Western Trauma Association. Annual meeting. Crested Butte CO USA, 1994/02/26.
Injury secondary to falls is a largely preventable public health problem.
The records of 356 patients admitted following a fall to a level I trauma center over a 32-month period were reviewed to determine the epidemiology and to define possible prevention strategies.
Falls constituted 9% of total trauma admissions during this time period and had a mortality of 11% (38 of 356).
Two hundred ninety-seven falls were accidental, 36 were due to violent criminal behavior, 16 were from suicide attempts, and 7 were from house fires.
Sixty-one children under the age of 13 fell ; only one died.
Falls out of windows accounted for 36% of these falls with over three-quarters of children falling from three stories or less.
Elderly patients (age more than 64 years) accounted for only 44 (14%) of falls but over 50% of the deaths.
This mortality rate occurred despite the fact that the majority of these falls were from relatively low heights.
There were 224 adult falls (ages 18 to 64 years) ; 36% were occupation-related, and most were by construction workers, roofers, or painters.
The remaining adult fall victims had a high rate of unemployment and alcohol and drug use.
This study identified several groups where risk factors for falling permit targeted prevention strategies.
A large percentage of children who fell were preschool males who fell from windows and this may be related to the lack of window guard legislation in our area.
Mots-clés Pascal : Traumatisme, Chute, Homme, Epidémiologie, Facteur risque, New Jersey, Etats Unis, Amérique du Nord, Amérique, Pathogénie
Mots-clés Pascal anglais : Trauma, Fall, Human, Epidemiology, Risk factor, New Jersey, United States, North America, America, Pathogenesis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0349296
Code Inist : 002B16N. Création : 01/03/1996.