Prognostic factors for mortality following falls from height.
OBJECTIVE
To identify the potential prognostic factors for mortality after falls from height.


METHODS
A retrospective clinical observational study included victims of fall of >6m from October 2000 to December 2007. Variables studied comprised each casualty's age, gender, height of fall, Glasgow Coma Scale (GCS) score, Abbreviated Injury Scale scores, Injury Severity Score, heart rate, Mean Arterial Pressure (MAP), White Blood Cell (WBC) count, haemoglobin, serum glucose, Creatine Kinase and duration of hospital stay. The relationships between these variables and outcomes were evaluated.


RESULTS
Among the 66 patients studied the mortality rate was 22.7%, i.e. 7 out-of-hospital and 8 in-hospital deaths. In univariate analysis, Glasgow Coma Score < or =14, Injury Severity Score > or =16, head/neck Abbreviated Injury Scale score > or =4, chest Abbreviated Injury Scale score > or =4, heart rate > or =100 or < or =50 beats/min, Mean Arterial Pressure < or =60 and serum glucose > or =140 mg/dl were significantly related to mortality. In multivariate analysis, head/neck Abbreviated Injury Scale score > or =4 was independently correlated with mortality.


CONCLUSIONS
Severe head injury (head/neck Abbreviated Injury Scale score > or =4) is a significant factor for mortality following falls from >6 m.
Division of Trauma of Emergency Department, Taipei Veterans General Hospital, Shih-pai Road, Taipei 112, Taiwan.
Chen-Chi
CC
Liu
Chien-Ying
CY
Wang
Hsin-Chin
HC
Shih
Yi-Szu
YS
Wen
Jackson Jer-Kan
JJ
Wu
Chun-I
CI
Huang
Han-Shui
HS
Hsu
Min-Hisung
MH
Huang
Mu-Shun
MS
Huang
D000058:Accidental Falls / Q000401:mortality* / Q000706:statistics & numerical data; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure / Q000502:physiology; D006259:Craniocerebral Trauma / Q000401:mortality; D003402:Creatine Kinase / Q000378:metabolism; D004812:Epidemiologic Methods; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D013624:Taiwan / Q000453:epidemiology; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014504:Urban Health / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000401:mortality*
D001786:Blood Glucose; D006454:Hemoglobins; D003402:Creatine Kinase