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Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

Falls from a height are a common cause of polytrauma care in Level I Trauma Centers worldwide. The expected injury consequences depend on the height of the fall and the associated acceleration, as well as the condition of the ground. In addition, we further hypothesize a correlation between the caus...

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Autores principales: Nau, Christoph, Leiblein, Maximilian, Verboket, René D., Hörauf, Jason A., Sturm, Ramona, Marzi, Ingo, Störmann, Philipp
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199183/
https://www.ncbi.nlm.nih.gov/pubmed/34070640
http://dx.doi.org/10.3390/jcm10112307
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author Nau, Christoph
Leiblein, Maximilian
Verboket, René D.
Hörauf, Jason A.
Sturm, Ramona
Marzi, Ingo
Störmann, Philipp
author_facet Nau, Christoph
Leiblein, Maximilian
Verboket, René D.
Hörauf, Jason A.
Sturm, Ramona
Marzi, Ingo
Störmann, Philipp
author_sort Nau, Christoph
collection PubMed
description Falls from a height are a common cause of polytrauma care in Level I Trauma Centers worldwide. The expected injury consequences depend on the height of the fall and the associated acceleration, as well as the condition of the ground. In addition, we further hypothesize a correlation between the cause of the fall, the age of the patient, and the patient’s outcome. A total of 178 trauma patients without age restriction who were treated in our hospital after a fall >3 m within a 5-year period were retrospectively analyzed. The primary objective was a clinically and radiologically quantifiable increase in the severity of injuries after falls from different relevant heights (>3 m, >6 m, and >9 m). The cause of the fall, either accidental or suicidal; age and duration of intensive care unit stay, including duration of ventilation; and total hospital stay were analyzed. Additionally, the frequency of urgent operations, such as, external fixation of fractures or hemi-craniectomies, laboratory parameters; and clinical outcomes were also among the secondary objectives. Sustaining a thoracic trauma or pelvis fractures increases significantly with height, and vital parameters are significantly compromised. We also found significant differences in urgent pre- and in-hospital emergency interventions, as well as organ complications and outcome parameters depending on the fall’s height.
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spelling pubmed-81991832021-06-14 Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall Nau, Christoph Leiblein, Maximilian Verboket, René D. Hörauf, Jason A. Sturm, Ramona Marzi, Ingo Störmann, Philipp J Clin Med Article Falls from a height are a common cause of polytrauma care in Level I Trauma Centers worldwide. The expected injury consequences depend on the height of the fall and the associated acceleration, as well as the condition of the ground. In addition, we further hypothesize a correlation between the cause of the fall, the age of the patient, and the patient’s outcome. A total of 178 trauma patients without age restriction who were treated in our hospital after a fall >3 m within a 5-year period were retrospectively analyzed. The primary objective was a clinically and radiologically quantifiable increase in the severity of injuries after falls from different relevant heights (>3 m, >6 m, and >9 m). The cause of the fall, either accidental or suicidal; age and duration of intensive care unit stay, including duration of ventilation; and total hospital stay were analyzed. Additionally, the frequency of urgent operations, such as, external fixation of fractures or hemi-craniectomies, laboratory parameters; and clinical outcomes were also among the secondary objectives. Sustaining a thoracic trauma or pelvis fractures increases significantly with height, and vital parameters are significantly compromised. We also found significant differences in urgent pre- and in-hospital emergency interventions, as well as organ complications and outcome parameters depending on the fall’s height. MDPI 2021-05-25 /pmc/articles/PMC8199183/ /pubmed/34070640 http://dx.doi.org/10.3390/jcm10112307 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nau, Christoph
Leiblein, Maximilian
Verboket, René D.
Hörauf, Jason A.
Sturm, Ramona
Marzi, Ingo
Störmann, Philipp
Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall
title Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall
title_full Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall
title_fullStr Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall
title_full_unstemmed Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall
title_short Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall
title_sort falls from great heights: risk to sustain severe thoracic and pelvic injuries increases with height of the fall
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8199183/
https://www.ncbi.nlm.nih.gov/pubmed/34070640
http://dx.doi.org/10.3390/jcm10112307
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