TY  - JOUR
PY  - 2015//
TI  - Falling from a height: psychiatric comorbidity and complications
JO  - Nederlands Tijdschrift voor Geneeskunde
A1  - Clous, E. A.
A1  - Ponsen, K. J.
A1  - Boele van Hensbroek, P.
A1  - Luitse, J. S. K.
A1  - Olff, M.
A1  - Goslings, J. C.
SP  - A7729
EP  - A7729
VL  - 159
IS  - 0
N2  - 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>
LA  - nl
SN  - 0028-2162
UR  - http://dx.doi.org/
ID  - ref1
ER  -