HLT51612 Nursing
Question:
The hospital separations analysed in this report were coded according to the sixth edition ofthe International Classification of Diseases, 10th Revision, Australia Modification (ICD-10-AM). The report examines all NHMD records for people aged 65 and older that included both a community injury diagnosis (S00–T75 or T79) and an external cause code signifying an unintentional fall (W00–W19) in the financial year 2009–10. These codes could appear anywhere within the record (that is, analysis was not restricted to records that had a principal diagnosis indicating that the injury was the chief reason for the episode of hospital care).
This report also includes an analysis of NHMD records for people aged 65 and olderthat included the diagnosis code R29.6 (tendency to fall, not elsewhere classified). Two major aspects of hospitalised fall-related injury are covered:
1. The annual incidence of new cases.
2. The burden to the hospital system (the additional admitted patient episodes of fallrelated care, the health interventions undertaken and the patient days attributed to these episodes).
1. The annual incidence of new cases.
2. The burden to the hospital system (the additional admitted patient episodes of fallrelated care, the health interventions undertaken and the patient days attributed to these episodes).
The structure of this report is similar to that of reports for previous years. Chapter 2 presents the estimated annual incidence of fall events resulting in injury and hospitalisation in 2009– 10 for people aged 65 and older, while Chapter 3 describes the characteristics of these fall injury cases, including the mechanism and circumstances (place of occurrence, activity when injured).
Chapter 4 discusses the burden to the hospital system of fall-related episodes of admitted patient care. The section briefly describes a set of separations omitted from Chapters 2 and 3; the hospital records that meet our definition of an incident case, but have been generated through an admitted patient’s transfer from one hospital to another (‘inward transfers’). Including these separations in incidence estimates would result in the multiple counting of some injurious fall events. Chapter 4 also presents estimates of additional hospital episodes involving fall-related injuries for people aged 65 and older in 2009–10, principally admitted patient care that can be characterised as either ‘fall-related follow-up care’ or ‘other fallrelated’ hospital separations.
Answer:
The estimated number of the fall incidents in the people aged 5 years and older in the year 2012-2013 was 98,704. The rates of the fall increased over the 11 years to June 2013 accounting for about 35 per year. 31,735 in the males to that of 66,969 for that of the females. This showed that females than suffered almost twice the number of falls that of the males.
Mortality rate due to falls-aged 65 and above (compare with previous data)-changes For the people above 65 years old, the rate of mortality was found to be 696 a rate of 52.7/100,000 population. Morbidity rate due to falls-aged 65 and over (compare with previous data)-changes For the people above 65 years old, the rate of morbidity was found to be 40,889 a rate of 3,126/100,000 population (compared with 38,487 a rate of 2,993/100,000 population in 2015/16) Disability rate due to falls-aged 65 and over (compare with previous data)-changes 50.7 % of the older adults had faced disability due to fall in the year 2015
111222 people aged over the 65 years of age had been hospitalised due to fall in the year 2014 to 2015 About 92,150 fall injuries are involving people 65 years and older and have been hospitalised in the year 2010 to 2011 The main increase in the age-standardized rate of Head injury occurring due to fall over the 13 years to June 2013 was estimated to be 6.8% per year for women and the rate of the men is seen to be increased by 6.8%.
Open wound was found to be present for about 6258 men and 7689 women who had suffered falls in the year 2014-2015. Fracture as present in 16550 males and 44079 females. Dislocation injury is present in 625 males and 1111 females who have suffered a fall in the year 2014-2015.
In the year 2015-2016, about 34000 falls had resulted from the patient harm in the hospitals. It took place at a rate of 3.2 falls per 1000 separations The total cost of the healthcare associated with that of the fall injuries in the older people in NSW was about $558.5 million in the year 2006-2007.studies have shown that hospital admitted cases accounted for about 84.5 per cent of the total costs.
These are seen to include pain, bruising, haematomas, scratches and other superficial wounds, lacerations, intracranial bleeding and lacerations. The number of patient days also becomes quite higher along with increase total cost of hospitalisation along with expenditure of resources.
About 33904 fall related cases came back for follow-up care separations for the people who are aged 65 years and older and were identified in the year 2009 and 2010. There was a 14% increase in this aspect for the previous years.
References
References: Aihw.gov.au, 2009, Hospitalizations due to falls by older people, Australia 2009–10 , Australian Institute of Health and Welfare [online] retrieved from: https://www.aihw.gov.au/reports/injury/hospitalisations-falls-older-people-2009-10/contents/table-of-contents; Accessed on: 11th October Aihw.gov.au, 2014
Trends in hospitalized injury due to falls in older people 2002–03 to 2014–15, Australian Institute of Health and Welfare [online] retrieved from: https://www.aihw.gov.au/getmedia/39e62afd-7207-460d-aaa6-4f0c95ae665a/aihw-injcat-191.pdf.aspx?inline=true Accessed on: 11th October Health.nsw.gov.au, 2006,
The Incidence and Cost of Falls Injury Among Older People in New South Wales, NSW Department Of Health 2006/07 retrieved from: https://www.health.nsw.gov.au/falls/Publications/incidence-cost-of-falls.pdf Accessed on: 11th October.
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