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Strategies Trauma Limb Reconstr. 2012 Nov;7(3):141-5. doi: 10.1007/s11751-012-0142-7. Epub 2012 Oct 06.

Correlation between pattern and mechanism of injury of free fall.

Strategies in trauma and limb reconstruction

Ismael Auñón-Martín, Pedro Caba Doussoux, Jose Luís León Baltasar, Elena Polentinos-Castro, Juan Pretell Mazzini, Carlos Resines Erasun

Affiliations

  1. "12 de Octubre" Hospital, Avenida de Cordoba s/n., 28041, Madrid, Spain, [email protected].

PMID: 23054744 PMCID: PMC3482436 DOI: 10.1007/s11751-012-0142-7

Abstract

To define the pattern of injury and aetiology of death of patients who have sustained major trauma due to high fall and its relationship with the mechanism of free fall. A total of 188 consecutive patients who sustained a high fall were included after the TRAUMASUR database was retrospectively reviewed. Demographic characteristics, severity scores, injury type, aetiology of high fall, mortality rate and aetiology of death were analysed. The mean age was 39.7 years (SD 15.5). The main aetiologies were work related (40.4 %) and suicide attempt (22.3 %). The mean injury severity score (ISS) and New Injury Severity Score (NISS) were 27.3 and 34.1, respectively. The most common cause of mortality within the intentional group was exsanguination (66 %), and the most frequent aetiology of death within the non-intentional group was endocranial hypertension (69 %). Differences were found with regard to the pattern of injuries and the aetiology of death according to the mechanism of free fall.

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