XXXX among the elderly. Community-based surveillance.

@entity1 @entity1317 @entity130
Falls are a leading cause of fatal and nonfatal injuries among the elderly in the United States. Despite the importance of @entity130 , epidemiological studies of falls among the elderly have identified neither their causes nor the methods to prevent them. Therefore, we established a community-based surveillance system in Miami Beach, Florida, as part of a study to assess falls among the elderly. A total of 1,827 @entity130 events occurred in this community between July 1985 and June 1986. More than 85% (1,567) of the @entity1 who fell and received care were seen in an emergency room. The remaining cases were identified from one of the three other sources used: fire rescue reports, inpatient medical records, or medical examiner reports. Most falls (97%) were coded as accidental (E880-E888). More than 100 @entity1 sought medical assistance for a fall each month. The time of the injury was known for 68% (1,244) of the @entity1 who fell. Seventy-four percent of these falls (921) occurred during daylight hours. Fifty-four percent of the falls (986) occurred in and around the home, and 38% of these had a particular area of the home recorded: 42% occurred in the bedroom, 34% in the bathroom, 9% in the kitchen, 5% on the stairs, 4% in the living room, and the remaining 6% in other areas. This surveillance system will help us use the study to clarify the causes of falls in the elderly and identify and evaluate appropriate prevention efforts. It will also help others in designing and implementing other @entity1317 .
