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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-8836855 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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