Elderly Falls in Florida: Defining the Issue, Tackling the Challenge Florida Department of Health Office of Injury Prevention The Appleseed Workshop: Elderly Falls Prevention September 15, 2009

Florida’s Senior Population > 3.26 Million Residents Ages % of Population 56% Female, 44% Male 91% White, 8% Black, 1% Other Non-White (2008)

Objectives By the end of this presentation, workshop participants will understand the basic... 1.Who 2.What 3.When 4.Where 5.& How Much of fall-related injuries among Florida’s residents aged 65 years and older.

What is an Injury? Injury Nature & Body Region Mechanism & Intent Person, Place & Time Burden and Economic Impact “An acute exposure to external physical agents such as mechanical energy, heat, electricity, chemicals, and ionizing radiation, in amounts or at levels above or below the threshold of human tolerance that damage the body.”

The Injury Pyramid Deaths Hospitalizations Emergency Department Visits Other Outpatient & Home Care ----FOCUS*---- *All Data is for Unless Otherwise Noted; 2008 Death Data is Preliminary and Subject to Change

The Big Picture Fall-Related Injuries Among Florida’s Senior Population

Fall-Related Injury Rates* by Year, Florida Seniors, *Deaths and Non-Fatal Hospitalizations/Emergency Department Visits

Fall-Related Injuries by Severity, Florida Seniors, %72%27%

Nature & Body Region Fall-Related Injuries Among Florida’s Senior Population

Most Common Fall-Related Injuries, Florida Seniors, Any Year Deaths Traumatic Brain Injuries, Lower Extremity Injuries, Internal Organ Damage, Fractures Non-Fatal Hospitalizations Hip, Pelvic, Shoulder & Upper Arm Fractures Non-Fatal Emergency Department Visits Head, Face, Neck & Extremity Injuries Superficial Wounds, Contusions, Fractures, Open Wounds, Sprains & Strains

Mechanism & Intent Fall-Related Injuries Among Florida’s Senior Population

Fall-Related Injuries vs. Other Injuries, Florida Seniors, Injury Deaths Non-Fatal Injury Hospitalizations Non-Fatal Injury Emergency Dept Visits

Fall-Related Injuries* by Intent, Florida Seniors, *Deaths and Non-Fatal Hospitalizations/Emergency Department Visits

Most Common Types of Falls*, Florida Seniors, Any Year *Deaths and Non-Fatal Hospitalizations/Emergency Department Visits

Person, Place & Time Fall-Related Injuries Among Florida’s Senior Population

Fall-Related Injuries by Sex, Florida Seniors,

Fall-Related Injury Rates* by Race, Florida Seniors, *Deaths and Non-Fatal Hospitalizations/Emergency Department Visits

Fall-Related Injury Rates* by Age, Florida Seniors, *Deaths and Non-Fatal Hospitalizations/Emergency Department Visits

Fatal Fall-Related Injuries by Place of Fall, Florida Seniors, ≥80% Places of Residence ≥80%

Non-Fatal Fall-Related Injuries* by Place of Fall, Florida Seniors, % *Non-Fatal Hospitalizations/Emergency Department Visits

Fall-Related Injuries by Quarter, Florida Seniors, JUNE JULYAUGUST MAY JANUARY MARCH FEBRUARY APRIL OCTOBERNOVEMBERDECEMBER SEPTEMBER 29% 22% 23% 26% *Deaths and Non-Fatal Hospitalizations/Emergency Department Visits

Burden & Economic Impact Fall-Related Injuries Among Florida’s Senior Population

Non-Fatal Fall-Related Injuries by Cost of Admission/Visit, Florida Seniors, 2008 Median Length of Stay Median Charge Total Charges Emergency Department Visits 0 Days$1,914 $616 Million Hospital Admissions 4 Days$36,602 $1.84 Billion

Non-Fatal Fall-Related Injury Hospitalizations by Discharge Status, Florida Seniors, Continued Medical Care 87%

Personal Costs Loss of Independence Family Strain Quality of Life Fear of Falling Social Isolation Loss of Productivity ………

Questions x2776