Author:
Fujii Masashi,Shirakawa Tsutomu,Nakamura Mami,Baba Mineko,Hitosugi Masahito
Abstract
AbstractIn Japan, falls from height result in the second highest trauma mortality rate after traffic motor vehicle collisions and the highest trauma-related mortality rate amongst young people. We aimed to identify factors that worsen injury severity and lower survival probability of patients who fell from height and to contribute to the improvement of their prehospital and in-hospital care. This retrospective analysis retrieved hospital records of 179 patients aged ≥ 15 years who were transported to our hospital after a fall from height during April 2014–March 2020. On multiple regression analysis, fall height ≥ 5 m more significantly resulted in higher the injury severity score. Logistic regression analysis revealed that fall height ≥ 5 m with the reference of 2–3 m significantly resulted in lower the survival probability with odds ratio (95% confidence interval) of 0.10 (0.02–0.55). Using ‘feet-first’ as the reference body position, the odds ratios (95% confidence interval) of survival for those who impacted the surface on the lateral or dorsal regions were 0.11 (0.02–0.64) and 0.17 (0.03–0.99), respectively. Collecting information on the abovementioned factors at pre-hospitalisation may facilitate prompt diagnosis and treatment. These results may help improve prehospital and in-hospital care, avoiding preventable trauma deaths.
Publisher
Springer Science and Business Media LLC
Reference18 articles.
1. Japan Trauma Data Bank Report, 2019 (2014–2018). Japan Trauma Care and Research (2019).
2. Lapostolle, F. et al. Prognostic factors in victims of falls from height. Crit. Care Med. 33, 1239–1242 (2005).
3. Içer, M., Güloğlu, C., Orak, M. & Ustündağ, M. Factors affecting mortality caused by falls from height. Ulus. Travma Acil Cerrahi Derg. 19, 529–535 (2013).
4. Papadopoulos, I. N. et al. Alcohol and psychoactive drugs increased the pre-hospital mortality in 655 fall-related fatalities in Greece: A call for management protocols. Injury 43, 1522–1526 (2012).
5. Akkoca, M. et al. Mortality determiners for fall from height cases. Ulus Travma Acil Cerrahi Derg. 24, 445–449 (2018).
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