What Doesn't Kill You Doesn't Make You Stronger: The Long-Term Consequences of Nonfatal Injury for Older Adults

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: The majority of research efforts centering on injury among older adults focus on fall-related injuries and shortterm consequences of injury. Little is known about the long-term consequences of all-cause nonfatal injuries, including minor injuries. Using a recent, large, and nationally representative sample of the U.S. non-institutionalized civilian population, the current study examines whether older adults who sustained a nonfatal injury (serious and minor) have higher risk of long-term morbidity and mortality outcomes compared with noninjured seniors. Methods: Linked National Health Interview Survey-Medical Expenditure Panel Survey (NHIS-MEPS) data were used to ft logistic and 2-part models to estimate associations between injury incidence and later injury, hospitalization incidence, and length of hospital stay during the 2.5 years following the NHIS interview among 16,109 older adults. Data from the linked National Health Interview Survey-National Death Index (NHIS-NDI) fles were used to estimate a Cox proportional hazards model to examine the association between injury incidence and mortality for up to 11 years after the initial interview among 79,504 older adults. Results: Relative to no injury, serious nonfatal injury was signifcantly associated with increased risk of another injury, hospitalization, and mortality. Minor injuries were signifcantly related to higher risk of later injury and mortality. Implications: Because even minor injuries are strongly associated with increased risks of later injury and mortality, preventing injury among seniors may be an effective way to improve quality of life and reduce declines in functional capacity. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.
Original languageEnglish
Pages (from-to)759-767
Number of pages9
JournalGerontologist
Volume58
Issue number4
DOIs
StatePublished - 2018

Fingerprint

Wounds and Injuries
Mortality
Interviews
Health Surveys
Length of Stay
Incidence
Hospitalization
Health Expenditures
Proportional Hazards Models
Quality of Life
Morbidity
Research

Bibliographical note

Export Date: 26 December 2018

CODEN: GRNTA

Correspondence Address: Drew, J.A.R.; Minnesota Population Center, University of MinnesotaUnited States; email: jrivdrew@umn.edu

Funding details: Eunice Kennedy Shriver National Institute of Child Health and Human Development, NICHD

Funding details: University of Minnesota, UM, R24HD041023

Funding details: National Institutes of Health, NIH

Funding text 1: This research was supported by Grant Number R01HD046697 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), a component of the National Institutes of Health (NIH). The study was conducted at the University of Minnesota’s Minnesota Population Center (funded by NICHD Grant Number R24HD041023).

Keywords

  • Analysis: Regression models
  • Analysis: Survival analysis
  • Death and dying
  • Health
  • Hospital/ambulatory care

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

Cite this

What Doesn't Kill You Doesn't Make You Stronger: The Long-Term Consequences of Nonfatal Injury for Older Adults. / Xu, D.; Drew, J.A.R.

In: Gerontologist, Vol. 58, No. 4, 2018, p. 759-767.

Research output: Contribution to journalArticle

@article{0dd8a1b7acc5498a8e19c4b85c41b677,
title = "What Doesn't Kill You Doesn't Make You Stronger: The Long-Term Consequences of Nonfatal Injury for Older Adults",
abstract = "Purpose: The majority of research efforts centering on injury among older adults focus on fall-related injuries and shortterm consequences of injury. Little is known about the long-term consequences of all-cause nonfatal injuries, including minor injuries. Using a recent, large, and nationally representative sample of the U.S. non-institutionalized civilian population, the current study examines whether older adults who sustained a nonfatal injury (serious and minor) have higher risk of long-term morbidity and mortality outcomes compared with noninjured seniors. Methods: Linked National Health Interview Survey-Medical Expenditure Panel Survey (NHIS-MEPS) data were used to ft logistic and 2-part models to estimate associations between injury incidence and later injury, hospitalization incidence, and length of hospital stay during the 2.5 years following the NHIS interview among 16,109 older adults. Data from the linked National Health Interview Survey-National Death Index (NHIS-NDI) fles were used to estimate a Cox proportional hazards model to examine the association between injury incidence and mortality for up to 11 years after the initial interview among 79,504 older adults. Results: Relative to no injury, serious nonfatal injury was signifcantly associated with increased risk of another injury, hospitalization, and mortality. Minor injuries were signifcantly related to higher risk of later injury and mortality. Implications: Because even minor injuries are strongly associated with increased risks of later injury and mortality, preventing injury among seniors may be an effective way to improve quality of life and reduce declines in functional capacity. {\circledC} The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.",
keywords = "Analysis: Regression models, Analysis: Survival analysis, Death and dying, Health, Hospital/ambulatory care",
author = "D. Xu and J.A.R. Drew",
note = "Export Date: 26 December 2018 CODEN: GRNTA Correspondence Address: Drew, J.A.R.; Minnesota Population Center, University of MinnesotaUnited States; email: jrivdrew@umn.edu Funding details: Eunice Kennedy Shriver National Institute of Child Health and Human Development, NICHD Funding details: University of Minnesota, UM, R24HD041023 Funding details: National Institutes of Health, NIH Funding text 1: This research was supported by Grant Number R01HD046697 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), a component of the National Institutes of Health (NIH). The study was conducted at the University of Minnesota’s Minnesota Population Center (funded by NICHD Grant Number R24HD041023).",
year = "2018",
doi = "10.1093/geront/gnw252",
language = "English",
volume = "58",
pages = "759--767",
journal = "Gerontologist",
issn = "0016-9013",
publisher = "Gerontological Society of America",
number = "4",

}

TY - JOUR

T1 - What Doesn't Kill You Doesn't Make You Stronger: The Long-Term Consequences of Nonfatal Injury for Older Adults

AU - Xu, D.

AU - Drew, J.A.R.

N1 - Export Date: 26 December 2018 CODEN: GRNTA Correspondence Address: Drew, J.A.R.; Minnesota Population Center, University of MinnesotaUnited States; email: jrivdrew@umn.edu Funding details: Eunice Kennedy Shriver National Institute of Child Health and Human Development, NICHD Funding details: University of Minnesota, UM, R24HD041023 Funding details: National Institutes of Health, NIH Funding text 1: This research was supported by Grant Number R01HD046697 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), a component of the National Institutes of Health (NIH). The study was conducted at the University of Minnesota’s Minnesota Population Center (funded by NICHD Grant Number R24HD041023).

PY - 2018

Y1 - 2018

N2 - Purpose: The majority of research efforts centering on injury among older adults focus on fall-related injuries and shortterm consequences of injury. Little is known about the long-term consequences of all-cause nonfatal injuries, including minor injuries. Using a recent, large, and nationally representative sample of the U.S. non-institutionalized civilian population, the current study examines whether older adults who sustained a nonfatal injury (serious and minor) have higher risk of long-term morbidity and mortality outcomes compared with noninjured seniors. Methods: Linked National Health Interview Survey-Medical Expenditure Panel Survey (NHIS-MEPS) data were used to ft logistic and 2-part models to estimate associations between injury incidence and later injury, hospitalization incidence, and length of hospital stay during the 2.5 years following the NHIS interview among 16,109 older adults. Data from the linked National Health Interview Survey-National Death Index (NHIS-NDI) fles were used to estimate a Cox proportional hazards model to examine the association between injury incidence and mortality for up to 11 years after the initial interview among 79,504 older adults. Results: Relative to no injury, serious nonfatal injury was signifcantly associated with increased risk of another injury, hospitalization, and mortality. Minor injuries were signifcantly related to higher risk of later injury and mortality. Implications: Because even minor injuries are strongly associated with increased risks of later injury and mortality, preventing injury among seniors may be an effective way to improve quality of life and reduce declines in functional capacity. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.

AB - Purpose: The majority of research efforts centering on injury among older adults focus on fall-related injuries and shortterm consequences of injury. Little is known about the long-term consequences of all-cause nonfatal injuries, including minor injuries. Using a recent, large, and nationally representative sample of the U.S. non-institutionalized civilian population, the current study examines whether older adults who sustained a nonfatal injury (serious and minor) have higher risk of long-term morbidity and mortality outcomes compared with noninjured seniors. Methods: Linked National Health Interview Survey-Medical Expenditure Panel Survey (NHIS-MEPS) data were used to ft logistic and 2-part models to estimate associations between injury incidence and later injury, hospitalization incidence, and length of hospital stay during the 2.5 years following the NHIS interview among 16,109 older adults. Data from the linked National Health Interview Survey-National Death Index (NHIS-NDI) fles were used to estimate a Cox proportional hazards model to examine the association between injury incidence and mortality for up to 11 years after the initial interview among 79,504 older adults. Results: Relative to no injury, serious nonfatal injury was signifcantly associated with increased risk of another injury, hospitalization, and mortality. Minor injuries were signifcantly related to higher risk of later injury and mortality. Implications: Because even minor injuries are strongly associated with increased risks of later injury and mortality, preventing injury among seniors may be an effective way to improve quality of life and reduce declines in functional capacity. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved.

KW - Analysis: Regression models

KW - Analysis: Survival analysis

KW - Death and dying

KW - Health

KW - Hospital/ambulatory care

U2 - 10.1093/geront/gnw252

DO - 10.1093/geront/gnw252

M3 - Article

VL - 58

SP - 759

EP - 767

JO - Gerontologist

JF - Gerontologist

SN - 0016-9013

IS - 4

ER -