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YÜKSEKTEN DÜŞME: ERİŞKİN OLGULAR

Year 2008, Volume: 9 Issue: 2, 29 - 32, 01.08.2008

Mehmet Eryılmaz Murat Durusu

Abstract

Amaç:Yüksekten düşme olayları ülkemiz için önemli ölüm ve yaralanma nedenleri arasında yer alır. Ulusal veuluslar arası literatür taramasının gerçekleştirildiği bu derleme de yüksekten düşen erişkin olgulara tıbbiyaklaşımın esasları gözden geçirildi.Gereç ve Yöntem:Çalışma pubmed taraması ile gerçekleştirildi. Ülkemizden yayınlanmış ulusal yayınlarınverileri ile uluslararsı veriler tarandı ve değerlendirildi.Bulgular:Literatür bilgileri incelendiğinde yaş, yükseklik ve düşülen zeminin yapısının prognoz için iyi birprediktör faktör olduğu; erişkin ve çocuk olguları arasında klinik patern olarak farklılıklar belirlendiği; düştüktensonra tüm olgularda önemli miktarda izole organ yaralanması gözlendiği tespit edildi. Mortalite ve morbiditeoranları sıklıkla düşülen yüksekliğe ve düşerken olgunun çarptığı vücut yüzeyine bağlı olduğu ve çocuklardayüksekten düşme daha sık gözlenmesine rağmen erişkinlerde daha fazla mortalite gözlendiği anlaşıldı.Sonuç :Sonuç olarak yüksekten düşme olgularının travma olguları içinde ayrı bir antite olarak ele alınması veklinik olarak ciddiyetle değerlendirilmesi ve bu konuda literatür bulguları eşliğinde klinik prospektif çalışmalarile yeni yaklaşım tarzları geliştirilmesi gerektiği kanaatine varıldı

Keywords

Yüksekten düşme travma skorları mortalite

References

  • 1. Reynolds BM., Balsano NA., Reynolds FX. Falls from heights: A surgical experiences of 200 concecutive cases.Ann Surg 1971; 174(2): 304-8.
  • 2. Robert DM, Stephen HLM, Sue Phifer RN. An analysis of accidental free falls from a height: The “spring break” syndrome. J Trauma 1993; 34: 123-6.
  • 3. Chalmers DJ, Marshall SW, Langley JD, Evans MJ, Brunton CR, Kelly AM, et al. Height and surfacing as risk factors for injury in falls from playground equipment: a case control study. Injury Prev 1996; 2(2): 98-104.
  • 4. De Leo D, Padoni W, Scoco P. et al. Attempted and completed suicide in older subjects: results from the WHO/EURO multicenter study of suicidal behaviour. Int J Geritr Psychiatry 2001; 16: 303-10.
  • 5. Conwell Y., Duberstein PR, Cox C, Hermann J, Forbes N, Caine ED. Age differences in behaviors leading to completed suicide. Am J Geriatr Psychiatry 1998; 6:122-6.
  • 6. Presley JC, Barlow B. Child and adolescent injury as a result of falls from buildings and structures. Inj Prev 2005; 11; 267-3.
  • 7. Richter D, Hahn MP, Ostermann PA, Ekkernkamp A, Muhr G. Vertical deceleration injuries: a comperative study of the injury patterns of 101 patients after accidental and intentional high falls. Injury 1996; 27(9): 655-9.
  • 8. 8.Yagmur Y, Güloğlu C, Aldemir M, Orak M. Falls from flat-roofed houses: a surgical experience of 1643 patients. Injury 2004; 35(4): 425-8.
  • 9. Lipscomb HJ, Dement JM., Nolan J, Patterson D, Li L, Cameron W. Falls in residential carpentry and drywall installation: Findings from active injury surveillance with union carpenters. J Occup Environ Med 2003; 45(8): 881-90.
  • 10. Ersoy G, Çeten Y, Gökgöz Ş, İnan F. Yüksekten düşme olguları. Göztepe Tıp Dergisi 1999; 14: 204-7.
  • 11. Agalar F, Cakmakci M, Sayek I. Factors effecting mortality in urban vertical free falls: evaluation of 180 cases. Int Surg 1999; 84(3): 271-4.
  • 12. Yagmur Y, Güloglu C, Aldemir M, Orak M. Falls from flat-roofed houses: a surgical experience of 1643 patients. Injury 2004; 35(4): 425-8.
  • 13. Helling TS, Watkins M, Evans LL, Nelson PW, Shook JW, Van Way CW. Low falls: an underappreciated mechanism of injury. J Trauma 1999; 46(3): 453-6.
  • 14. Mathis RD, Levine SH, Phifer S. An analysis of accidental free falls from a height: the 'spring break' syndrome. J Trauma 1993; 34(1): 123-6.
  • 15. Warner KG, Demling RH. The pathophysiology of free-fall injury.Annals Emerg Med 1986; 15: 1088-93.
  • 16. Deborah L, Nancy S. Falls from heights: A problem not just in the northeast. Pediatrics 1993; 92: 121-4.
  • 17. Kennedy RL, Grant PT, Blackwell D. Low-impact falls: demands on a system of trauma management, prediction of outcome, and influence of comorbidities. J Trauma 2001; 51(4): 717-24.
  • 18. Velmahos GC, Spaniolas K, Alam HB, de Moya M, Gervasini A, Petrovick L, Conn AK. Falls from height: spine, spine, spine! J Am Coll Surg 2006; 203(5): 605- 11.
  • 19. American College of Surgeons Committee on Trauma. Advanced Trauma Life Support for Doctors. 6th ed:American College of Surgeons, Chicago,1997.
  • 20. Demetriades D, Murray J, Brown C, Velmahos G, Salim A, Alo K, Rhee P. High-level falls: Type and severity of injuries and survival outcome according to age. J Trauma 2005; 58: 342-5.
  • 21. Buckman RF, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71: 331-44.
  • 22. Lee BS, Eachempati SR, Bacchetta MD, Levine MR, Barie PS. Survival after a documented 19-story fall:a case report. J Trauma 2003; 55: 869-72.
  • 23. Kirk KK, Praful B, Smith AK, Walter L. Mersheimer: High-flyer syndrome. New York State J Med 1976;76: 982-5.
  • 24. Kries DJ, Fine EG, Gomez GA, Eckes J, Whitwell E, Byers PM. A prospective evaluation of field categorization of trauma patients. J Trauma 1988;28:995-1000.
  • 25. Warner KG, Demling RH. The pathophysiology of free-fall injury.Ann Emerg Med 1986; 15: 1088-93. 26. Buckman RF, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71: 331-44.
  • 27. Lapostolle F, Gere C, Borron SW, Petrovic T, Dallemagne F, Beruben A, Lapandry C, Adnet F. Prognostic factors in victims of falls from height. Crit Care Med 2005; 33:1239-42.
  • 28. Atanasijevic TC, Savic SN, Nikolic SD, Djoki VM. Frequency and severity of injuries in correlation with the height of fall. J Forensic Sci 2005; 50(3): 608-12.
  • 29. Copes WS, Sacco WJ, Champion HR, Bain LW. Progress in characterising anatomic injury. In: Proceedings of the 33rd Annual Meeting of the Association for the Advancement of Automotive Medicine, Baltimore, MA, USA205-18.
  • 30. Baker SP. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14:187-96.
  • 31. Osler T, Baker SP, Long W. Amodification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma 1997; 43: 922-5.
  • 32. Champion HR.A revision of the trauma score. J Trauma 1989; 29: 623-9.
  • 33. Boyd CR. Evaluating trauma care : The TRISS method. J Trauma 1987; 27: 370-8.
  • 34. Steedman DJ. Severity of free fall injury. Injury 1989; 20: 259-61.
  • 35. Mosenthal AC, Livingston DH, Elcavage J, Merritt S, Stucker S. Falls: epidemiology and strategies for prevention. J Trauma 1995; 38(5): 753-6.
  • 36. Buckman RF Jr, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71(2): 331-44.
  • 37. Velmahos GC, Demetriades D, Theodorou D, Cornwell EE 3rd, Belzberg H, Asensio J, Murray J, Berne TV. Patterns of injury in victims of urban free-falls. World J Surg 1997; 21(8): 816-20.
  • 38. Lowenstein SR, Yaron M, Carrero R, Devereux D, Jacobs LM. Vertical trauma: injuries to patients who fall and land on their feet. Ann Emerg Med 1989; 18(2):161-5.
  • 39. Scalea T, GoldsteinA, Phillips T, Sclafani SJ, Panetta T, McAuley J, Shaftan G. An analysis of 161 falls from a height: the 'jumper syndrome'. J Trauma 1986; 26(8): 706-12.
  • 40. Brandes SB, McAninch JW. Urban fress falls and patterns of renal injury: A 20-year experience with 396 cases. J Trauma. 1999; 47(4): 643-9.
  • 41. Grandmaison GL, Krimi S, Durigon M. Frequency of laryngeal and hyoid bone trauma in nonhomicidal cases who died after a fall from a height. Am J Forensic Med Pathol 2006; 27: 85-86.
  • 42. Buckman RF Jr, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71(2): 331-44.
  • 43. Türk EE, Tsokos M. Blunt cardiac trauma caused by fatal falls from height: an autopsy-based assessment of the injury pattern. J Trauma 2004; 57: 301-304.
  • 44. Chughtai TS, Gilardino MS, Fleiszer DM, Evans DC, Brown RA, Mulder DS. An expanding role for cardiopulmonary bypass in trauma. Can J Surg 2002; 45: 95-103.

Fall From Heights Among Adults

Year 2008, Volume: 9 Issue: 2, 29 - 32, 01.08.2008

Mehmet Eryılmaz Murat Durusu

Abstract

Falls from heights are a common cause of death and disability in Turkey. The age, height and structure of the base of a fall is a good predictor of prognosis. There are differences between adult and paediatric cases and the high number of isolated organ injuries should not be underestimated. Mortality and morbidity change due to part of body which hits the surface initially, surface property and height of fall. This review aims to categorize and discuss the the patterns of injury of fall from heights among adult patients.

Keywords

Fall from heights trauma scores mortality

References

  • 1. Reynolds BM., Balsano NA., Reynolds FX. Falls from heights: A surgical experiences of 200 concecutive cases.Ann Surg 1971; 174(2): 304-8.
  • 2. Robert DM, Stephen HLM, Sue Phifer RN. An analysis of accidental free falls from a height: The “spring break” syndrome. J Trauma 1993; 34: 123-6.
  • 3. Chalmers DJ, Marshall SW, Langley JD, Evans MJ, Brunton CR, Kelly AM, et al. Height and surfacing as risk factors for injury in falls from playground equipment: a case control study. Injury Prev 1996; 2(2): 98-104.
  • 4. De Leo D, Padoni W, Scoco P. et al. Attempted and completed suicide in older subjects: results from the WHO/EURO multicenter study of suicidal behaviour. Int J Geritr Psychiatry 2001; 16: 303-10.
  • 5. Conwell Y., Duberstein PR, Cox C, Hermann J, Forbes N, Caine ED. Age differences in behaviors leading to completed suicide. Am J Geriatr Psychiatry 1998; 6:122-6.
  • 6. Presley JC, Barlow B. Child and adolescent injury as a result of falls from buildings and structures. Inj Prev 2005; 11; 267-3.
  • 7. Richter D, Hahn MP, Ostermann PA, Ekkernkamp A, Muhr G. Vertical deceleration injuries: a comperative study of the injury patterns of 101 patients after accidental and intentional high falls. Injury 1996; 27(9): 655-9.
  • 8. 8.Yagmur Y, Güloğlu C, Aldemir M, Orak M. Falls from flat-roofed houses: a surgical experience of 1643 patients. Injury 2004; 35(4): 425-8.
  • 9. Lipscomb HJ, Dement JM., Nolan J, Patterson D, Li L, Cameron W. Falls in residential carpentry and drywall installation: Findings from active injury surveillance with union carpenters. J Occup Environ Med 2003; 45(8): 881-90.
  • 10. Ersoy G, Çeten Y, Gökgöz Ş, İnan F. Yüksekten düşme olguları. Göztepe Tıp Dergisi 1999; 14: 204-7.
  • 11. Agalar F, Cakmakci M, Sayek I. Factors effecting mortality in urban vertical free falls: evaluation of 180 cases. Int Surg 1999; 84(3): 271-4.
  • 12. Yagmur Y, Güloglu C, Aldemir M, Orak M. Falls from flat-roofed houses: a surgical experience of 1643 patients. Injury 2004; 35(4): 425-8.
  • 13. Helling TS, Watkins M, Evans LL, Nelson PW, Shook JW, Van Way CW. Low falls: an underappreciated mechanism of injury. J Trauma 1999; 46(3): 453-6.
  • 14. Mathis RD, Levine SH, Phifer S. An analysis of accidental free falls from a height: the 'spring break' syndrome. J Trauma 1993; 34(1): 123-6.
  • 15. Warner KG, Demling RH. The pathophysiology of free-fall injury.Annals Emerg Med 1986; 15: 1088-93.
  • 16. Deborah L, Nancy S. Falls from heights: A problem not just in the northeast. Pediatrics 1993; 92: 121-4.
  • 17. Kennedy RL, Grant PT, Blackwell D. Low-impact falls: demands on a system of trauma management, prediction of outcome, and influence of comorbidities. J Trauma 2001; 51(4): 717-24.
  • 18. Velmahos GC, Spaniolas K, Alam HB, de Moya M, Gervasini A, Petrovick L, Conn AK. Falls from height: spine, spine, spine! J Am Coll Surg 2006; 203(5): 605- 11.
  • 19. American College of Surgeons Committee on Trauma. Advanced Trauma Life Support for Doctors. 6th ed:American College of Surgeons, Chicago,1997.
  • 20. Demetriades D, Murray J, Brown C, Velmahos G, Salim A, Alo K, Rhee P. High-level falls: Type and severity of injuries and survival outcome according to age. J Trauma 2005; 58: 342-5.
  • 21. Buckman RF, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71: 331-44.
  • 22. Lee BS, Eachempati SR, Bacchetta MD, Levine MR, Barie PS. Survival after a documented 19-story fall:a case report. J Trauma 2003; 55: 869-72.
  • 23. Kirk KK, Praful B, Smith AK, Walter L. Mersheimer: High-flyer syndrome. New York State J Med 1976;76: 982-5.
  • 24. Kries DJ, Fine EG, Gomez GA, Eckes J, Whitwell E, Byers PM. A prospective evaluation of field categorization of trauma patients. J Trauma 1988;28:995-1000.
  • 25. Warner KG, Demling RH. The pathophysiology of free-fall injury.Ann Emerg Med 1986; 15: 1088-93. 26. Buckman RF, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71: 331-44.
  • 27. Lapostolle F, Gere C, Borron SW, Petrovic T, Dallemagne F, Beruben A, Lapandry C, Adnet F. Prognostic factors in victims of falls from height. Crit Care Med 2005; 33:1239-42.
  • 28. Atanasijevic TC, Savic SN, Nikolic SD, Djoki VM. Frequency and severity of injuries in correlation with the height of fall. J Forensic Sci 2005; 50(3): 608-12.
  • 29. Copes WS, Sacco WJ, Champion HR, Bain LW. Progress in characterising anatomic injury. In: Proceedings of the 33rd Annual Meeting of the Association for the Advancement of Automotive Medicine, Baltimore, MA, USA205-18.
  • 30. Baker SP. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14:187-96.
  • 31. Osler T, Baker SP, Long W. Amodification of the injury severity score that both improves accuracy and simplifies scoring. J Trauma 1997; 43: 922-5.
  • 32. Champion HR.A revision of the trauma score. J Trauma 1989; 29: 623-9.
  • 33. Boyd CR. Evaluating trauma care : The TRISS method. J Trauma 1987; 27: 370-8.
  • 34. Steedman DJ. Severity of free fall injury. Injury 1989; 20: 259-61.
  • 35. Mosenthal AC, Livingston DH, Elcavage J, Merritt S, Stucker S. Falls: epidemiology and strategies for prevention. J Trauma 1995; 38(5): 753-6.
  • 36. Buckman RF Jr, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71(2): 331-44.
  • 37. Velmahos GC, Demetriades D, Theodorou D, Cornwell EE 3rd, Belzberg H, Asensio J, Murray J, Berne TV. Patterns of injury in victims of urban free-falls. World J Surg 1997; 21(8): 816-20.
  • 38. Lowenstein SR, Yaron M, Carrero R, Devereux D, Jacobs LM. Vertical trauma: injuries to patients who fall and land on their feet. Ann Emerg Med 1989; 18(2):161-5.
  • 39. Scalea T, GoldsteinA, Phillips T, Sclafani SJ, Panetta T, McAuley J, Shaftan G. An analysis of 161 falls from a height: the 'jumper syndrome'. J Trauma 1986; 26(8): 706-12.
  • 40. Brandes SB, McAninch JW. Urban fress falls and patterns of renal injury: A 20-year experience with 396 cases. J Trauma. 1999; 47(4): 643-9.
  • 41. Grandmaison GL, Krimi S, Durigon M. Frequency of laryngeal and hyoid bone trauma in nonhomicidal cases who died after a fall from a height. Am J Forensic Med Pathol 2006; 27: 85-86.
  • 42. Buckman RF Jr, Buckman PD. Vertical deceleration trauma. Principles of management. Surg Clin North Am 1991; 71(2): 331-44.
  • 43. Türk EE, Tsokos M. Blunt cardiac trauma caused by fatal falls from height: an autopsy-based assessment of the injury pattern. J Trauma 2004; 57: 301-304.
  • 44. Chughtai TS, Gilardino MS, Fleiszer DM, Evans DC, Brown RA, Mulder DS. An expanding role for cardiopulmonary bypass in trauma. Can J Surg 2002; 45: 95-103.
There are 43 citations in total.

Details

Other ID JA56CC69UE
Journal Section Collection
Authors

Mehmet Eryılmaz This is me

Murat Durusu This is me

Publication Date August 1, 2008
Published in Issue Year 2008 Volume: 9 Issue: 2

Cite

EndNote Eryılmaz M, Durusu M (August 1, 2008) Fall From Heights Among Adults. Meandros Medical And Dental Journal 9 2 29–32.