@article{ref1,
title="Falling from a height: psychiatric comorbidity and complications",
journal="Nederlands Tijdschrift voor Geneeskunde",
year="2015",
author="Clous, E. A. and Ponsen, K. J. and Boele van Hensbroek, P. and Luitse, J. S. K. and Olff, M. and Goslings, J. C.",
volume="159",
number="0",
pages="A7729-A7729",
abstract="OBJECTIVE: To investigate whether a mental disorder increases the occurrence of complications in patients after 'a fall from a height'. <br><br>DESIGN: Retrospective descriptive study. <br><br>METHODS: Data on all patients admitted following a 'fall from a height' in the period 2004-2012 was retrieved from the trauma registry of the Academic Medical Center (AMC) in Amsterdam, the Netherlands. This was combined with data from the National Surgical Complications Registry (LHCR). A chart review was conducted to determine the presence of mental disorders in these patients. Corrected risk ratio for the risk of complications in patients with a psychological disorder was calculated using the Mantel-Haenszel method. <br><br>RESULTS: A total of 507 patients presented to the emergency department at the AMC following a fall from a height; 147 patients (29%) experienced 1 or more complications and 131 patients (25.8%) had a mental disorder. Complications arose in 60 patients with a mental disorder (45.8%) and in 87 patients (23.1%) without a mental disorder. The corrected risk ratio showed that a mental disorder is a statistically significant independent predictor of complications (risk ratio: 1.58; 95% confidence interval: 1.21-2.06). <br><br>CONCLUSION: The risk of complications following a fall from a height in patients with a mental disorder is one and a half times higher than in patients without a mental disorder. This mental disorder is a significant independent predictor of a medical complication following a fall from a height.<p /> <p>Language: nl</p>",
language="nl",
issn="0028-2162",
doi="",
url="http://dx.doi.org/"
}