TY - JOUR PY - 2023// TI - Fall-related injuries at home: descriptive analysis from a Middle Eastern level 1 trauma center JO - Ulusal travma ve acil cerrahi dergisi A1 - El-Menyar, Ayman A1 - Mekkodathil, Ahammed Abdulla A1 - Elmenyar, Eman A1 - Gomaa, Bassem A1 - Abdelrahman, Husham A1 - Consunji, Rafael A1 - Abeid, Aisha A1 - Peralta, Ruben A1 - Cander, Basar A1 - Al-Thani, Hassan SP - 284 EP - 291 VL - 29 IS - 3 N2 - BACKGROUND: Injuries caused by falls from heights (FFH) and fall of heavy objects (FHO) in residential settings are underestimat-ed in the Middle East. We aimed to describe the fall-related injuries at home requiring admission at a level 1 trauma center.

METHODS: We conducted a retrospective analysis of patients who were admitted following fall-related injuries at home between 2010 and 2018. Comparative analyses were performed based on age groups (<18, 19-54, 55-64, and ≥65 years), gender, severity of injuries, and height of fall. Time series analysis of fall-related injuries was performed.

RESULTS: A total of 1402 patients were hospitalized due to fall-related injuries occurred at home (11% of total trauma admissions). Three quarters of victims were male. The most injured subjects were young and middle-aged (41.6%), followed by pediatric (37.2%) and elderly subjects (13.6%). FFH was the most frequent mechanism of injury (94%) followed by FHO (6%). Head injury was most common (42%) followed by lower extremity injury (19%). Older adults (≥65 years) had more complications, longer hospital stay, and higher in-hospital mortality. Patients who fell from greater heights had more chest and spinal injuries with greater severity and longer stay in the hospital. Time-series analysis did not show a seasonal variation of fall-related hospitalization.

CONCLUSION: This study showed that 11% of trauma hospitalizations were related to fall at home. FFH was common in all age groups; however, FHO was more evident in the pediatric group. Preventive efforts should address the circumstances of trauma in the residential settings to better inform evidence-based prevention strategies.

Language: en

LA - en SN - 1306-696X UR - http://dx.doi.org/10.14744/tjtes.2022.86211 ID - ref1 ER -