Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study
Purpose This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods The Emergency Department-based Injury...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0042.pdf |
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| author | Dae Hyun Kim Jae-Hyug Woo Yang Bin Jeon Jin-Seong Cho Jae Ho Jang Jea Yeon Choi Woo Sung Choi |
| author_facet | Dae Hyun Kim Jae-Hyug Woo Yang Bin Jeon Jin-Seong Cho Jae Ho Jang Jea Yeon Choi Woo Sung Choi |
| author_sort | Dae Hyun Kim |
| collection | DOAJ |
| description | Purpose This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMR-ISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39–60 years) and 45 years (range, 27–56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279–2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263–0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418–1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively. |
| format | Article |
| id | doaj-art-f7485803afed4489bdb90705cdaa76de |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-f7485803afed4489bdb90705cdaa76de2025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136318719510.20408/jti.2022.00421224Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective studyDae Hyun Kim0Jae-Hyug Woo1Yang Bin Jeon2Jin-Seong Cho3Jae Ho Jang4Jea Yeon Choi5Woo Sung Choi6 Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaPurpose This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMR-ISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39–60 years) and 45 years (range, 27–56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279–2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263–0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418–1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.http://jtraumainj.org/upload/pdf/jti-2022-0042.pdfaccidental fallsrisk factorsinjuriesintention |
| spellingShingle | Dae Hyun Kim Jae-Hyug Woo Yang Bin Jeon Jin-Seong Cho Jae Ho Jang Jea Yeon Choi Woo Sung Choi Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study Journal of Trauma and Injury accidental falls risk factors injuries intention |
| title | Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study |
| title_full | Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study |
| title_fullStr | Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study |
| title_full_unstemmed | Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study |
| title_short | Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study |
| title_sort | factors associated with the injury severity of falls from a similar height and features of the injury site in korea a retrospective study |
| topic | accidental falls risk factors injuries intention |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0042.pdf |
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