Ladder-Related Injuries Treated in Emergency Departments in the United States, 1990–2005

D'Souza, Anjali L.; Smith, Gary A.; Trifiletti, Lara B.

doi:10.1016/j.amepre.2007.01.012

Cited by 36 publications

(44 citation statements)

References 19 publications

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“…D'Souza et al 21 reported on an estimated 572 580 (35 786 injuries annually) bunk bed injuries over a 16-year period ending in 2005. Injuries associated with ladders were also reported by D'Souza with an estimated 2 177 888 injuries in the USA over a 16-year period ending in 2005 33. D'Souza's ladder work reported an average yearly estimate of 136 118, ranking it below the highest two housing elements we identified in our analysis: floors at 206 668 and stairs at 150 015.…”

Section: Discussionsupporting

confidence: 66%

Structural housing elements associated with home injuries in children

et al. 2015

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Objective To quantify unintentional injuries associated with housing elements among children less than 18 years old treated in US hospital emergency departments. Methods The National Electronic Injury Surveillance System (NEISS) coding manual was reviewed, and all product codes that identified products permanently affixed to a home (housing elements) were identified. A query of the 2008 NEISS data for children under 18 determined the numbers of cases by severity code for each identified housing element. Housing elements were then tabulated by the number of cases for each severity code. The top 10 cases by severity code, (1) hospitalised or (2) treated in emergency departments, were included in a case review. Ten per cent of all cases or a minimum of 100 cases were randomly selected for review for each of the identified housing elements to assess if the case description could inform prevention efforts. Results Twelve housing elements (bathtub, cabinet, carpet, ceiling/wall, counter, door, fence, floor, nail, porch, stairs and window) were identified as the leading causes of injuries resulting in hospitalisations or emergency department visits. A list of potential interventions was generated based on the review of the case histories. Suggested changes for NEISS coding are also offered to enhance future prevention research. Conclusions NEISS is a valuable tool to identify home injury risks and inform design decisions for housing elements. Improved understanding of housing elements associated with injuries has the potential to enhance home inspection forms. However, interpretation of NEISS results is limited by lack of clarity about how the housing element was involved in the injury event.

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Section: Discussionsupporting

confidence: 66%

Structural housing elements associated with home injuries in children

et al. 2015

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“…At our institution, falls from ladders corresponded to 1.3% of the trauma evaluations over the study period. The mean age in our population was 55.6 ± 14.8 y, which is about a decade older than in other studies [2,12]. This difference may be explained by regional demographic differences as Tucson has several retirement subsidiary communities and hosts an influx of older winter visitors.…”

Section: Discussionmentioning

confidence: 53%

“…A longitudinal study >16 y showed that falls from ladders account for an average of 136,118 emergency department visits annually in the United States, which translated to an average of 49.5 per 100,000 people per year [12]. At our institution, falls from ladders corresponded to 1.3% of the trauma evaluations over the study period.…”

Section: Discussionmentioning

confidence: 93%

Falls from ladders: age matters more than height

Con

Friese

Long

et al. 2014

Journal of Surgical Research

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Background Falls from ladders account for a significant number of hospital visits. However, the epidemiology, injury pattern, and how age affects such falls are poorly described in the literature. Materials and methods Patients ≥18 y who suffered falls from ladders over a 5½-y period were identified in our trauma registry. Dividing patients into three age groups (18–45, 46–65, and >66 y), we compared demographic characteristics, clinical data, and outcomes including injury pattern and mortality. The odds ratios (ORs) were calculated with the group 18–45 y as reference; group means were compared with one-way analysis of variance. Results Of 27,155 trauma patients, 340 (1.3%) had suffered falls from ladders. The average age was 55 y, with a male predominance of 89.3%. Average fall height was 9.8 ft, and mean Injury Severity Score was 10.6. Increasing age was associated with a decrease in the mean fall height (P < 0.001), an increase in the mean Injury Severity Score (P < 0.05), and higher likelihood of admission (>66 y: OR, 5.3; confidence interval [CI], 2.5–11.5). In univariate analysis, patients in the >66-y age group were more likely to sustain traumatic brain injuries (OR, 3.4; CI, 1.5–7.8) and truncal injuries (OR, 3.6; CI, 1.9–7.0) and less likely to sustain hand and/or forearm fractures (OR, 0.3; CI, 0.1–0.9). Conclusions Older people are particularly vulnerable after falling from ladders. Although they fell from lower heights, the elderly sustained different and more severe injury patterns. Ladder safety education should be particularly tailored at the elderly.

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“…However, an overload of sensory inputs could still have some effects if the program allows some feedback control of landing and intersensory facilitation is relevant for the StartReact effect. Apart from its physiological interest, we considered also the potential social and clinical benefit of increasing our knowledge about control of landing, since falls are a frequent cause of work-related injuries (D'Souza et al 2007;Mattila et al 2008;Shishlov et al 2011) and may become an important problem with advancing age (Peel 2011;Sturnieks et al 2008). Therefore, we sought to know if the reaction to a SAS could have any role in braking the fine organization of the patterned motor program for landing.…”

mentioning

confidence: 99%