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Factors influencing the injury severity score and the probability of survival in patients who fell from height.

FUJII Masashi SHIRAKAWA Tsutomu NAKAMURA Mami 70753763 BABA Mineko HITOSUGI Masahito 90328352 0000-0001-5243-8766 滋賀医科大学

2021.07.30

概要

In Japan, falls from height result in the second highest trauma mortality rate after traffic motor vehicle collisions and the highest trauma-related mortality rate amongst young people. We aimed to identify factors that worsen injury severity and lower survival probability of patients who fell from height and to contribute to the improvement of their prehospital and in-hospital care. This retrospective analysis retrieved hospital records of 179 patients aged ≥ 15 years who were transported to our hospital after a fall from height during April 2014-March 2020. On multiple regression analysis, fall height ≥ 5 m more significantly resulted in higher the injury severity score. Logistic regression analysis revealed that fall height ≥ 5 m with the reference of 2-3 m significantly resulted in lower the survival probability with odds ratio (95% confidence interval) of 0.10 (0.02-0.55). Using 'feet-first' as the reference body position, the odds ratios (95% confidence interval) of survival for those who impacted the surface on the lateral or dorsal regions were 0.11 (0.02-0.64) and 0.17 (0.03-0.99), respectively. Collecting information on the abovementioned factors at pre-hospitalisation may facilitate prompt diagnosis and treatment. These results may help improve prehospital and in-hospital care, avoiding preventable trauma deaths.

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Author contributions

M.F.: designed the study, analysed the data, and drafted the manuscript. T.S.: analysed the data. M.B.: analysed

the data and performed the statistical analysis. M.N.: reviewed the work critically for important intellectual

content. M.H.: designed the study, drafted the manuscript, and supervised the study development. All authors

have read and approved the final manuscript.

Competing interests The authors declare no competing interests.

Additional information

Correspondence and requests for materials should be addressed to M.F.

Reprints and permissions information is available at www.nature.com/reprints.

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