Injury Prevention最新文献

{"title":"Risk of bicycle collisions and 'safety in numbers': a natural experiment using the local introduction of e-scooters in England.","authors":"Hannah B Edwards, Frank de Vocht, Russell Jago, Miranda Elaine Glynis Armstrong, Edward Carlton, Yoav Ben-Shlomo","doi":"10.1136/ip-2024-045569","DOIUrl":"10.1136/ip-2024-045569","url":null,"abstract":"<p><strong>Background: </strong>Ecological studies hypothesise a 'safety in numbers' (SiN) effect whereby road safety for bicycles and other micromobility users improves as their numbers increase, due to behavioural changes of motorists. Causal interpretation of these studies is difficult due to confounding and reverse causation. The introduction of electric scooter (e-scooter) rental schemes in selected districts in England meant an increase in micromobility users in these areas, which presented an opportunity to test the SiN hypothesis using a natural experiment.</p><p><strong>Methods: </strong>Time-series analysis of police data on road collisions in local authorities (LAs) in Great Britain, 2015-2023. Random-effects Poisson regression time-series models compared collision rates in LA districts with an e-scooter trial (n=41) versus matched control districts (n=41). Primary outcomes were all road collisions and bicycle collisions. Models adjusted for time; seasonality; baseline collision rate; COVID-19 period; and preintervention/postintervention period (proxied by intervention group/COVID-19 period interaction).</p><p><strong>Results: </strong>The rate of bicycle collisions reduced following the introduction of the schemes, compared with control districts (incidence rate ratio (IRR) 0.78, 95% CI 0.68 to 0.89 during peak COVID-19; IRR 0.87, 95% CI 0.77 to 0.99 in the post-COVID-19 period). This effect was specific to bicycle collisions and strongest in the subgroup of serious/fatal collisions.</p><p><strong>Conclusions: </strong>Findings suggest that the increase of a new and sustainable mode of transport, e-scooters, may have reduced bicycle collisions. This could have far-reaching benefits including reduced injuries, safer environments, and public health and environmental benefits if more people choose bicycles and micromobility over car transport. Findings should be verified in further work.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"859-864"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic, demographic and environmental factors of child drownings in Northern Bangladesh.","authors":"Edris Alam, Khawla Saeed Al Hattawi, Habiba Akter, Jahangir Alam, Elizabeth Alvarez, Fahim Sufi, Md Kamrul Islam, Abu Reza Md Towfiqul Islam","doi":"10.1136/ip-2024-045434","DOIUrl":"10.1136/ip-2024-045434","url":null,"abstract":"<p><strong>Background: </strong>Drowning is the leading cause of death among children aged 0-17 years in rural Bangladesh, resulting in over 14 438 deaths annually-an average of 43 deaths per day. This study aims to identify socioeconomic, demographic and environmental factors linked to child drowning deaths in Northern Bangladesh-a region of high poverty, which is behind in overall socioeconomic indicators compared with other regions in the country.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey through purposive sampling to identify child fatal and non-fatal drownings among a total of 18 004 households, comprising 71 185 people, in 2 unions in Northern Bangladesh. Interviews were conducted between January and March 2024 with the households that experienced child drownings in the region. We employed a mixed-methods approach to data collection, using quantitative analysis to examine socioeconomic, demographic and environmental factors, alongside qualitative analysis to explore situational factors associated with drownings in the region.</p><p><strong>Results: </strong>Through household visits, a total of 117 households were identified that faced child drowning incidents, comprising 84 fatal (71.8 %) and 33 non-fatal (28.2 %) drownings between 2018 and 2023. The households that faced drownings were comparatively of lower income groups, had lower rates of education and were mostly engaged in agriculture and other domestic work. In 2023, the number of drowning incidents was 34. Out of 117 drownings, 95% occurred between 9:00 and 15:00 hours, and more than 82% occurred between June and October. Out of 117 drowning incidents, approximately 97% of children did not know how to swim prior to the incident. Out of 117 respondents, 73.5% stated that they did not teach their child how to swim. Of those who taught their child to swim, the average age for learning to swim was 8.33 years. Out of 84 child drowning deaths, 75% were male and 25% were female, and the average age was 3.9 years. Out of the 84 fatal drowning deaths, 72.6% occurred in ponds.</p><p><strong>Conclusion: </strong>Identification of socioeconomic, demographic and environmental factors associated with child drownings will help to develop feasible prevention strategies and interventions in the region.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"832-841"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying rip current-related drowning deaths and exposure on Australian beaches.","authors":"Sean Kelly, Jessica Ledger, William Koon, Robert Brander, Amy E Peden, Shane Daw, Jasmin C Lawes","doi":"10.1136/ip-2024-045565","DOIUrl":"10.1136/ip-2024-045565","url":null,"abstract":"<p><strong>Background: </strong>Rip currents are the leading coastal hazard on Australian beaches and a significant contributor to coastal drowning. This comprehensive study explored the long-term epidemiology and exposure-based mortality rates of Australian rip current drowning deaths, with the purpose of informing rip-related education efforts to reduce coastal drowning risk.</p><p><strong>Methods: </strong>A retrospective descriptive analysis of rip current drowning deaths between 1 July 2004 and 30 June 2023 was conducted, and rip current involvement was determined using data triangulation methods (incident narrative, beach imagery and expert opinion). Temporal trends were examined using Joinpoint regression, while Australian population and coastal participation data were used to calculate mortality rates.</p><p><strong>Results: </strong>407 rip current drowning deaths were identified (21 deaths/year); an exposure-based mortality rate of 0.11/1 million coastal visits. Incidents predominantly involved males (85%), 20-34 years (38%), occurred in regional/remote areas (59%) and in the presence of others (80%). For every rip current drowning death, an estimated 2449 people were rescued by someone else and 8171 individuals self-rescued.</p><p><strong>Discussion: </strong>Despite small reductions in the rate of rip current drowning among males, little overall progress has been seen in attempts to decrease the mortality burden. Future efforts will require an expanded approach, beyond traditional means.</p><p><strong>Conclusions: </strong>Rip currents remain a significant public health threat and the number one coastal hazard contributing to preventable mortality along Australia's coastline.</p><p><strong>Implications for public health: </strong>Improved rip current education approaches, development and evaluation are needed to direct effective messaging to at-risk groups.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"871-877"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitigating unintentional injury deaths in sport and recreation: insights from 14 years of coroner recommendations in Québec, Canada.","authors":"Philippe Richard, Mathieu Gagné, Jérémie Sylvain-Morneau, Paul-André Perron, Maxime Charbonneau","doi":"10.1136/ip-2024-045445","DOIUrl":"10.1136/ip-2024-045445","url":null,"abstract":"<p><strong>Background: </strong>Unintentional injury deaths in sport and recreation represent a significant public health concern. This study analysed coronial recommendations related to such deaths, focusing on case specifics and recurring themes from January 2006 to December 2019.</p><p><strong>Methods: </strong>This mixed-methods study used data from the Bureau du coroner du Québec. Reports with recommendations were analysed by sex, age group, context, mechanism and activity. A four-phase thematic analysis was conducted to emphasise the developed themes and connect them with the existing literature.</p><p><strong>Results: </strong>Of 1937 coronial reports reviewed, 13.3% (n=258) contained at least one recommendation, totalling 609 recommendations (31 per 100 activity-related deaths). Reports were more likely to contain at least one recommendation for women (20.3%, p=0.0004), paediatric populations (≤5 years: 30.3%, p<0.0001; 6-11 years: 29.3%, p=0.0003; 12-17 years: 27.6%, p<0.0001), and organised events (55.0%, p<0.0001), despite most deaths occurring among men, adults and during unstructured events. All-terrain vehicle and snowmobile activities showed significantly lower rates of reports with recommendations (8.1%, p=0.0008 and 8.6%, p=0.0044, respectively). Most frequently addressed themes were <i>Development, inspection and modification of bicycle infrastructure</i> for cycling and <i>Lake and river safety measures</i> for swimming. <i>Conflict with other types of users</i> was the top theme for land motorsports, while <i>Personal flotation device use</i> was the most common for navigation activities.</p><p><strong>Conclusions: </strong>Patterns from reports with recommendations will be shared with the Bureau du Coroner du Québec to improve coronial practices. Integrating recurrent themes and recommendations with activity-specific risk factors will help identify critical patterns and inform preventive measures holistically.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"745-751"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of indications of alcohol and drug use among patients treated for injurious falls by Emergency Medical Services in the USA.","authors":"Nicole G Itzkowitz, Kathryn G Burford, Remle P Crowe, Henry E Wang, Alexander X Lo, Andrew G Rundle","doi":"10.1136/ip-2024-045447","DOIUrl":"10.1136/ip-2024-045447","url":null,"abstract":"<p><strong>Objective: </strong>The association between alcohol consumption and increased injuries from falls is well established, but there is a lack of data on the prevalence of substance use by fall type. This study aims to describe the distribution of alcohol and drug involvement in injurious falls.</p><p><strong>Methods: </strong>Using the 2019 National Emergency Medical Services (EMS) Information System data set, we identified 1 854 909 patients injured from falls requiring an EMS response and determined the fall location (eg, indoors or on street/sidewalk). We analysed data on the EMS clinician's notation of alcohol or drug involvement and Glasgow Coma Scale.</p><p><strong>Results: </strong>Overall, for 7.4% of injurious falls, there was a notation of substance use: 6.5% for alcohol alone, 0.6% for drugs and 0.3% for alcohol and drugs. 21.2% of falls that occurred on a street or sidewalk had a notation of substance use. Substance use prevalence was highest, at 30.3%, in the age group 21-64 years, for falls occurring on streets and sidewalks, without syncope or heat illness as contributing factors. Reported substance use involvement was more frequent for men compared with women for each location type. Glasgow Coma Scale scores indicative of moderate or severe trauma were more prevalent among falls involving alcohol and/or drugs.</p><p><strong>Conclusions: </strong>Overall, one in five injurious falls on streets and sidewalks and requiring EMS attention involved substance use, and these numbers likely underestimate the true burden. As cities seek to expand nightlife districts, design strategies to protect pedestrians from falls should be enacted.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"772-779"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head and neck injuries from personal motorised vehicles in the United States.","authors":"Shaun Edalati, Sujay Ratna, Jacqueline Slobin, Nathan J Wallace, Satish Govindaraj, Alfred Marc Iloreta","doi":"10.1136/ip-2024-045453","DOIUrl":"10.1136/ip-2024-045453","url":null,"abstract":"<p><strong>Background: </strong>The use of personal electric vehicles in the United States has increased head and neck injuries. This study analyses the types, frequencies, demographics and management of these injuries across motorised vehicles.</p><p><strong>Methods: </strong>This study uses 2020-2023 data from the National Electronic Injury Surveillance System to analyse injuries from various powered vehicles, incorporating diagnostic, event-related and demographic factors. In addition, the study evaluates non-powered skateboard-related injuries, which provided a comparable baseline for motorised vehicle injuries.</p><p><strong>Results: </strong>Our analysis included 3721 head and neck injuries: 1359 from scooters, 1743 from skateboards and 619 from hoverboards. Males sustained most injuries, accounting for 64% of scooter accidents, 74% of skateboard accidents and 58% of hoverboard accidents. Hospitalisation was required in 10% of scooter accidents, 9.2% of skateboard accidents and 6.9% of hoverboard accidents. Males, alcohol use and drug use were associated with increased risk of hospitalisation (p=0.00002, p=0.00004 and p<0.00001, respectively). Internal injury (37%) and lacerations (24%) were the most common types of injury. In cases, wear helmets were worn involving helmets, there were no significant differences in hospitalisation rates.</p><p><strong>Discussion: </strong>These findings underscore the need for improved injury prevention strategies, including more effective helmet designs and infrastructure enhancements, to reduce the growing burden of micromobility vehicle-related head and neck injuries.</p><p><strong>Conclusion: </strong>The rising incidence of head and neck injuries associated with personal mobility vehicles highlights the need for injury management and prevention strategies. Helmets may mitigate head and neck injuries associated with motorised scooters, skateboards and hoverboards.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"813-817"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare spending and factors associated with fall injury in Australia residential aged care: a cohort analysis.","authors":"Charles Okafor, Namal N Balasooriya, Amy T Page, Anne-Marie Hill, Christopher D Etherton-Beer, Tracy Comans","doi":"10.1136/ip-2024-045516","DOIUrl":"10.1136/ip-2024-045516","url":null,"abstract":"<p><strong>Background: </strong>Given that fall injury is a critical public health concern in Australia, understanding the economic implications of falls among older adults is crucial to allocating healthcare resources efficiently to reduce falls and improve quality of life. This study therefore aimed to estimate the cost and identify factors associated with fall-related injuries within residential aged care (RAC).</p><p><strong>Methods: </strong>A cohort analysis from the healthcare system perspective based on data from a double-blinded randomised controlled trial-the Opti-Med trial. The trial participants were 303 people aged ≥65 years. Identification of in-scope data from the trial dataset was achieved using the falls description note and the National Hospital Cost Data Collection diagnostic related group classification system. Data analyses were performed using STATA V.17. All costs were adjusted to 2022 Australian dollars.</p><p><strong>Results: </strong>On average, the cost of an injurious fall per incident was $2494 (SD=$6199), while the average cost of falls per resident annum was $1798 (SD=$6002). The potential cost of injurious falls per annum in Australia's RAC system was $325 million. Sex and body mass index (BMI) were identified factors associated with fall injury. There was an inverted U-shaped relationship between BMI and falls risk in RAC.</p><p><strong>Conclusions: </strong>The healthcare spending on fall injury per resident annum in RAC represents 20% of the 2021-2022 healthcare expenditure per capita. The high cost and inverted U-shaped relationship between BMI and falls risk underscores the need for more effective and RAC-tailored falls prevention strategies in this setting.</p><p><strong>Trial registration numbers: </strong>Australian New Zealand Clinical Trial Registry (ACTRN12613001204730); WHO Universal Trial (U1111-1148-6094).</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"752-757"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting 90-day return to the emergency department in orthopaedic trauma patients in the Southeastern USA: a machine-learning approach.","authors":"Bruno Valan, Aaron Therien, Emily Peairs, Solomon Ayehu, Joshua Taylor, Daniel Zeng, Steven Olson, Rachel Reilly, Christian Pean, Malcolm DeBaun","doi":"10.1136/ip-2024-045358","DOIUrl":"10.1136/ip-2024-045358","url":null,"abstract":"<p><strong>Introduction: </strong>Return-to-acute-care metrics, such as early emergency department (ED) visits, are key indicators of healthcare quality, with ED returns following surgery often considered avoidable and costly events. Proactively identifying patients at high risk of ED return can support quality improvement efforts, allowing interventions to target vulnerable patients. With its predictive capabilities, machine learning (ML) has shown potential in forecasting various clinical outcomes but remains underutilised in orthopaedic trauma. This study uses a random forest model to predict 90-day ED return in orthopaedic trauma patients, aiming to identify high-risk individuals and elucidate risk factors associated with returns. This study hypothesised that a highly accurate model could be developed to predict patients at high risk of ED return within 90 days of surgery.</p><p><strong>Purpose: </strong>To develop and validate an ML model that predicts 90-day ED returns after orthopaedic trauma surgery using input data readily available in the electronic health record.</p><p><strong>Methods: </strong>This is a retrospective model development and validation study. The study used data from a registry that includes information on all orthopaedic surgeries conducted at a level 1 academic medical centre. Patients who underwent orthopaedic trauma between 1 January 2017 and 1 March 2023 were identified using common procedural terminology code. The model used demographic, comorbid and perioperative variables. Return to the ED was captured as a binary outcome. Model performance was evaluated using the area under the receiver operator curve (AUROC).</p><p><strong>Results: </strong>A total of 12 069 patients met the inclusion criteria. Patients were predominantly female (53%) and white (70%), with a median age of 55. The 90-day ED return rate was 14% (table 1). The random forest model identified body mass index, distance from the patient's residence to the hospital, age, length of hospital stay and complexity of procedure (work relative value unit) as significant predictors of ED return, each accounting for greater than 10% of the total importance across all features in the model (table 2). Further, the model displayed strong discrimination of patients returning to the ED (AUROC=0.74) (figure 1).</p><p><strong>Conclusions: </strong>The random forest model demonstrated predictive discrimination of 90-day ED returns. Critical predictors such as patient distance from the hospital suggest considering geographical and socioeconomic factors in postdischarge care planning. Operational factors such as length of stay or complexity of the procedure also predicted return to the ED. The study lays the groundwork for future predictive models in clinical decision-making and healthcare resource utilisation.</p><p><strong>Level of evidence: </strong>Level III, retrospective model development and validation study.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"808-812"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the association between a periodic safe-ride program and urban alcohol-impaired driving crashes in Quebec, Canada: a cross-sectional time-series analysis.","authors":"Asma Mamri, José Ignacio Nazif-Munoz, Thomas Gordon Brown, Marie Claude Ouimet","doi":"10.1136/ip-2024-045532","DOIUrl":"10.1136/ip-2024-045532","url":null,"abstract":"<p><strong>Introduction: </strong>In Canada, alcohol-impaired driving is a persistent public health concern in need of effective community-based prevention strategies. This study examined the association between the number of rides offered by a safe-ride program in the province of Quebec every December and alcohol-related injury crashes during the 2000-2019 period.</p><p><strong>Method: </strong>Safe-ride programs in four cities were examined (Montreal, Quebec, Sherbrooke and Trois-Rivières) using an ecological approach. The data set was structured as a balanced cross-sectional time series. Random-effects negative binomial regression modelled the relationship between the number of rides provided by the safe-ride program and night-time alcohol-related crashes involving serious injuries and fatalities, with individual city population as an offset variable.</p><p><strong>Results: </strong>The median number of night-time alcohol-related crashes for the months of December for the 2000-2019 period was 3.0 (IQR=1.5-4.5). The median number of rides offered was 16 894 (IQR=15 586-18 391). The association between the number of rides provided by the safe-ride program and night-time alcohol-related crashes (IRR=1.0002; 95% CI 0.9999, 1.0005) was not significant.</p><p><strong>Conclusion: </strong>The role of the number of rides provided by the safe-ride program in reducing night-time alcohol-related crashes was inconclusive. Specific program features may influence the findings. Future research is needed to understand the specific characteristics of safe-ride programs that could influence their putative benefits.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"827-831"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growing problem: frailty in midlife adult trauma patients in the USA.","authors":"Colleen Bloeser, Jacklyn Maye Engelbart, Patrick Ten Eyck, James C Torner, Colette Galet, Dionne A Skeete","doi":"10.1136/ip-2024-045436","DOIUrl":"10.1136/ip-2024-045436","url":null,"abstract":"<p><strong>Background: </strong>Unintentional falls are the greatest cause of injury-related hospitalisation in adult patients. Frailty is an important contributor to fall risk and poor outcomes in both midlife and older adult trauma patients. Despite this, the incidence of frailty remains understudied among midlife adults, and the CDC fall screening guidelines are limited to older adults. Here, we assessed the incidence of frailty among midlife and older trauma patients in the USA.</p><p><strong>Methods: </strong>This was a retrospective study using the Trauma Quality Improvement Program database in midlife (aged 50-64 years) and older adult (aged 65 years and older) trauma patients from 2012 to 2021. Frailty was assessed using the five-item Modified Frailty Index. The adjusted change of frailty incidence over the study period was evaluated via Poisson regression.</p><p><strong>Results: </strong>Frailty incidence in midlife trauma patients rose from 2.4% in 2012 to 5.1% in 2021. The adjusted annual incidence rate ratio (IRR) for midlife frailty was 1.08 (95% CI 1.08, 1.09). Among older adult patients, frailty incidence rose from 6.4% to 14.7%, with an adjusted annual frailty IRR of 1.10 (95% CI 1.10, 1.10).</p><p><strong>Conclusion: </strong>Frailty is rising in both the midlife and older adult populations, indicating that these groups present increasing risk for unintentional falls and further morbidity and mortality. This underscores the necessity of fall screening in both midlife and older adult patients alongside further explorations into methods to delay the onset of frailty.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"740-744"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12641544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}