Injury

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Most costly disease process in the U.S.

Approximately 2.2 million people 15 years or older sustain unintentional, nonfatal injuries each year.

Injury related conditions are the most common reasons for visitation to emergency departments.

Injury is the leading cause of death in the US in Patients younger than 45 years.

The most frequent injuries are falls and motor vehicle accidents.

Majority of emergency department injury-related visits are for minor head injuries, sprains and contusions.

Women are at higher risk than men for falling and for sustaining fall related injury.

Between 1998 and 2007 there was a threefold increase in the prevalence of CT or MRI imaging for emergency department visits for injury-related conditions, without an increase in the prevalence of diagnosis of life threatening conditions or a change in the disposition of patients(Korley FK et al).

In approximately 15% of patients who presented with injury related conditions in 2007 received a CT or MRI scan.

Approximately 1% of all unintentional injuries among individuals aged 15 years or greater are bathroom related.

Bathroom related injuries increase with age and are highest for persons 85 years or above.

80% of all bathroom injuries caused by falls.

In 2008 an estimated 234,094 unintentional nonfatal injuries occurred in bathrooms among persons aged 15 years or older, foreign injury rate of 96.4 per one hundred thousand population.

CDC analysis of non-fatal injuries treatied in US Hospital ED’s found a lifetime medical and work lost costs related to those injuries affecting roughly 30,000,000 patients per year, amounted to $457 billion in 2013.

The National Electronic Injury Surveillance System-All Injury Program for 2013 revealed that the ED non-fatal injuries resulting in hospitalization was 951 per hundred thousand people and for patients who were treated and released, the rate was 8549 injuries per 100,000 people.

In the above study falls accounts for the largest share of injury costs at 37%, followed by transportation related injuries, primary vehicle crashes at 21%.

Nearly 90% of all ED treated injuries were for unintentional injuries.

The economic burden is much higher for assaults and self harm injuries.

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