
American Indian/Alaskan Native | 0 | 0.0 | 1 | 2.9 | 0 | 0.0 |
Educational level (%) | ||||||
Less than high school graduate | 1 | 2.9 | 6 | 17.6 | 4 | 20.0 |
High school graduate / GED# | 22 | 62.9 | 16 | 47.1 | 9 | 45.0 |
Any college | 4 | 11.4 | 5 | 14.7 | 4 | 20.0 |
College graduate | 6 | 17.1 | 5 | 14.7 | 3 | 15.0 |
Health insurance status (%) | ||||||
Private | 5 | 14.3 | 3 | 8.8 | 2 | 10.0 |
Governmental | 3 | 8.6 | 4 | 11.8 | 5 | 25.0 |
Private and governmental | 26 | 74.3 | 25 | 73.5 | 13 | 65.0 |
Employment status (%) | ||||||
Working full-time | 4 | 11.4 | 4 | 11.8 | 3 | 15.0 |
Working part-time | 4 | 11.4 | 2 | 5.9 | 0 | 0.0 |
Retired and not working | 24 | 68.6 | 25 | 73.5 | 15 | 75.0 |
On disability and not working | 2 | 5.7 | 2 | 5.9 | 2 | 10.0 |
Living arrangements (%) | ||||||
Nursing home resident | 0 | 0.0 | 1 | 2.9 | 1 | 5.0 |
Assisted living resident | 2 | 5.7 | 1 | 2.9 | 1 | 5.0 |
Lives with others, not in a facility | 23 | 65.7 | 20 | 58.8 | 11 | 55.0 |
Lives alone, not in a facility | 9 | 25.7 | 11 | 32.4 | 7 | 35.0 |
Triage acuity (%) | ||||||
ESI 1° | 2 | 5.7 | 0 | 0.0 | 0 | 0.0 |
ESI 2 | 9 | 25.7 | 13 | 38.2 | 7 | 35.0 |
ESI 3 | 21 | 60.0 | 18 | 52.9 | 12 | 60.0 |
ESI 4 or ESI 5 | 1 | 2.9 | 1 | 2.9 | 1 | 5.0 |
Unassigned | 0 | 0.0 | 1 | 2.9 | 0 | 0.0 |
Cognitive and functional ability | ||||||
Cognitive Six-item Screener score (%) | ||||||
4 | 3 | 8.6 | 6 | 17.6 | 6 | 30.0 |
5 | 6 | 17.1 | 5 | 14.7 | 5 | 25.0 |
6 | 24 | 68.6 | 22 | 64.7 | 8 | 40.0 |
Barthel’s ADL score (mean) | 33 | 19.0 | 31 | 18.3 | 19 | 18.4 |
Comorbidities associated with fall risk (%) | ||||||
Memory loss | 4 | 11.4 | 10 | 29.4 | 5 | 25.0 |
Arthritis | 11 | 31.4 | 23 | 67.7 | 12 | 60.0 |
Hypotension | 3 | 8.6 | 8 | 23.5 | 2 | 10.0 |
Dizziness | 11 | 31.4 | 17 | 50.0 | 7 | 35.0 |
Anemia | 3 | 8.6 | 4 | 11.8 | 1 | 5.0 |
Parkinson’s disease | 0 | 0.0 | 1 | 2.9 | 1 | 5.0 |
Heart disease | 10 | 28.6 | 14 | 41.2 | 4 | 20.0 |
Stroke | 3 | 8.6 | 3 | 8.8 | 1 | 5.0 |
Diabetes | 6 | 17.1 | 12 | 35.3 | 2 | 10.0 |
None | 9 | 25.7 | 1 | 2.9 | 5 | 25.0 |
Substance use (%) | ||||||
Smoke ≥ 1 pack of cigarettes a week | ||||||
No | 32 | 91.4 | 31 | 91.2 | 17 | 85.0 |
Yes | 0 | 0.0 | 3 | 8.8 | 3 | 15.0 |
Drink ≥ 1 alcoholic drink per week | ||||||
No | 29 | 82.9 | 27 | 79.4 | 14 | 70.0 |
Yes | 4 | 11.4 | 5 | 14.7 | 6 | 30.0 |
Number of fall-risk increasing medications taken* (%) | ||||||
0 | 11 | 31.4 | 12 | 35.3 | 7 | 35.0 |
1 | 9 | 25.7 | 8 | 23.5 | 3 | 15.0 |
2 | 2 | 5.7 | 2 | 5.9 | 1 | 5.0 |
3 | 0 | 0.0 | 3 | 8.8 | 1 | 5.0 |
Note: Percentages do not add up to 100% due to refused, don’t know, and missing responses.
GED – General Education Diploma
ESI – Emergency Severity Index – is a triage scoring tool used in Emergency Departments, with ESI 1 designation given to the most critical patients.
Beers criteria fall-risk increasing medications: anticonvulsants, antipsychotics, benzodiazepines, nonbenzodiazepine / benzodiazepine receptor agonist, hypnotics, eszopiclone, zaleplon, zolpidem, tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), opioids