ArticleJournal of clinical medicine2020
Falls from Height. Analysis of Predictors of Death in a Single-Center Retrospective Study.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- [Finite element analysis of skeletal injury mechanisms in adult standing positions with both feet landed on the ground].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- Arterial blood gases and serum cortisol level as predictors for mortality in acute aluminum phosphide poisoned patients: A prospective cohort study.Toxicology reports · 2025Article
- [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
- Epidemiology of trauma admissions in a level 1 trauma center in Northern Italy: a nine-year study.Updates in surgery · 2021Article
- Factors influencing the injury severity score and the probability of survival in patients who fell from height.Scientific reports · 2021Article
- Impact of the COVID-19 outbreak on severe trauma trends and healthcare system reassessment in Lombardia, Italy: an analysis from the regional trauma registry.World journal of emergency surgery : WJES · 2021Article
- The Influence of Walking Height and Width on the Gait.Journal of healthcare engineering · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Falls from height (FFH) represent a distinct form of blunt trauma in urban areas. This study aimed to identify independent predictors of in-hospital mortality after accidental or intentional falls in different age groups. We conducted a retrospective study of all patients consecutively admitted after a fall in eight years, recording mechanism, intentionality, height of fall, age, site, classification of injuries, and outcome. We built multivariate regression models to identify independent predictors of mortality. A total of 948 patients with 82 deaths were observed. Among the accidental falls, mortality was 5.2%, whereas intentional jumpers showed a mortality of 20.4%. The death rate was higher for increasing heights, age >65, suicidal attempts, and injuries with AIS ≥3 (Abbreviated Injury Scale). Older patients reported a higher in-hospital mortality rate. Multivariate analysis identified height of fall, dynamic and severe head and chest injuries as independent predictors of mortality in the young adults' group (18-65 years). For patients aged more than 65 years, the only risk factor independently related to death was severe head injuries. Our data demonstrate that in people older than 65, the height of fall may not represent a predictor of death.
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