Assessment of Osteoporosis in Injured Older Women Admitted to a Safety-Net Level One Trauma Center: A Unique Opportunity to Fulfill an Unmet Need
Table 1
Patient demographics and clinical characteristics.
No osteoporosis (L1 HU ≥ 110) = 114
Osteoporosis (L1 HU < 110) = 101
value
Age, years
77.3 ± 8.3
81.4 ± 8.2
<0.001
CCI, score
0 (0–2)
1 (0–2)
0.08
Type of injury
0.76
Fall
62 (54.4)
61 (60.4)
Blunt
49 (43.0)
38 (37.6)
Penetrating
1 (0.9)
0
Other
2 (1.8)
2 (2.0)
Ground-level fall
29 (25.4)
41 (40.6)
0.02
ISS
14 (10–21)
14 (10–18)
0.67
Head AIS
0.51
0
86 (75.4)
82 (81.2)
1
4 (3.5)
4 (4.0)
2
24 (21.1)
15 (14.9)
Received mechanical ventilation
33 (29.0)
23 (22.8)
0.30
ICU LOS, days
2.3 (1.3–4.7)
2.2 (1.5–4.7)
0.75
Hospital LOS, days
6 (4–10)
7 (5–11)
0.20
Disposition
0.21
Home with assist
3 (2.6)
4 (4.0)
Home
37 (32.5)
25 (24.8)
Outpatient acute care
1 (0.9)
1 (1.0)
Rehab
5 (4.4)
1 (1.0)
SNF
55 (48.3)
63 (62.4)
In-hospital death
13 (11.4)
7 (6.9)
Inpatient Cost, $1k
29.3 (17.1–47.7)
29.8 (17.3–51.7)
0.79
Discharged with either osteoporosis diagnosis or medication
42 (41.6)
55 (58.5)
0.02
Preadmission diagnosis/medication
22 (46.8)
26 (45.6)
0.90
New diagnosis/medication
25 (53.2)
31 (54.4)
Readmission within 30 days
19 (19.8)
18 (19.4)
0.94
30-day mortality
1 (1.0)
3 (3.2)
0.36
1-year mortality
5 (5.2)
8 (8.6)
0.36
Data displayed as (%) for categorical data; mean ± standard deviation for continuous, normally distributed data; and median (interquartile range) for discrete or nonnormally distributed continuous data; HU, Hounsfield unit; CCI, updated Charlson Comorbidity Index; ISS, injury severity score; AIS, abbreviated injury score; ICU, intensive care unit; LOS, length of stay; SNF, skilled nursing facility. Among the 195 patients who survived to discharge; among the 189 patients who survived to discharge and have readmission/mortality data available.
