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Journal of the Korean Society of Traumatology 2005;18(2):155-160.
A Clinical Study of Free - Fall Patients in Emergency Department
Jae Kwang Lee, M.D., Jong Pil Choi, M.D., Seong Soo Park, M.D., Joon Seok Park, M.D.
Department of Emergency Medicine, College of Medicine, Konyang University
추락에 의한 손상으로 응급실로 내원한 환자의 임상적 고찰
이재광·최종필·박성수·박준석
건양대학교 의과대학 응급의학교실
Abstract
Background: Falls are a major cause of emergency room visits. Injury secondary to falls is a largely preventable public health problem. This study helps to better understand the epidemiology of falls from height, then develops prevention strategies. Methods: We reviewed the medical records of 192 patients admitted to the emergency department of Konyang university hospital with a history of falls from January 2004 to December 2004. Collected data included the patient’s age, gender, height of fall and method, outcome of management, Injury Severity Score(ISS). Results: According to the characteristics of height of fall, the ISS was higher when the patient fell from height of 2 meters or more(13.79±12.17) than not(8.13±9.25)(p<0.05). There were positive correlation between mean age and ISS(p<0.001, r=0.7). To gender, ISS was higher in the male group(12.73±11.78) than the female group(8.48±10.00)(p<0.05). Conclusion: Falls often results from multiple concurrent problems including environmental and behavioral factors. This study suggests that we need to improve the occupational environment, especially above 2meters, for decreasing injuries of fall from heights. Also we consider the prevention of children from injuries of fall from heights.
Key Words: Height of fall; Injury severity score; Correlation


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