• Logo
  • SBMUJournals

Baseline Characteristics of Fall from Height Victims Presenting to Emergency Department; a Brief Report

Hamidreza Hatamabadi, Ali Arhami Dolatabadi, Batoul Atighinasab, Saeed Safari
525

Views

PDF

Abstract

Introduction: Trauma due to accidents or fall from height is a major cause of disability and mortality. The present study was designed aiming to evaluate the baseline characteristics of fall from height victims presenting to emergency department (ED).

Methods: This prospective cross-sectional study evaluates the baseline characteristics of fall from height cases presenting to EDs of three educational Hospitals, Tehran, Iran, during one year. Data were analyzed using SPSS 21 and presented using descriptive statistics.

Results: 460 patients with the mean age of 27.89 ± 20.95 years were evaluated (76.5% male). 191 (41.5%) falls occurred when working, 27 (5.9%) during play, and 242 (52.6%) in other times. Among construction workers, 166 (81.4%) had not used any safety equipment. Fracture and dislocation with 180 (39.1%) cases and soft tissue injury with 166 (36.1%) were the most common injuries inflicted. Mean height of falling was 3.41 ± 0.34 (range: 0.5 – 20) meters. Finally, 8 (1.7%) of the patients died (50% intentional) and 63% were discharged from ED. A significant correlation was detected between mortality and the falls being intentional (p < 0.0001) as well as greater height of fall (p < 0.0001).

Conclusion: Based on the findings, most fall from height victims in the present study were young men, single, construction workers, with less than high school diploma education level. Intentional fall and greater height of falling significantly correlated with mortality.


Keywords

Accidental falls; multiple trauma; emergency service, hospital; population characteristics; patient outcome assessment

References

Jennett B. Epidemiology of head injury. Journal of Neurology, Neurosurgery & Psychiatry. 1996;60(4):362-9.

Ommaya AK, Thibault L, Bandak FA. Mechanisms of impact head injury. International Journal of Impact Engineering. 1994;15(4):535-60.

Watson WL, Ozanne-Smith J. Injury surveillance in Victoria, Australia: developing comprehensive injury incidence estimates. Accident Analysis & Prevention. 2000;32(2):277-86.

Zargar M, Zafarghandi M, Mdaghgh H, Abasi K, Rezai Shirazi H. Significance of trauma mechanism and its effect on the outcome of trauma patients. Tehran University Medical Journal TUMS Publications. 1998;56(5):101-8.

HATAMABADI H, SOORI H, VAFAEE R, HADADI M, AINY E, ASNAASHARI H. Epidemiological pattern of road traffic injuries in Tehran-Abali Axis in 2008: A prospective study. 2012.

Amani F, Habibzadeh S, Rostami K. Specifications of traumatized patients referring to Fatemi hospital of Ardabil, 2007-8. Journal of Ardabil University of Medical Sciences. 2009;9(1):13-22. . (Full Text in Persian).

Zamani M, Esmailian M, Mirazimi MS, Ebrahimian M, Golshani K. Cause and Final Outcome of Trauma in Patients Referred to the Emergency Department; a Cross Sectional Study. Iranian Journal of Emergency Medicine. 2014;1(1):22-7.

Lehtola S, Koistinen P, Luukinen H. Falls and injurious falls late in home-dwelling life. Archives of gerontology and geriatrics. 2006;42(2):217-24.

Iida S, Hassfeld S, Reuther T, Schweigert H-G, Haag C, Klein J, et al. Maxillofacial fractures resulting from falls. Journal of Cranio-Maxillofacial Surgery. 2003;31(5):278-83.

Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. New England journal of medicine. 1988;319(26):1701-7.

Scallan E, Staines A, Fitzpatrick P, Laffoy M, Kelly A. Injury in Ireland. 2001.

Tinetti ME. Prevention of falls and fall injuries in elderly persons: a research agenda. Preventive medicine. 1994;23(5):756-62.

Jeong BY. Occupational deaths and injuries in the construction industry. Applied ergonomics. 1998;29(5):355-60.

Salimi J ZM. An epidemiologic study of trauma patients admitted to the Hospital Ahwaz Golestan. Payesh Quarterly. 2008;7(2):115-20. (Full Text in Persian).

Zamani M, Esmailian M, Mirazimi MS, Ebrahimian M, Golshani K. Cause and final outcome of trauma in patients referred to the emergency department: a cross sectional study. Iranian journal of emergency medicine. 2014;1(1):22-7.

Hatamabadi H, Vafaee R, Haddadi M, Abdalvand A, Esna¬ashari H, Soori H. Epidemiologic study of road traffic injuries by road user type characteristics and road environment in Irán: A community-based approach. Traf Inj Prev. 2012;13(1):61-4.




DOI: https://doi.org/10.22037/emergency.v5i1.16055

Refbacks

  • There are currently no refbacks.