@article{ref1,
title="The impact of tree-stand falls on a Level 1 trauma center in West Michigan",
journal="American journal of surgery",
year="2015",
author="Carroll, Joseph T. and Chapman, Alistair J. and Davis, Alan T. and Rodriguez, Carlos H.",
volume="211",
number="3",
pages="555-558",
abstract="BACKGROUND: Falls from tree stands are common during the hunting season. We examined the impact of this injury mechanism on a Level 1 trauma center in West Michigan. <br><br>METHODS: Retrospective cohort study examining tree-stand fall patients between 2001 and 2013. <br><br>RESULTS: A total of 193 patients were included. Less than 3% of patients were wearing a harness. Falls from greater than 20 feet were associated with a higher injury severity score (P =.018). The injury severity score and Glasgow coma scale of the normal weight and overweight (OW) groups were the same. Overall 91.3% of normal weight patients were discharged home vs 63.5% of OW patients (P =.009). Median rehab stay was 12 days (3 to 92), and median charge was $24,048 (2,398 to 134,752). <br><br>CONCLUSIONS: Tree-stand falls cause significant injury, especially from heights greater than 20 feet. OW patients more frequently require rehabilitation. The infrequent use of safety harnesses is alarming.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2015.12.002",
url="http://dx.doi.org/10.1016/j.amjsurg.2015.12.002"
}