Evidence map›Paper›PMID 36266478›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Falls from scaffolds: a nationwide analysis.

Panagiotis Kyriakou Liasidis, Cameron Ghafil, Morgan Schellenberg, Kazuhide Matsushima, Valerie Ponning Huang, Lydia Lam, Demetrios Demetriades, Kenji Inaba

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Panagiotis Kyriakou LiasidisDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Cameron GhafilDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Morgan SchellenbergDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Kazuhide MatsushimaDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Valerie Ponning HuangDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Lydia LamDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Demetrios DemetriadesDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA.
Kenji InabaDivision of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County and University of Southern California Medical Center, Keck School of Medicine of the University of Southern California, 2051 Marengo Street, IPT, CSL 100, Los Angeles, CA, 90033, USA. Kenji.Inaba@med.usc.edu.ORCID http://orcid.org/0000-0002-5191-596X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFalls from scaffolds are a common cause of occupational injuries and fatalities, however, the data concerning these injuries are scarce. The purpose of this study was to characterize the epidemiology, injury patterns, and outcomes of falls from scaffolds.

methodsRetrospective cohort study using data from the National Trauma Data Bank (2007-2017). All adult patients who sustained injuries following falls from scaffolds and as a comparator, falls from ladders, were identified using the external cause of injury codes. The primary outcome was differences in the type and severity of injuries between the groups.

resultsA total of 183,853 patients were analyzed. Of these, 18,189 (9.9%) fell from scaffolds and 165,664 (90.1%) from ladders. Patients who fell from scaffolds were younger, more often male, and more likely to sustain severe trauma (ISS > 15: 24.1% vs 17.3%, p < 0.001). Falls from scaffolds resulted in more severe head injuries (head AIS ≥ 3: 18.6% vs 14.7%, p < 0.001) and more spinal fractures (30.3% vs 25.2%, p < 0.001). Falls from scaffolds were associated with higher mortality (2.5% vs 1.8%, p < 0.001), higher ICU admission rate (25.0% vs 21.5%, p < 0.001), and longer hospitalization. On multivariable analysis, the strongest predictors of mortality were GCS < 9 and hypotension on admission, severe (AIS ≥ 3) head injury, and age > 65 years.

conclusionFalls from scaffolds are associated with more severe injuries and worse outcomes compared to ladder falls. Males in the fourth decade of life were disproportionally affected. Further research on fall prevention is warranted to decrease this important cause of death and disability.

Indexed as

Craniocerebral TraumaSpinal FracturesAdultAgedHospitalizationHumansInjury Severity ScoreMaleRetrospective StudiesFallsHeightInjuryLaddersScaffoldsTrauma

Identifiers

PMID36266478

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.