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Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence

Falling down a staircase is a common mechanism of injury in patients with severe trauma, but the effect of varying fall height according to the number of steps on injury patterns in these patients has been little studied. In this retrospective study, prospectively collected data from a Level 1 Traum...

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Autores principales: Hörauf, Jason-Alexander, Nau, Christoph, Mühlenfeld, Nils, Verboket, René D., Marzi, Ingo, Störmann, Philipp
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836855/
https://www.ncbi.nlm.nih.gov/pubmed/35160145
http://dx.doi.org/10.3390/jcm11030697
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author Hörauf, Jason-Alexander
Nau, Christoph
Mühlenfeld, Nils
Verboket, René D.
Marzi, Ingo
Störmann, Philipp
author_facet Hörauf, Jason-Alexander
Nau, Christoph
Mühlenfeld, Nils
Verboket, René D.
Marzi, Ingo
Störmann, Philipp
author_sort Hörauf, Jason-Alexander
collection PubMed
description Falling down a staircase is a common mechanism of injury in patients with severe trauma, but the effect of varying fall height according to the number of steps on injury patterns in these patients has been little studied. In this retrospective study, prospectively collected data from a Level 1 Trauma Center in Germany were analyzed regarding the injury patterns of patients admitted through the trauma room with suspicion of multiple injuries following a fall down a flight of stairs between January 2016 and December 2019. In total 118 patients were examined which where consecutively included in this study. More than 80% of patients suffered a traumatic brain injury, which increased as a function of the number of stairs fallen. Therefore, the likelihood of intracranial hemorrhage increased with higher numbers of fallen stairs. Fall-associated bony injuries were predominantly to the face, skull and the spine. In addition, there was a high coincidence of staircase falls and alcohol intake. Due to a frequent coincidence of staircase falls and alcohol, the (pre-)clinical neurological assessment is complicated. As the height of the fall increases, severe traumatic brain injury should be anticipated and diagnostics to exclude intracranial hemorrhage and spinal injuries should be performed promptly to ensure the best possible patient outcome.
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spelling pubmed-88368552022-02-12 Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence Hörauf, Jason-Alexander Nau, Christoph Mühlenfeld, Nils Verboket, René D. Marzi, Ingo Störmann, Philipp J Clin Med Article Falling down a staircase is a common mechanism of injury in patients with severe trauma, but the effect of varying fall height according to the number of steps on injury patterns in these patients has been little studied. In this retrospective study, prospectively collected data from a Level 1 Trauma Center in Germany were analyzed regarding the injury patterns of patients admitted through the trauma room with suspicion of multiple injuries following a fall down a flight of stairs between January 2016 and December 2019. In total 118 patients were examined which where consecutively included in this study. More than 80% of patients suffered a traumatic brain injury, which increased as a function of the number of stairs fallen. Therefore, the likelihood of intracranial hemorrhage increased with higher numbers of fallen stairs. Fall-associated bony injuries were predominantly to the face, skull and the spine. In addition, there was a high coincidence of staircase falls and alcohol intake. Due to a frequent coincidence of staircase falls and alcohol, the (pre-)clinical neurological assessment is complicated. As the height of the fall increases, severe traumatic brain injury should be anticipated and diagnostics to exclude intracranial hemorrhage and spinal injuries should be performed promptly to ensure the best possible patient outcome. MDPI 2022-01-28 /pmc/articles/PMC8836855/ /pubmed/35160145 http://dx.doi.org/10.3390/jcm11030697 Text en © 2022 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
Hörauf, Jason-Alexander
Nau, Christoph
Mühlenfeld, Nils
Verboket, René D.
Marzi, Ingo
Störmann, Philipp
Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence
title Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence
title_full Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence
title_fullStr Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence
title_full_unstemmed Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence
title_short Injury Patterns after Falling down Stairs—High Ratio of Traumatic Brain Injury under Alcohol Influence
title_sort injury patterns after falling down stairs—high ratio of traumatic brain injury under alcohol influence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836855/
https://www.ncbi.nlm.nih.gov/pubmed/35160145
http://dx.doi.org/10.3390/jcm11030697
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