ArticleActa bio-medica : Atenei Parmensis2020
Falls from height: orthopaedic and psychiatric evaluation.
Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- [Prehospital factors influencing patients' injury severity score who fell from height].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2024Article
- Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Characteristics of fall-from-height patients: a retrospective comparison of jumpers and fallers using a multi-institutional registry.Clinical and experimental emergency medicine · 2024Article
- Association between length of hospital stay and fractures in the spine, pelvis, and lower extremity among patients after intentional fall from a height: an analysis of the Japan Trauma Databank.Trauma surgery & acute care open · 2023Article
- Fall from heights: possible factors influencing the onset of complications.Musculoskeletal surgery · 2022Article
- Article
- Orthopedic Patients with Mental Disorder: Literature Review on Preoperative and Postoperative Precautions.Clinics in orthopedic surgery · 2022Review
- Psychiatric and physical rehabilitation intensive approach for suicide attempters by jumping from heights.Acta bio-medica : Atenei Parmensis · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFall from a height is one of the major causes of significant trauma with high morbidity and mortality rates. Traumatological damage control is often the primary treatment both for suicide attempt survivors and for accidental fall victims, but management of the hospitalization of psychiatric patients requires more resources than other patients.
methodsRetrospective multidisciplinary study (psychiatric and orthopaedic evaluation) and analysis of psychiatric and trauma characteristics of patients fallen from height admitted to our trauma centre. We analysed patterns of patients after suicidal jumps and accidental falls to look for possible trends that may trigger projects for further improvement of care.
results205 patients were analysed, 137 were included: 65 suicide attempt survivors and 72 accidental fall victims. Between these two groups there are no differences about the anaesthesiologic acute management or the number of damage control procedures. However, the psychiatric patients stay longer in hospital especially in intensive care unit with prolonged intubation (p<0.001). Suicide attempt survivors are significant correlated with fractures of feet, but the orthopaedic lesions do not involve an increase of definitive interventions (p< 0.05).
conclusionWe showed that the suicide attempt survivors and accidental victims need the same acute management. The orthopedic definitive surgical procedures are similar between the two groups, but in spite of this patients with psychiatric disorder were associated with a statistically significant increase of care in intensive care unit and hospitalization. Our results allow to create a new multidisciplinary approach for these patients.
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