Injuries Caused by Falls from Heights

Goonetilleke, U. K. D. A.

doi:10.1177/002580248002000407

Cited by 72 publications

(62 citation statements)

References 4 publications

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“…[11][12][13] The purpose of this study is to detect severity related factors in children admitted to the hospital with the diagnosis of trauma, which together with acute lower respiratory tract conditions, accounts for the most common cause of admission to the clinical ward and to the intensive care unit, as reported by other publications. 14,15 Results obtained show that trauma was predominant among male patients, and children's and parents' median age was consistent with that of other published series. 8 A negative association between the victim's age and trauma severity was observed.…”

Section: Discussionsupporting

confidence: 89%

Pediatric trauma. Epidemiological study among patients admitted to Hospital de Ninos “Ricardo Gutierrez”

2015

Arch Argent Pediat

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Introduction. In Argentina, trauma is the most common cause of death among children older than 1 year old, has a high morbidity rate, and results in large costs for the health system. Objective. To identify causes of injuries in patients admitted to the hospital due to a trauma, and to analyze the relationship between epidemiological factors and severe trauma. Population and Methods. Prospective study. Children and adolescents aged 0 to 18 years old admitted to the hospital due to unintentional trauma between April 2012 and March 2013 were included. They were divided into two groups based on severity according to the pediatric trauma score (8 or lower) to identify risk factors by means of a logistic regression model. Predictive outcome measures: patients' and parents' demographic characteristics, socioeconomic factors, event data, initial care, course, and risk factors. Patients were stratified into three age groups for the analysis of the type of injury and the anatomic location. Results. Two hundred and thirty-seven patients were included. Traumatic brain injuries were predominant among children younger than 3 years old, while limb fractures were most common among children older than 3 years old. In the bivariate analysis, foreign parents, a state of poverty or destitution, an immediate preventable cause, dangerous heights, and an unsafe heating system were statistically significant outcome measures. Based on multiple regression, outcome measures included were foreign parents, living in a slum area, an immediate preventable cause, and an unsafe heating system. Conclusions. The main cause of trauma was related to falls from heights, and some of the studied socioeconomic factors were associated with a higher risk of trauma. This information may be useful to develop prevention measures.

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Section: Discussionsupporting

confidence: 89%

Pediatric trauma. Epidemiological study among patients admitted to Hospital de Ninos “Ricardo Gutierrez”

2015

Arch Argent Pediat

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“…The excellent study of Lapostalle et al 66 indicated that the body configuration at impact was the most important factor in determining mortality, a finding that is reflected perhaps less explicitly in many other studies. 48,106,125,132 Since these studies by their nature are not well controlled in terms of the number of victims, fall height, body configuration at impact, gender, surface properties, intentionality, or survival, it is challenging to find studies that adequately represent the scenario of interest. 93 In a feet-first landing following a fall from height, a range of studies indicate that the lower extremities and spine are frequently endangered.…”

Section: Resultsmentioning

confidence: 99%

“…93 In a feet-first landing following a fall from height, a range of studies indicate that the lower extremities and spine are frequently endangered. 47,98,111,118,130 We tested the BFxRM against two studies of the general population that specifically attempted to control for body configuration in a fall from height 48,72 (Table 4). Both of these small datasets were based on victims who did not ultimately survive the fall.…”

Section: Resultsmentioning

confidence: 99%

“…9). The static lift model 48 3.2 ± 3.5, 0.8, 51.8 19 34 represents an astronaut slowly picking up or holding a heavy object (up to 60 kg, mean 20 kg) on Mars or the moon. The estimated probability of spinal fracture during an Intra-Vehicular Activity (IVA) in this scenario is similarly low, even at the most punishing flexion angle.…”

Section: Mission Predictionsmentioning

confidence: 99%

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Development and Validation of a Predictive Bone Fracture Risk Model for Astronauts

et al. 2009

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There are still many unknowns in the physiological response of human beings to space, but compelling evidence indicates that accelerated bone loss will be a consequence of long-duration spaceflight. Lacking phenomenological data on fracture risk in space, we have developed a predictive tool based on biomechanical and bone loading models at any gravitational level of interest. The tool is a statistical model that forecasts fracture risk, bounds the associated uncertainties, and performs sensitivity analysis. In this paper, we focused on events that represent severe consequences for an exploration mission, specifically that of spinal fracture resulting from a routine task (lifting a heavy object up to 60 kg), or a spinal, femoral or wrist fracture due to an accidental fall or an intentional jump from 1 to 2 m. We validated the biomechanical and bone fracture models against terrestrial studies of ground reaction forces, skeletal loading, fracture risk, and fracture incidence. Finally, we predicted fracture risk associated with reference missions to the moon and Mars that represented crew activities on the surface. Fracture was much more likely on Mars due to compromised bone integrity. No statistically significant gender-dependent differences emerged. Wrist fracture was the most likely type of fracture, followed by spinal and hip fracture.

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“…[11][12][13] Este estudio pretende detectar factores asociados con gravedad en niños hospitalizados con diagnóstico de trauma, que, junto con la patología respiratoria aguda baja, son las causas más frecuentes de admisiones hospitalarias en Clínica y Unidad de Terapia Intensiva, tal como se comunica en otras publicaciones. 14,15 Los resultados obtenidos muestran un predominio del sexo masculino, y la mediana de edad de los niños y sus padres coincidió con otras series publicadas. 8 Se encontró una asociación negativa entre edad de la víctima y gravedad de la lesión.…”

Section: Discussionunclassified

Trauma en pediatría. Estudio epidemiológico en pacientes internados en el Hospital de Niños “Ricardo Gutiérrez”

2015

Arch Argent Pediat

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Injuries Caused by Falls from Heights

Abstract: The pattern of injury in deaths from falls from heights is described. The mechanisms of injury are compared with the primary site of impact and the heights from which the victims fell.

Cited by 72 publications

References 4 publications

Pediatric trauma. Epidemiological study among patients admitted to Hospital de Ninos “Ricardo Gutierrez”

Pediatric trauma. Epidemiological study among patients admitted to Hospital de Ninos “Ricardo Gutierrez”

Development and Validation of a Predictive Bone Fracture Risk Model for Astronauts

Trauma en pediatría. Estudio epidemiológico en pacientes internados en el Hospital de Niños “Ricardo Gutiérrez”

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