ArticleEmergency radiology2025
CT scan evaluation of injuries in patients over 60 years old following a fall from standing height.
Article in Emergency radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the range and severity of acute injuries sustained by patients over 60 years old presenting to a tertiary centre emergency department following a fall from standing height on computed tomography (CT) and the appropriate imaging protocol to utilise in this cohort.
methodsWe conducted a retrospective review of all CT thorax requests for patients over 60 years old following a fall from standing height between 2019 and 2020. CT requests and reports were extracted from the radiology information system and appropriate scans identified for inclusion. Clinical data was extracted from electronic patient records.
results349 patients over 60 years old underwent a CT scan following a fall from standing height. Of these, 204 underwent a non-contrast CT chest and 145 underwent contrast enhanced CT thorax abdomen pelvis. 178 (51%) of patients had an acute finding on thoracic CT; 170 patients had 1 or more rib fractures, 16 had radiological flail segments, 30 patients had a pneumothorax and 44 had a haemothorax. 36 patients sustained an acute fracture other than rib fracture. 45 patients with rib fractures on CT also underwent concurrent CXR; however, only 15 of these patients had rib fractures visible on CXR. Out of the 145 patients who underwent abdominal-pelvic CT, 23 (16%) patients had an acute traumatic finding.
conclusionPatients aged over 60 are at high risk of sustaining thoracic injury following a fall from standing height. Acute findings were identified in over half of elderly patients who underwent thoracic CT due to clinical suspicion of thoracic injury. Rib fractures were the most common finding, and were often missed on concurrent CXR. Comparatively, acute abdominal injury was rare in this cohort. These results emphasize the importance of CT thorax imaging in accurately diagnosing fall-related injuries in older adults.
Indexed as
Identifiers
40836184What OpenQuestion holds
Registered trials
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.