title: Analysis and injury paterns of walnut tree falls in central anatolia of turkey.
abstract: BACKGROUND
  Falls are the second most common cause of injury-associated mortality worldwide. This study aimed to analysis the injuries caused by falls from walnut tree and assess their mortality and morbidity risk.
  
  
  METHODS
  This is a retrospective hospital-based study of patients presenting to emergency department (ED) of Ahi Evran Univercity between September and October 2012. For each casualty, we computed the ISS (defined as the sum of the squares of the highest Abbreviated Injury Scale (AIS) score in each of the three most severely injured body regions). Severe injury was defined as ISS ≥ 16. The duration of hospital stay and final outcome were recorded. Statistical comparisons were carried out with Chi-Square test for categorical data and non-parametric spearman correlation tests were used to test the association between variables. A p value less than 0.05 was considered to be statistically significant.
  
  
  RESULTS
  Fifty-four patients admitted to our emergency department with fall from walnut tree. Fifty (92.6%) patients were male. The mean age was 48 ± 14 years. Spinal region (44.4%) and particularly lumbar area (25.9%) sustained the most of the injuries among all body parts. Wedge compression fractures ranked first among all spinal injuries. Extremities injuries were the second most common injury. None of the patients died. Morbidity rate was 9.25%.
  
  
  CONCLUSIONS
  [corrected] Falls from walnut trees are a significant health problem. Preventive measures including education of farmers and agricultural workers and using mechanized methods for harvesting walnut will lead to a dramatic decrease in mortality and morbidity caused by falls from walnut trees.
authors.affiliation: Emergency Department, Ahi Evran Univercity Training and Research Hospital, Kırsehir (40100), Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Ersoy
authors.affiliation: Emergency Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Bedriye Müge
authors.initials: BM
authors.lastname: Sonmez
authors.affiliation: Emergency Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Fevzi
authors.initials: F
authors.lastname: Yilmaz
authors.affiliation: Emergency Department, Baskent Univecity, Taşkent caddesi, Ankara (06490), Turkey.
authors.forename: Cemil
authors.initials: C
authors.lastname: Kavalci
authors.affiliation: Emergency Department, Şişli Etfal Training and Research Hospital, Halaskargazi caddesi, İstanbul (34371), Turkey.
authors.forename: Derya
authors.initials: D
authors.lastname: Ozturk
authors.affiliation: Emergency Department, Şişli Etfal Training and Research Hospital, Halaskargazi caddesi, İstanbul (34371), Turkey.
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Altinbilek
authors.affiliation: Neurosurgery Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Alagöz
authors.affiliation: Emergency Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Fatma
authors.initials: F
authors.lastname: Cesur
authors.affiliation: Neurosurgery Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Ali Erdem
authors.initials: AE
authors.lastname: Yildirim
authors.affiliation: Neurosurgery Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Ozhan Merzuk
authors.initials: OM
authors.lastname: Uckun
authors.affiliation: General Surgery Department, Ankara Numune Training and Research Hospital, Talatpaşa Bulvarı, Ankara (06100), Turkey.
authors.forename: Tezcan
authors.initials: T
authors.lastname: Akin
keywords: Emergency; Falls; Walnut