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Biomedical subjects

E G Robinson

Publications and source records attributed to E G Robinson.

8 recordsLinked to original sources
PubMed1994

Can injurious falls be prevented?

The resident population in facilities changes over time. In some facilities there may be a large turnover of residents; in other types of facilities some residents will remain, age in place and become more frail. In addition, some medical conditions and intrinsic factors cannot be changed. Since there is not a single set of factors that can guide nursing staff as to which residents are at high risk for serious injurious falls, taking some general protective actions is appropriate. Some examples are: Monitoring the use of psychotropic medications through the MDS. Assessing the environment to determine potential risks that can be minimized or abolished. Using hip protectors to reduce hip fractures among elderly residents who fall.

Accidental Falls↗
PubMed1991

Hip fractures among the elderly: factors associated with in-hospital mortality.

Factors associated with mortality were examined for 27,370 hip fracture patients aged 65 years or older in Maryland hospitals, using discharge data for 1979-1988. Variables of interest included sociodemography, principal medical and injury diagnoses, E-code, year, disposition, and hospital. For both white males and white females, the hip fracture rate doubled with each 5-year increment in age. The overall proportion who died during hospitalization was 4.9% (n = 1,339). After multivariate adjustment, there remained a substantially increased risk of death for males. The relative odds (RO) of dying for males versus females were 1.6. Other factors associated with high relative odds of dying during hospitalization included the diagnosis of septicemia (RO = 12.3), pneumonia/influenza (RO = 4.9), and digestive system disorder (RO = 3.6). The RO of dying doubled in the presence of cardiac, neoplastic, or cerebrovascular disease. Patients with diagnoses of nervous system or mental disorder, hypertension, anemia, musculoskeletal system disease, or urinary tract infection were at decreased risk of dying. Results of the study suggest that the prevention or early diagnosis and treatment of serious infections in the elderly patient with a hip fracture remain an important challenge to clinicians.

Black or African American↗
PubMed1991

Risk factors associated with falls and injuries among elderly institutionalized persons.

A case-control study among 184 matched pairs of patients 65 years of age and older was undertaken to identify risk factors associated with falls and injuries in a long-term care facility in Baltimore, Maryland, in 1984-1985. Patients were matched on length of stay. Variables of interest included sociodemography, functional status, medications, and diagnoses. For all levels of care combined, the following factors were associated (p less than or equal to 0.01) with increased falls: being able to walk (relative odds (RO) = 4.0), age 90 years and older (RO = 3.8), a history of falling (RO = 5.0), and taking a vasodilator (RO = 3.0). Among the 184 fallers, the diagnosis of dementia (RO = 7.5) or taking a diuretic (RO = 7.2) was positively associated with injury (p less than or equal to 0.01). In each of the analyses, medications were associated with falls or injuries, suggesting a feasible intervention. The combination of a history of falling, being able to walk, and being 90 years of age or older increased the relative odds to 51.9 and could alert clinicians to identify and monitor high-risk elderly persons in need of preventive measures.

Accidental Falls↗