Falls from height due to accident and suicide attempt in Greece. A comparison of the injury patterns

Papadakis, Stamatios A.; Pallis, Dimitrios; Galanakos, Spyridon P.; Georgiou, Dimitrios Florin; Kateros, Konstantinos; Macheras, George A.; Sapkas, George

doi:10.1016/j.injury.2019.12.029

Cited by 19 publications

(19 citation statements)

References 26 publications

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“…Several studies have reported partially similar findings to our results [ 2 , 4 - 7 ]. For example, Papadakis et al reported the distribution of fractures in the pelvis (42.1% in the intentional fall group vs. 4.4% in the accidental fall group, p < 0.001), ribs (40.6% vs. 25.5%, p < 0.001), lower extremities (1.1%-9.4% vs. 14%-59.3%), and skull (25% vs. 3.8%, p < 0.001) [ 2 ]. Our study showed that the intentional fall group comprised a higher proportion of patients with skull fractures than the accidental fall group.…”

Section: Discussionsupporting

confidence: 93%

“…Fall from a height is one of the most common causes of severe trauma observed at emergency departments (EDs), and it is associated with high rates of death and significant disability due to the characteristic distribution of bodily injuries [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…For this purpose, epidemiological data on the distribution of fractures and trauma severity would be useful. Skeletal injury patterns and trauma severity due to falls from a height have been investigated, focusing on the mechanism of injury (intentional or accidental) [ 2 - 7 ]. Previous studies have reported that intentional falls caused more fractures in lower extremities than unintentional falls [ 2 , 5 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Differences in Trauma Injury Patterns and Severity Between Intentional and Accidental Falls From a Height: A Japanese Nationwide Trauma Database Study

Terayama¹,

Toda²,

Tanaka³

et al. 2022

Cureus

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Background Fall from a height is a common cause of trauma requiring emergency care; in many cases, the trauma team needs to urgently develop the initial treatment strategy. The mechanism of injury (intentional or accidental) is an important factor in predicting trauma patterns and severity. We aimed to describe how the severity of injuries in each body region contributes to overall trauma severity and skeletal trauma patterns in intentional and accidental falls. Methods Data accumulated between January 1, 2004 and May 31, 2019 were obtained from a nationwide trauma database. Patients aged ≥18 years and injured by falls from a height were included. The median Abbreviated Injury Scale (AIS) score for the Injury Severity Score (ISS) for each body region (region 1: head, face, and neck; region 2: thorax; region 3: abdomen; region 4: lower extremity and pelvis; and region 5: upper extremity) was investigated. Skeletal injury patterns were classified into four groups: group I (intentional/severe), group II (accidental/severe), group III (intentional/not severe), and group IV (accidental/not severe). Severe trauma was defined as a trauma with an ISS of 16 or more. The groups were compared using the chi-square test and Mann-Whitney U test. Results Among the 342,263 patients enrolled in the database, 28,409 met the inclusion criteria: 6,812 in group I, 11,754 in group II, 2,384 in group III, and 7,459 in group IV. The intentional fall group showed an increase in the AIS score for region 4 as the ISS increased, whereas the accidental fall group showed an increase in the AIS score for region 1. Both groups showed an increase in the AIS score for region 2 as the ISS increased. The intentional fall group had a higher proportion of fractures in the lower extremities and pelvis than the accidental fall group. Conclusions There were differences in trauma patterns and trauma severity levels between patients who experienced intentional and accidental falls from a height. Our findings provide a comprehensive understanding of this topic. Further studies are required to assess the usefulness of our findings for the development of initial treatment strategies at the ED.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Differences in Trauma Injury Patterns and Severity Between Intentional and Accidental Falls From a Height: A Japanese Nationwide Trauma Database Study

Terayama¹,

Toda²,

Tanaka³

et al. 2022

Cureus

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“…Falling from a great height is a common reason for major trauma and is associated with high mortality and high overall injury severity [ 11 ]. For this reason, falls from great heights account for one of the trauma mechanisms where there is a recommendation to treat patients in specialized trauma centers.…”

Section: Discussionmentioning

confidence: 99%

Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

Nau

Leiblein

Verboket

et al. 2021

JCM

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Falls from a height are a common cause of polytrauma care in Level I Trauma Centers worldwide. The expected injury consequences depend on the height of the fall and the associated acceleration, as well as the condition of the ground. In addition, we further hypothesize a correlation between the cause of the fall, the age of the patient, and the patient’s outcome. A total of 178 trauma patients without age restriction who were treated in our hospital after a fall >3 m within a 5-year period were retrospectively analyzed. The primary objective was a clinically and radiologically quantifiable increase in the severity of injuries after falls from different relevant heights (>3 m, >6 m, and >9 m). The cause of the fall, either accidental or suicidal; age and duration of intensive care unit stay, including duration of ventilation; and total hospital stay were analyzed. Additionally, the frequency of urgent operations, such as, external fixation of fractures or hemi-craniectomies, laboratory parameters; and clinical outcomes were also among the secondary objectives. Sustaining a thoracic trauma or pelvis fractures increases significantly with height, and vital parameters are significantly compromised. We also found significant differences in urgent pre- and in-hospital emergency interventions, as well as organ complications and outcome parameters depending on the fall’s height.

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“…Incomplete suicides may also result in life-changing physical conditions (Papadakis et al, 2014). For example, incomplete high fall suicides may result in paraplegia and brain injury (Papadakis et al, 2014;Papadakis et al, 2020). Physical injuries sustained during suicide may also develop into chronic pain conditions (Hiraiwa et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Encounters between physiotherapists and clients with suicidal thoughts and behaviours: A narrative literature Review

McGrath¹,

MacDonald²,

Verdon³

et al. 2023

NZJP

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This narrative review examined the literature relevant to encounters between physiotherapists and clients with suicidal thoughts and behaviours (STBs). The review was conducted in response to a growing international movement to make suicide prevention everyone's business. The Framework for Suicide Risk Assessment and Management for NSW Health Staff (New South Wales Department of Health, 2004) informed the review as it requires all New South Wales Department of Health practitioners, including physiotherapists, to be able to assess and manage clients with STBs. The review identified 23 peer-reviewed articles and four non-peer-reviewed articles that mentioned encounters between physiotherapists and clients with STBs. The results suggest that physiotherapists may encounter clients with STBs given the conditions they manage, the increased risk of suicide associated with these conditions, and the pattern of contact between health professionals and clients with STBs. Future research is required to explore the prevalence of STBs among physiotherapy clients, the experiences of physiotherapists who have identified clients with STBs, and whether physiotherapists are adequately trained and competent in suicide risk assessment.

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Falls from height due to accident and suicide attempt in Greece. A comparison of the injury patterns

Cited by 19 publications

References 26 publications

Differences in Trauma Injury Patterns and Severity Between Intentional and Accidental Falls From a Height: A Japanese Nationwide Trauma Database Study

Differences in Trauma Injury Patterns and Severity Between Intentional and Accidental Falls From a Height: A Japanese Nationwide Trauma Database Study

Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

Encounters between physiotherapists and clients with suicidal thoughts and behaviours: A narrative literature Review

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