지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose: The aim of this study was to determine the epidemiology
and risk factors associated with patients in a
level I trauma center following fall injuries, and to define
potential avenues for risk prevention.
Methods: The records of 186 patients admitted to the
emergency department of Chosun University Hospital with
a history of a fall from January 2004 to August 2006 were
examined. Data were collected on each patient's age, sex,
date of fall, the causea and height of fall, Galsgow Coma
Scale (GCS), Revised Trauma Score (RTS), and previous
history. Injuries were reviewed and Injury Severity Score
(ISS) were calculated.
Results: Falls constituted 0.86% of total trauma patients.
Among the 186 patients, 134 (72.0%) were male and
52(28.0%) were female, and the most common ages og fall
patients were the thirties and forties, with a mean age of
41.73 years. The mean RTS was 11.15. Most falls were
from a height of less than 6meters, with a mean height of
4.77 meters. One hundred sixty-four falls (88.2%) were
accidental and 22 falls (11.8%) were from suicide attempts.
The peak times for free falls were from 9 a.m. to 12 noon
(n=44, 23.7%) and from 3 p.m to 6 p.m.(42, 22.6%). The
most common fall injuries were cranial injuries (73, 39.2%),
followed by spinal injuries (61, 32.8%)and extremity injuries
(28, 15.1%). The median length of hospital stay was
25days (range 1-685days). The mortality rate was 9.14%
(17 of 186). The average ISS was 12.06 (range 1-41), with
a survivors' mean ISS of 11.37 and non-survivors' mean
ISS of 17.92.
Conclusion: The factors that significantly correlate with the
Injury Severity for free fall patients are the height of fall,
lower GCS or RTS score, intention of suicide, and hardness
of impact surface (p<0.05). Patients most at risk can be
more accurately identified in the emergency department
through the development and implementation of educational
programs.
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