Analysis of Falls from Height Variables in Occupational Accidents

Rey-Merchán, María del Carmen; Gómez-de-Gabriel, Jesús M.; López-Arquillos, Antonio; Choi, Sang D.

doi:10.3390/ijerph182413417

Cited by 10 publications

(7 citation statements)

References 53 publications

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“…This may be explained by the younger age and lower prevalence of comorbidities observed in border falls. Other studies have observed a significant correlation between fall height and number and extent of injuries 11–13. Richter et al similarly examined patients who fell from 24 ft between patients who fell accidentally, and those who committed suicide, yet conversely from our study, found no differences between accidental versus intentional injuries 11.…”

Section: Discussionsupporting

confidence: 49%

“…The three patients who died were much older than average, at 56 (46–50) years, all had an ISS of at least 33, and an admission GCS between 3 and 8. Other studies on falls from height typically had worse morbidity and mortality than this population, due to a higher age range of intentional falls 10–13…”

Section: Discussionmentioning

confidence: 91%

“…While these immigrants sustain a wide variety of injuries, falls from the border fence remain the most common 6. In comparison, domestic falls have a wider range of underlying mechanisms with varying outcomes 7–13. However, there have been no previous publications to examining specific height fallen while comparing patient characteristics and outcomes between border and domestic falls.…”

Section: Discussionmentioning

confidence: 99%

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Border-fence falls versus domestic falls at a South Texas trauma center

Darwish

McGraw²,

Foote

et al. 2023

Trauma Surg Acute Care Open

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ObjectivesFalling from height may lead to significant injuries and time hospitalized; however, there are few studies comparing the specific mechanism of fall. The purpose of this study was to compare injuries from falls after attempting to cross the USA-Mexico border fence (intentional) with injuries from domestic falls (unintentional) of comparable height.MethodsThis retrospective cohort study included all patients admitted after a fall from a height of 15–30 ft to a level II trauma center between April 2014 and November 2019. Patient characteristics were compared by falls from the border fence with those who fell domestically. Fisher’s exact test, χ2test and Wilcoxon Mann-Whitney U test were used as appropriate. A significance level of α<0.05 was used.ResultsOf the 124 patients included, 64 (52%) were falls from the border fence while 60 (48%) were domestic falls. Patients sustaining injuries from border falls were on average younger than patients who had domestic falls (32.6 (10) vs 40.0 (16), p=0.002), more likely males (58% vs 41%, p<0.001), fell from a significantly higher distance (20 (20–25) vs 16.5 (15–25), p<0.001), and had a significantly lower median injury severity score (ISS) (5 (4–10) vs 9 (5–16.5), p=0.001). Additionally, compared with domestic falls, border falls had fewer injuries to the head (3% vs 25%, p=0.004) and chest (5% vs 27%, p=0.007), yet more extremity injuries (73% vs 42%, p=0.003), and less had an intensive care unit (ICU) stay (30% vs 63%, p=0.002). No significant differences in mortality were found.ConclusionPatients sustaining injuries from border crossing falls were slightly younger, and although fell from higher, had a lower ISS, more extremity injuries, and fewer were admitted to the ICU compared with patients sustaining falls domestically. There was no difference in mortality between groups.Level of evidenceLevel III, retrospective study.

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Border-fence falls versus domestic falls at a South Texas trauma center

Darwish

McGraw²,

Foote

et al. 2023

Trauma Surg Acute Care Open

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“…Falls from height are a leading cause of serious occupational injury and fatality globally 1–7. In 2013 alone, falls from height accounted for 36.9% of total occupational fatalities in the USA, 31% in the UK and 12% in Australia 1.…”

Section: Introductionmentioning

confidence: 99%

Mapping the evidence on assessment of fitness to work at heights: a scoping review protocol

2023

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IntroductionFalls from height are a leading cause of serious injury and fatality globally. In South Africa, work at heights is regulated by occupational health and safety legislation, which places responsibility on employers to ensure their workers are fit for high-risk work. There is however no formal procedure or consensus on how fitness to work at heights should be assessed. This paper presents an a priori protocol for a scoping review that seeks to identify and map the current evidence base around the assessment of fitness to work at heights. It forms the initial phase of a PhD study aimed at developing an interdisciplinary consensus statement for assessing fitness to work at heights in the South African construction industry.Methods and analysisThis scoping review will follow the Joanna Briggs Institute (JBI) scoping review framework and will be guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping reviews (PRISMA-ScR) checklist. An iterative search will be conducted in a selection of multidisciplinary databases including, Proquest Central, PubMed, Scopus, Science Direct, Web of Science, PsychINFO and Google Scholar. Thereafter, searches for grey literature will be performed in Google.com and websites of various national and international agencies, governing bodies and professional organisations with an interest in occupational health and work at heights. Where appropriate, targeted requests for clarification for further information will be undertaken with information sources. A descriptive qualitative content analysis of the results will be conducted and a level of evidence rating will be assigned to each study using the JBI approach. This will allow us to provide some commentary on the rigour of the existing evidence base.Ethics and disseminationEthics approval for the PhD study was granted by the Research Ethics Committee, Faculty of Health Sciences, University of Pretoria, ethics reference number, 486/2021. Results of the scoping review will be submitted to a scientific journal for publication.Trial registration numberThis protocol is registered on the Open Science Framework at osf.io/yd5gw.

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“…Scholars mainly analyze the influencing factors of construction workers’ unsafe behavior from following four aspects: human, material, management, and environment. For example, psychological capital ( Eid et al, 2012 ), physiology ( Yang et al, 2021 ), safety awareness and attitude ( Mohajeri et al, 2021 ; Liang et al, 2022 ), and work experience ( Alizadeh et al, 2015 ; Rey-Merchán et al, 2021 ) are human factors; personal protective equipment ( Amiri et al, 2014 ) and construction equipment ( Castillo-Rosa et al, 2017 ) are material factors; safety promotion policy ( Man et al, 2021 ), safety training ( Man et al, 2021 ), safety atmosphere ( Liao et al, 2014 ), safety supervision ( Fang et al, 2015 ), safety management, and safety culture ( Wang et al, 2016 ; Asilian-Mahabadi et al, 2018 ) are management factors; and working environment ( Harsini et al, 2021 ) and social environment ( Aven and Renn, 2009 ; Ma et al, 2021 ) are environmental factors. However, these studies only focus on the explicit analysis of the influencing factors of construction workers’ unsafe behavior, and few studies have focused on the implicit correlation analysis between the influencing factors.…”

Section: Introductionmentioning

confidence: 99%

Study on Influencing Factors of Construction Workers’ Unsafe Behavior Based on Text Mining

2022

Front. Psychol.

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The unsafe behavior of construction workers is the key cause of safety accidents. The accident investigation report contains rich experience and lessons, which can be used to prevent and reduce the occurrence of safety accidents. In order to draw lessons from the accident and realize knowledge sharing and reuse, this paper uses text mining technology to analyze the data of 500 construction accident investigation reports in Shenzhen, China. Firstly, a Latent Dirichlet Allocation (LDA) topic model is used to identify the unsafe behavior of construction workers and its influencing factors. Then, with the help of Social Network Analysis, the importance of influencing factors and the relationship between them are identified. The results show that weak safety awareness, operating regulations, supervision dereliction of duty, equipment resources, and inadequate supervision of the construction party are the key and important factors. It is also found that there are correlations between weak safety awareness and supervision dereliction of duty, between equipment resources and poor construction environment, between organization and coordination and inadequate supervision of the construction party, and between operating regulations and hidden dangers investigation. This study not only helps to improve the theoretical system in the field of construction workers’ unsafe behavior but also helps managers to find the key control direction of construction safety, so as to effectively curb unsafe behavior of construction workers and improve the level of safety management.

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Analysis of Falls from Height Variables in Occupational Accidents

Cited by 10 publications

References 53 publications

Border-fence falls versus domestic falls at a South Texas trauma center

Border-fence falls versus domestic falls at a South Texas trauma center

Mapping the evidence on assessment of fitness to work at heights: a scoping review protocol

Study on Influencing Factors of Construction Workers’ Unsafe Behavior Based on Text Mining

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