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Canes and Walker Injuries to Older Adults (NEISS data)
Detailed analysis of injuries associated with walkers and canes to people age 65 and up. Estimated 47,312 injuries with walking aids land in the Emergency dept., 87% of which happened with walkers. More than 3/4 were to women; in all age groups, women sustained higher injury rates than men with walkers and canes. Most injuries occurred at home; less than 5% in bathroom or involving rugs. Six-year data 2001-2006, published June 2009 by Journal of American Geriatrics Society; 6-page pdf available free for a limited time
CDC Injury Facts - CDC Injury Center
Traumatic brain injury/concussion (1.4 million sustain a TBI each year), falls, mass casualties, alcohol-related injuries, teen drivers and car accidents, motor vehicle crashes, poisoning, suicide, and violence, and prevention opportunities and more
Falls Can Kill Seniors - 2005 data from CDC
Falls were responsible for 15,800 deaths to seniors in 2005, according to data analyzed by CDC. Falls caused about 1.8 million trips to the ER, and over 433,000 hospitalizations for people ages 65 +. Find out steps you can take: home safety, exercise, eye exams, and medicine use. Fall fatality rate in 2004 was 49% higher for men than women
Falls in the Home and Community
Short fact sheet by the National Safety Council, to educate people to prevent accidental injury and its consequences. including fall-proofing your home, Many additional topics such as Ag Safety, Flooding, Driving at Night, School Bus Safety, are linked in the NSC's extensive Fact Sheet resources
Fractures and Broken Bones (MedlinePlus)
Includes bone scans and bone density tests, facial fractures, stress fractures, greenstick fractures and more
Guide to Home Safety for Seniors (pdf)
Easy to read and practical guide to making one's home safe from injury. Topics include preventing falls in the home (a major problem in the US and Canada), medication safety, and indoor/outdoor checklists, such as examining how you reach your mailbox. Very thoughtful guide by the Public Health Agency of Canada, Division of Aging and Seniors, 2005; reprinted 2008
Seniors, Falls and Preventing Brain Injury (CDC)
Falls are listed as the leading cause of traumatic brain injury (TBI). Materials by the CDC to help family members and caregivers prevent, recognize, and respond to TBI in adults 75 and older.
Traumatic Brain Injury (TBI) Statistics (2007 pdf)
CDC estimates 1.4 million traumatic brain injuries occur each year; most are treated in the ER and released. But, if hospitalized, the most common Type I TBI has an average stay in the hospital of 8.1 days, at an estimated true cost of $19,300 (2004 dollars), and an in-hospital death rate of 13.1%. Most of All TBI patients were privately insured or covered by Medicare; average age was 45 years, and nearly two-thirds were male. Falls and motor vehicle crashes were the top two causes of injury. AHRQ Statistical Brief #27 released March 2007
Truth about ER Visits: 2006 Data from CDC (2008 pdf)
CDC's 2006 Emergency Dept. Summary reveals the median (typical) patient care time in the ER was 1.7 hours. With a median waiting time to see a physician of 31 minutes (mean time was 56 min.), the median total time in ER was 2.6 hours. Percent admitted to the hospital: 12.8%. Main reasons for visit: stomach & abdominal pain, chest pain and fever. Of the 42 million injury-related visits, 20% were for falls - more than twice the rate of motor-vehicle traffic related injuries seen in Emergency Rooms. NCHS Report # 7, released August 6, 2008
Other Helpful Listings
20 Most Expensive Conditions Requiring Hospital Stay, 2006 (pdf)
Heart disease (patients often received PTCA or CABG procedures), childbirth, heart attack (AMI), congestive heart failure (CHF), sepsis, osteoarthritis, pneumonia, complication of a device, implant or graft, and respiratory failure were the top 10 of a list of 20 health conditions that cost the nation the most in hospital charges in 2006 - to the tune of 52% of the total national hospital bill. Bills to private insurance included back pain and complications of surgical procedures or medical care in their top 10; Medicare had Stroke and cardiac dysrhythmias in their top ten; Medicaid included schizophrenia, depression and bipolar disorders; and the uninsured included skin infections, major injuries and fractures, & diabetes hospitalization. 12-page Statistical Brief #59 by AHRQ uses 2006 HCUP data; released September 2008
AMA: 266 Clinical Performance Measures for Physicians, 2009 (pdf)
The American Medical Association's Consortium for Performance Improvement has agreed on 266 measures in 42 clinical topics, that are supported by evidenced-based clinical guidelines. Topics include diabetes, asthma, COPD, heart care, osteoarthritis, osteoporosis, stroke, pneumonia, emergency care, prenatal testing, cancer screening, smoking, prostate cancer care, ear and eye problems, depression, surgical infection prevention, GERD, end-stage renal disease, chronic kidney disease, substance abuse, wound care and more. Written for medical professionals, but consumers might learn something about appropriate physician care
Colorado 2008 Hospital Charges & Length of Stay (pdf)
Find 2008 average charges (prices), a likely range of costs, number of patients and average length of stay by CO hospital name, for 35 common inpatient medical conditions and surgical procedures. Shown by region, e.g. Denver area. At the end of each category (APR-DRG), statewide total averages are shown. You may read the pages free on online, but to be able to print any page, you may have to purchase the $250 report (322 pages). Published by the Colorado Hospital Association Aug. 2009
Fact Sheets on Safety
A great set of safety fact sheets (over 80 topics) from the National Safety Council. Check out Agricultural Safety during planting and harvest seasons, or the other categories: Healthy Living (includes Halloween safety), Environment, On the Road (including Cell phone safety, under D for Distracted Driving), and School Bus Safety
Five Most Costly Medical Conditions, 2006 (2009 pdf)
Heart conditions, trauma-related disorders, mental disorders, cancer and asthma were identified as the top 5 most costly illnesses in 2006. Medical expenditures (payments) according to MEPS data (household component) show average costs were $5176 for a cancer patient, $3964 for someone with heart disease, $1953 per trauma patient, $1591 for mental health care, and $1059 for someone with asthma. Average out of pocket payments by consumers ranged from 8.2% to 25% of these expenditures. Heart disease accounted for $78 billion in payments in 2006. AHRQ Statistical Brief 248, July 2009
Guide to Clinical Preventive Services 2009
Recommendations from the US Preventive Services Task Force (USPSTF) for over 90 Screening tests, Preventive Medication, Immunizations, and Counseling activities. Sample Topics: Screening Mammography at age 50 instead of age 40 (updated), Cancer (e.g. which is more cost effective - colonoscopy or fecal occult blood testing for colorectal cancer?), recommended screening for bladder cancer or skin cancer, Heart Disease (including aspirin for prevention), smoking cessation, screening for depression in children, diabetes screening, folic acid supplements, glaucoma screening, COPD and spirometry
Minnesota - Adverse Health Events in MN Hospitals & Ambulatory Surgery Ctrs 2010
Report of 301 adverse health events required to be reported by Minn. law, that occurred in hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as falls or pressure ulcers (bedsores) that resulted in a patient's death or serious disability, or a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2008 and Oct. 2009. View facility-specific data in the pdf (linked on the right side of the page), or use the searchable database. Adverse Events in the 2010 report came from 58 hospitals and 4 ambulatory surgery centers. Report by MN Department of Health Jan. 2010
New Hampshire Costs - Outpatient Surgery, Tests and Maternity
Shows typical prices for many outpatient procedures, plus inpatient maternity care. NH Health Cost shows expected average cost for over 30 common tests and ambulatory surgeries including colonoscopy, mammogram, ER visit; chest x-ray or x-ray for spine, shoulder, knee, ankle, or foot; bone density scan, CT scan (3 types), MRI for back, brain, knee, or pelvis; myocardial imaging; arthrocentesis, arthroscopy of knee, breast biopsy, destruction of lesion, outpatient gall bladder surgery, hernia repair, kidney stone removal, tonsillectomy, breast ultrasound, and other maternity ultrasound tests, births. Site uses 2007-2008 costs increased by 5% for price inflation, common language instead of requiring codes, and includes physician fees. Must supply zip code and insurance information (or no insurance). Report by The NH Department of Insurance updated 2009
New York City Public Hospitals and Nursing Home Ratings 2009
Compare quality of care ratings for 11 NYC public hospitals (Bellevue, Coney Island, Elmhurst in Flushing, Harlem, Jacobi, Kings County, Lincoln, Metropolitan, North Central Bronx, Queens in Jamaica, and Woodhull in Brooklyn). Topics: heart care and survival rates for heart attack and heart failure; pneumonia, and preventing infections associated with central lines, ventilators (VAP) and surgery. Four nursing homes (Coler-Goldwater, Gourverneur, McKinney, Sea View)also can be compared for pressure ulcers (bedsores), pain management and preventing falls. NYC.gov site uses 2006-2008 data. Nice site, with improved format for facility-specific information. Impressive gains have been made in reducing infections. Editor's pick for the hospital Infections info & nursing home comparisons
Oklahoma - Average Hospital Inpatient Charges, 2007
Find the average charge (closest available to inpatient cost) for a hospital stay by Principal Diagnosis (i.e., disease) or DRG. Statewide or county-specific statistics on volume and average length of stay also found in this dataset. May specify data for a certain age group and sex. Geared to researchers and health care professionals, rather than for consumers. If this website was meant for consumers, it would get the User-Unfriendly Award. 2007 data are the most recent available from the OK State Dept. of Health's Health Care Information
Vermont - 2009 ER and Outpatient Diagnostic Service Prices (pdf)
Compare 2009 hospital prices for physician office visit (new patient averages $49 to $465), Emergency Room, lab work, x-ray & imaging tests. MRI charges averaged $1850 [head & neck] to $2911 [brain] with physician fee, CT scan of head, neck, chest, spine, pelvis, abdomen; mammograms average $327 to $360 with physician charge; ER costs averaged $207 to $1135, depending on Level 1 to 5 (individual cities may be higher or lower), before adding charges for tests or procedures. Specific test prices for urinalysis, glucose, Metabolic Panel ($39 low; $213 high), PSA (average $109), CBC (range $35 to $84), strep test, Pap test, pregnancy test (range $20 to $83), blood typing, OB ultrasound (average $669), bone density dexa scan (avg. $388 with MD fee, listed under x-ray), Cardiology EKG ($1375 for stress EKG) and more. CPT codes listed. Probably the best State site for hospital outpatient diagnostic test and ER cost comparison. Prices good through Sept. 30, 2009. Titles of Tables 3A through 3I are too skimpy to tell you what they contain, so you may have to look through multiple Tables
Vermont - Hospital Outpatient Surgery Prices, 2008 (pdf)
Compare average gross charge (the closest you will get to average cost) for most common outpatient surgical procedures at 14 general hospitals in VT. Prices for procedures such as colonoscopy ($1859 state average, with low of $1255 at Porter Hospital to high of $2816 at North Country), colon polyp removal ($2409 average), cataract surgery (average $4575), endoscopy (stomach endoscopy prices range from $1356 at Southwestern to $3313 at Fletcher Allen), fetal monitoring (average $596), knee cartilage surgery ($5400 average), shoulder surgery, gall bladder removal (average $9353, range $7279 to $20,093 for laparoscopy), breast biopsy (avg. $3068), other biopsies, ear tubes (average $2293), cardiac catheterization (avg. $8271), tonsillectomy (about $4400), nerve block, bunion removal (range $4383 to $10,304), D & C ($3849) and many more procedures; 12-month avg. charges ending Sept. 30, 2008. As with all of Vermont's reports, the font size is about as small as you can get. Nonetheless, Editor's Pick