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Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022

Year 2024, , 8 - 18, 05.12.2024
https://doi.org/10.56484/iamr.1426621

Abstract

Objective: We evaluated the demographic data, trauma regions, bone fractures, hospitalization, first place to admission to hospital, fall places, fall heights, features of injuries according Turkish Penal Code of individuals who fell from heights.
Method: Six hundred twenty one individuals who have injuries after fall from heights were evaluated in the study. Our cases were received retrospectively in Diyarbakır over two years.
Results: The mean age was 20,29, %31,7 of patients were under 5 years old and %58,9 of patients were under 18 years, %5,3 of the cases occured at the workplace, the most frequent month was august with %14,2, the most frequent season was summer with %38,7, %28,7 of the cases fall from distances below 5 m, the average height was 3,1 m, injuries from the cranium with %12,9, the mean bone fracture score was 1,58.
Conclusion: The results of this study in general were same with literature. Fall from heights were most frequently seen in children aged 2 years with %9,7 of cases, children under the age of 18 constitute %58,9 of the total cases and %5,3 of the cases are workplace accidents. Males had a higher rate of falls from height than females.

References

  • Ersoy S, Sonmez BM, Yilmaz F, Kavalci C, Ozturk D, Altinbilek E, et al. Analysis and injury paterns of walnut tree falls in central anatolia of turkey. World J Emerg Surg. 2014;1-5
  • Saukko P, Knight B. The Pathology of Wounds. (Saukko P, Knight B. Ed.) Knight’s Forensic Pathology, 2016; 133-166.
  • Yavuz YO, Yıldırım H. Acil serviste hikaye ve fizik muayene: travma hastasına yaklaşım. Türkiye Klinikleri J. Orthop and Traumatol-Special Topics 2010; 3:10- 15.
  • Sever M. Evaluation of patient characteristics and outcome in fall from height. Akademik Acil Tıp Dergisi 2009; 8:25-30.
  • Beale JP, Wyatt JP, Beard D, Busuttil A, Graham CA. A five year study of high falls in Edinburgh. Injury 2000; 8:31
  • Meller JL, Shermeta DW. Falls in urban children. A problem revisited. Am J Dis Child 1987; 141:1271.
  • Al B, Yıldırım C, Çoban S. Falls from heights in and around the city of Batman. Ulus Travma Acil Cerrahisi Dergisi 2009;15:141-147.
  • Gupta SM, Chandra J, Dogra TD. Blunt force lesions related to the heights of a fall. Am J Forensic Med Pathology 1982; 3: 35-43.
  • Yağmur Y, Gülloğlu C, Aldemir M, Orak M. Falls from flat roofed houses: a surgical experience of 1643 patients. İnjury 2004; 35: 425-428.
  • Buckman RF, Buckman PD. Vertical deceleration trauma: principles of management. Surg Clin N Am. 1991; 71: 331:44.
  • Aufmkolk M, Voggenreiter G, Majetschak M, Neudeck F, Schmit-Neuerburg KP, Obertacke U. Injuries due to falls from a great height. A comparative analysis of injuries and their outcome following suicide-related and accidental falls. Unfallchirurg.1999; 102-525.
  • Richter D, Hahn MP, Ostermann PA, Muhr G. Injury pattern after fall from great height. An analysis of 101 cases. Unfallchirurg. 1995; 13: 609.
  • Kingma J, Ten Duis HJ. Severity of injuries due to accidental fall across the life span: a retrospective hospital-based study. Percept Mot Skills. 2000; 62-72.
  • İçer M, Güloğlu C, Orak M, Üstündağ M. Factors affecting mortality caused by falls from height Ulus Travma Acil Cerr Derg, November 2013; 529-535.
  • Petaros A, Slaus M, Coklo M, Sosa I, Cengija M, Bosnar A. Retrospective analysis of free-fall fractures with regard to height and cause of fall. Forensic Science International, 2013; 290-295.
  • Gören S, Subaşı M, Tıraşçı Y, Gürkan F. Fatal falls from heights in and around Diyarbakir, Turkey. Forensic Science International 2003, 37–40.
  • Magdalena E. Kusior, Katarzyna Pejka, Michał Knapik, Nadja Sajuk, Szymon Kłaptocz, Tomasz Konopka. Analysis of the nature of injuries in victims of fall from height. Archives of Forensic Medicine and Criminology, 2017; 106-124.
  • Guzel A, Karasalihoğlu S, Kucukuğurluoğlu Y. Cocuk acil unitemize duşme nedeniyle başvuran travma olgularının değerlendirilmesi. Ulus Travma Acil Cerrahi Derg 2007; 211-216.
  • Obeid NR et al. Fatal Falls in New York City An Autopsy Analysis of Injury Patterns. Am J Forensic Med Pathol 2016; 80-85.
  • Atanasijevic TC, Savic SN, Nikolic SD, Djoki VM. Frequency and severity of injuries in correlation with the height of fall. J Forensic Sci. 2005, 608.
  • Lapostolle, Frédéric MD; Gere, Christophe MD; Borron, Stephen W. MD; Pétrovic, Tomislav MD; Dallemagne, Frédéric MD; Beruben, Arielle MD; Lapandry, Claude MD; Adnet, Frédéric MD, PhD. Prognostic factors in victims of falls from height. Critical Care Medicine, 2005; 1239-1242.
  • Bruno CM et al. The Injury Pattern in Fatal Suicidal Falls From A Height: An Examination of 307 Cases. Forensic Science International 2014; 57-62.
  • Thierauf A, PreuB J, Lignitz E, Madea B. Retrospective analysis of fatal falls. Forensic Science İnternational 2010; 92-96.
  • Simonsen J. Injuries Sustained from High-Velocity impact with Water After Jumps From High Bridges: a Preliminary Report of 10 Cases. Am. J. Forensic Med. Pathol. 1983; 139-142.
  • Gennarelli TA, Wodzin E. AIS 2005: A contemporary injury scale. Injury, Int. J. Care Injured 2006; 1083–1091.
  • E.E. Turk, M. Tsokos, Pathologic features of fatal falls from height, Am. J. Forensic Med. Pathol. 2004; 194–199.
Year 2024, , 8 - 18, 05.12.2024
https://doi.org/10.56484/iamr.1426621

Abstract

References

  • Ersoy S, Sonmez BM, Yilmaz F, Kavalci C, Ozturk D, Altinbilek E, et al. Analysis and injury paterns of walnut tree falls in central anatolia of turkey. World J Emerg Surg. 2014;1-5
  • Saukko P, Knight B. The Pathology of Wounds. (Saukko P, Knight B. Ed.) Knight’s Forensic Pathology, 2016; 133-166.
  • Yavuz YO, Yıldırım H. Acil serviste hikaye ve fizik muayene: travma hastasına yaklaşım. Türkiye Klinikleri J. Orthop and Traumatol-Special Topics 2010; 3:10- 15.
  • Sever M. Evaluation of patient characteristics and outcome in fall from height. Akademik Acil Tıp Dergisi 2009; 8:25-30.
  • Beale JP, Wyatt JP, Beard D, Busuttil A, Graham CA. A five year study of high falls in Edinburgh. Injury 2000; 8:31
  • Meller JL, Shermeta DW. Falls in urban children. A problem revisited. Am J Dis Child 1987; 141:1271.
  • Al B, Yıldırım C, Çoban S. Falls from heights in and around the city of Batman. Ulus Travma Acil Cerrahisi Dergisi 2009;15:141-147.
  • Gupta SM, Chandra J, Dogra TD. Blunt force lesions related to the heights of a fall. Am J Forensic Med Pathology 1982; 3: 35-43.
  • Yağmur Y, Gülloğlu C, Aldemir M, Orak M. Falls from flat roofed houses: a surgical experience of 1643 patients. İnjury 2004; 35: 425-428.
  • Buckman RF, Buckman PD. Vertical deceleration trauma: principles of management. Surg Clin N Am. 1991; 71: 331:44.
  • Aufmkolk M, Voggenreiter G, Majetschak M, Neudeck F, Schmit-Neuerburg KP, Obertacke U. Injuries due to falls from a great height. A comparative analysis of injuries and their outcome following suicide-related and accidental falls. Unfallchirurg.1999; 102-525.
  • Richter D, Hahn MP, Ostermann PA, Muhr G. Injury pattern after fall from great height. An analysis of 101 cases. Unfallchirurg. 1995; 13: 609.
  • Kingma J, Ten Duis HJ. Severity of injuries due to accidental fall across the life span: a retrospective hospital-based study. Percept Mot Skills. 2000; 62-72.
  • İçer M, Güloğlu C, Orak M, Üstündağ M. Factors affecting mortality caused by falls from height Ulus Travma Acil Cerr Derg, November 2013; 529-535.
  • Petaros A, Slaus M, Coklo M, Sosa I, Cengija M, Bosnar A. Retrospective analysis of free-fall fractures with regard to height and cause of fall. Forensic Science International, 2013; 290-295.
  • Gören S, Subaşı M, Tıraşçı Y, Gürkan F. Fatal falls from heights in and around Diyarbakir, Turkey. Forensic Science International 2003, 37–40.
  • Magdalena E. Kusior, Katarzyna Pejka, Michał Knapik, Nadja Sajuk, Szymon Kłaptocz, Tomasz Konopka. Analysis of the nature of injuries in victims of fall from height. Archives of Forensic Medicine and Criminology, 2017; 106-124.
  • Guzel A, Karasalihoğlu S, Kucukuğurluoğlu Y. Cocuk acil unitemize duşme nedeniyle başvuran travma olgularının değerlendirilmesi. Ulus Travma Acil Cerrahi Derg 2007; 211-216.
  • Obeid NR et al. Fatal Falls in New York City An Autopsy Analysis of Injury Patterns. Am J Forensic Med Pathol 2016; 80-85.
  • Atanasijevic TC, Savic SN, Nikolic SD, Djoki VM. Frequency and severity of injuries in correlation with the height of fall. J Forensic Sci. 2005, 608.
  • Lapostolle, Frédéric MD; Gere, Christophe MD; Borron, Stephen W. MD; Pétrovic, Tomislav MD; Dallemagne, Frédéric MD; Beruben, Arielle MD; Lapandry, Claude MD; Adnet, Frédéric MD, PhD. Prognostic factors in victims of falls from height. Critical Care Medicine, 2005; 1239-1242.
  • Bruno CM et al. The Injury Pattern in Fatal Suicidal Falls From A Height: An Examination of 307 Cases. Forensic Science International 2014; 57-62.
  • Thierauf A, PreuB J, Lignitz E, Madea B. Retrospective analysis of fatal falls. Forensic Science İnternational 2010; 92-96.
  • Simonsen J. Injuries Sustained from High-Velocity impact with Water After Jumps From High Bridges: a Preliminary Report of 10 Cases. Am. J. Forensic Med. Pathol. 1983; 139-142.
  • Gennarelli TA, Wodzin E. AIS 2005: A contemporary injury scale. Injury, Int. J. Care Injured 2006; 1083–1091.
  • E.E. Turk, M. Tsokos, Pathologic features of fatal falls from height, Am. J. Forensic Med. Pathol. 2004; 194–199.
There are 26 citations in total.

Details

Primary Language English
Subjects Forensic Medicine
Journal Section Original Research Paper
Authors

Tugay Akyıl 0000-0002-5265-4263

Cem Uysal 0000-0002-7373-9725

Publication Date December 5, 2024
Submission Date January 27, 2024
Acceptance Date December 2, 2024
Published in Issue Year 2024

Cite

APA Akyıl, T., & Uysal, C. (2024). Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022. International Archives of Medical Research, 16(3), 8-18. https://doi.org/10.56484/iamr.1426621
AMA Akyıl T, Uysal C. Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022. IAMR. December 2024;16(3):8-18. doi:10.56484/iamr.1426621
Chicago Akyıl, Tugay, and Cem Uysal. “Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022”. International Archives of Medical Research 16, no. 3 (December 2024): 8-18. https://doi.org/10.56484/iamr.1426621.
EndNote Akyıl T, Uysal C (December 1, 2024) Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022. International Archives of Medical Research 16 3 8–18.
IEEE T. Akyıl and C. Uysal, “Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022”, IAMR, vol. 16, no. 3, pp. 8–18, 2024, doi: 10.56484/iamr.1426621.
ISNAD Akyıl, Tugay - Uysal, Cem. “Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022”. International Archives of Medical Research 16/3 (December 2024), 8-18. https://doi.org/10.56484/iamr.1426621.
JAMA Akyıl T, Uysal C. Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022. IAMR. 2024;16:8–18.
MLA Akyıl, Tugay and Cem Uysal. “Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022”. International Archives of Medical Research, vol. 16, no. 3, 2024, pp. 8-18, doi:10.56484/iamr.1426621.
Vancouver Akyıl T, Uysal C. Forensic Medical Analysis of Fall From Height Cases Applied to Dicle University Medical Faculty Hospitals Between 2021-2022. IAMR. 2024;16(3):8-18.

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