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Min Joung Kim 2 Articles
Gender and Intentionality Disparities in the Epidemiology and Outcomes of Falls from Height in Korean Adults
Seung Uk Han, Sun Pyo Kim, Sun Hyu Kim, Gyu Chong Cho, Min Joung Kim, Ji Sook Lee, Chul Han
J Trauma Inj. 2019;32(4):226-237.   Published online December 30, 2019
DOI: https://doi.org/10.20408/jti.2019.020
  • 3,380 View
  • 45 Download
  • 1 Citations
AbstractAbstract PDF
Purpose

This study investigated the characteristics of adult patients who had fallen from a height and presented to an emergency room (ER) according to gender and intentionality, with the goal of reducing the harm caused by these injuries.

Methods

A retrospective analysis was conducted of fall-from-height patients aged ≥19 years from the in-depth surveillance study of injured patients visiting ERs conducted under the supervision of the Korea Centers for Disease Control and Prevention from 2011 to 2016. Patterns were analyzed according to gender and intentionality.

Results

There were 29,838 men (68.5%) and 13,734 women (31.5%), with mean ages of 50.3±15.7 years and 57.2±19.9 years, respectively. The most common height of the fall was ≥1 m to 4 m in men (n=15,863; 53.2%) and <1 m in women (n=7,293; 53.1%). The most common location where the fall occurred was the workplace for men (n=10,500 male; 35.2%) and residential facilities for women (n=7,755; 56.5%). Most falls from height were unintentional (n=41,765; 97.1% vs. n=1,264; 2.9% for intentional falls). Suicide was the most frequent reason for intentional falls, and the age group of 19–30 years predominated in this category (n=377; 29.9%). For intentional falls, the most common interval before presentation to the ER was 0–6 hours (n=370; 29.3%) and the most common height was ≥4 m (n=872; 69.0%).

Conclusions

Among men, falls from height most often occurred from ≥1 m to 4 m, at the workplace, and during the course of paid work, whereas among women, they were most common from <1 m, in residential facilities, and during daily activities. Intentional falls most often occurred with the purpose of suicide, in the age group of 19–30 years, with an interval of 0–6 hours until treatment, from ≥4 m, and in residential facilities. Alcohol consumption was more common in intentional falls.

Summary

Citations

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  • Acil Serviste Yaralanmaların Demografik Analizi ve Niyetselliği
    Mustafa AÇİN, Halit KARAKISA, Salim SATAR
    Phoenix Medical Journal.2020; 2(3): 152.     CrossRef
Epidemiological and Clinical Characteristics of Elderly Fall Patients Visit to the Emergency Department: A Comparison by Gender
Jun Kew Kim, Sun Pyo Kim, Sun Hyu Kim, Gyu Chong Cho, Min Joung Kim, Ji Sook Lee, Chul Han
J Trauma Inj. 2018;31(3):117-124.   Published online December 31, 2018
DOI: https://doi.org/10.20408/jti.2018.025
  • 3,134 View
  • 53 Download
  • 1 Citations
AbstractAbstract PDF
Purpose

This study was to analyze clinical and epidemiological characteristics of elderly patients who were admitted to the emergency department (ED) due to falls by separating male and female.

Methods

We retrospectively analyzed the fall patients aged 65 years or older from the data of the in-depth surveillance study of injured patients visit to the ED under the supervision of the Korea Centers for Disease Control and Prevention (KCDC) from 2011 to 2016 by separating male and female.

Results

A total of 361,588 elderly fall patients were analyzed and, among them, 14,429 (37.3%) were males and 24,208 (62.7%) were females. Male and female showed similar frequency of damage happening season. However, they showed falling accident mostly on winter. The time of injury occurrence is mostly from 12:00 to 18:00 with 4,949 (34.3%) male and 8,564 (35.4%) female. Most falls occurred in daily activities, accounting for 7,614 (52.8%) in males and 14,957 (61.8%) in females, respectively. Unintentional damage accounted for the most part and 7,395 (51.2%) of male and 15,343 (63.4%) of female were injured indoors. Head and neck were the most common site of injuring, with 8,392 (58.2%) in males and 7,851 (32.4%) in females. According to ED examination outcomes, most of the patients were discharged, while the majority of the hospitalized patients were admitted to the general patient room.

Conclusions

The elderly falls occurred mostly from 12:00 to 18:00, during winter and to elderly women. Also, they happened unintentionally indoors in everyday life, mostly. Proved clinical, epidemiological characteristics from this research will be used as useful indicator at validity research of development of prevent program of falling accident for elderly people.

Summary

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  • The moderating role of social factors in the relationship between an incident of fall and depressive symptoms: a study with a national sample of older adults in South Korea
    Min-Kyoung Rhee, Yuri Jang, Soo Young Kim, Sujie Chang
    Aging & Mental Health.2021; 25(6): 1086.     CrossRef

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