Low falls : An underappreciated mechanism of injury.
This is a retrospective study designed to evaluate the pattern and severity of injuries that result from low falls, defined as falls from less than 20 ft, subsequent mortality, and requirements of hospital resources.
Our hypothesis is that many of these injuries, even without cardiopulmonary instability, are worthy of trauma center care.
The records of all patients entered into the hospital trauma registry at an urban Level I trauma center during the years 1991 through 1997 who suffered low falls and who either died after admission or were hospitalized for at least 3 days were reviewed.
Patients suffering isolated hip fractures were excluded.
One hundred seventy-six patients constituted the study population.
This group accounts for about 2% of all admissions for falls at our institution.
Patterns of injury were examined.
Age, mechanism of injury, Injury Severity Score (ISS), and cardiopulmonary or neurologic instability on admission were documented.
Mortality, length of intensive care unit and hospital stays, as well as billed hospital charges, were reviewed.
The majority of patients (62%) were younger than 50 years.
Sixty patients had ISS>15 and 116 patients had ISS>9. Sixty patients had multisystem injuries requiring specialty care.
Head injuries were found in 81 patients (35%), and vertebral fractures or spinal cord injuries were found in 49 patients (22%), including 9 quadriplegics and 5 paraplegics. (...)
Mots-clés Pascal : Chute, Homme, Physiopathologie, Epidémiologie, Symptomatologie, Hospitalisation, Traitement, Pronostic, Traumatisme, Chute basse
Mots-clés Pascal anglais : Fall, Human, Pathophysiology, Epidemiology, Symptomatology, Hospitalization, Treatment, Prognosis, Trauma
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0208123
Code Inist : 002B16N. Création : 16/11/1999.