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

Abstract 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 f...

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Autores principales:	Masashi Fujii, Tsutomu Shirakawa, Mami Nakamura, Mineko Baba, Masahito Hitosugi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3599b83a13184738a1cac5b00c39d4a9
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spelling	oai:doaj.org-article:3599b83a13184738a1cac5b00c39d4a92021-12-02T18:47:01ZFactors influencing the injury severity score and the probability of survival in patients who fell from height10.1038/s41598-021-95226-w2045-2322https://doaj.org/article/3599b83a13184738a1cac5b00c39d4a92021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95226-whttps://doaj.org/toc/2045-2322Abstract 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.Masashi FujiiTsutomu ShirakawaMami NakamuraMineko BabaMasahito HitosugiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Masashi Fujii Tsutomu Shirakawa Mami Nakamura Mineko Baba Masahito Hitosugi Factors influencing the injury severity score and the probability of survival in patients who fell from height
description	Abstract 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.
format	article
author	Masashi Fujii Tsutomu Shirakawa Mami Nakamura Mineko Baba Masahito Hitosugi
author_facet	Masashi Fujii Tsutomu Shirakawa Mami Nakamura Mineko Baba Masahito Hitosugi
author_sort	Masashi Fujii
title	Factors influencing the injury severity score and the probability of survival in patients who fell from height
title_short	Factors influencing the injury severity score and the probability of survival in patients who fell from height
title_full	Factors influencing the injury severity score and the probability of survival in patients who fell from height
title_fullStr	Factors influencing the injury severity score and the probability of survival in patients who fell from height
title_full_unstemmed	Factors influencing the injury severity score and the probability of survival in patients who fell from height
title_sort	factors influencing the injury severity score and the probability of survival in patients who fell from height
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3599b83a13184738a1cac5b00c39d4a9
work_keys_str_mv	AT masashifujii factorsinfluencingtheinjuryseverityscoreandtheprobabilityofsurvivalinpatientswhofellfromheight AT tsutomushirakawa factorsinfluencingtheinjuryseverityscoreandtheprobabilityofsurvivalinpatientswhofellfromheight AT maminakamura factorsinfluencingtheinjuryseverityscoreandtheprobabilityofsurvivalinpatientswhofellfromheight AT minekobaba factorsinfluencingtheinjuryseverityscoreandtheprobabilityofsurvivalinpatientswhofellfromheight AT masahitohitosugi factorsinfluencingtheinjuryseverityscoreandtheprobabilityofsurvivalinpatientswhofellfromheight
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Factors influencing the injury severity score and the probability of survival in patients who fell from height

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