title: Fall-induced spinal cord injury: External causes and implications for prevention.
abstract: OBJECTIVE
  To document the demographic and clinical profile of persons who sustained spinal cord injury (SCI) as a result of accidental falls and to determine the usual circumstances surrounding the fall-induced SCI.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  21 SCI Model Systems centers throughout the United States.
  
  
  METHODS
  6,408 individuals with traumatic SCI between 2005 and 2014 were recruited from the National SCI Database. 1,877 (29%) of them were injuries caused by falls.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  External causes of injury documented by the International Classification of Diseases, 10(th) revision, Clinical Modification (ICD-10-CM).
  
  
  RESULTS
  Falls on the same level from slipping, tripping, and stumbling were the most common cause of fall-induced SCI (20%), followed by falls from building (16%), stairs and steps (16%), and ladder (9%). People who were 61 years of age and older had the highest frequency of falls on the same level, while those aged 16-45 years had a higher percentage of falls from buildings, usually work-related. The mechanisms of falls also varied by sex and race. Associated injury and vertebral injury occurred frequently among falls from buildings and ladders. High falls were more likely to be work-related and result in thoracic and complete injury, while low falls were more commonly associated with cervical and motor functionally incomplete injury.
  
  
  CONCLUSIONS
  The study findings of different mechanisms of falls by age, sex, race and medical consequences provide an insight for future interventions aimed at high risk persons, activities, and environmental factors for preventing or reducing fall-induced SCI.
authors.forename: Yuying
authors.initials: Y
authors.lastname: Chen
authors.forename: Ying
authors.initials: Y
authors.lastname: Tang
authors.forename: Victoria
authors.initials: V
authors.lastname: Allen
authors.forename: Michael J
authors.initials: MJ
authors.lastname: DeVivo
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000145:classification / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control
keywords: Accidental falls; Epidemiology; Primary prevention; Spinal cord injuries
references.citation: Perspect Health Inf Manag. 2007;4:6
references.pmid: 18066356
references.citation: Spinal Cord. 2013 Mar;51(3):209-13
references.pmid: 23247011
references.citation: NeuroRehabilitation. 2007;22(3):191-8
references.pmid: 17917169
references.citation: Spine (Phila Pa 1976). 1994 Oct 15;19(20):2302-6
references.pmid: 7846575
references.citation: Paraplegia. 1989 Dec;27(6):423-7
references.pmid: 2608294
references.citation: AACN Adv Crit Care. 2011 Apr-Jun;22(2):161-8
references.pmid: 21521958
references.citation: Przegl Epidemiol. 2013;67(1):57-62, 141-4
references.pmid: 23745377
references.citation: Crit Care Nurs Q. 1999 Aug;22(2):20-30
references.pmid: 10646439
references.citation: Arch Phys Med Rehabil. 1999 Nov;80(11):1365-71
references.pmid: 10569429
references.citation: Int Nurs Rev. 2007 Jun;54(2):191-6
references.pmid: 17492994
references.citation: Spinal Cord. 2012 Apr;50(4):275-7
references.pmid: 22143680
references.citation: Spinal Cord. 2006 Sep;44(9):535-40
references.pmid: 16955073
references.citation: J Spinal Cord Med. 2011 Nov;34(6):535-46
references.pmid: 22330108
references.citation: Arch Phys Med Rehabil. 2012 Oct;93(10):1685-91
references.pmid: 22504154
references.citation: Top Spinal Cord Inj Rehabil. 2013 Winter;19(1):1-8
references.pmid: 23678280
references.citation: Spinal Cord. 2014 Feb;52(2):110-6
references.pmid: 23439068
references.citation: Am J Ind Med. 2012 May;55(5):465-73
references.pmid: 22334304
references.citation: Spinal Cord. 2010 Jun;48(6):498-503
references.pmid: 20029395
references.citation: Med Clin North Am. 2006 Sep;90(5):807-24
references.pmid: 16962843
references.citation: Arch Phys Med Rehabil. 2012 Oct;93(10):1677-84
references.pmid: 22609117
references.citation: J Trauma. 2008 Feb;64(2):311-5
references.pmid: 18301192
references.citation: Spine J. 2008 May-Jun;8(3):522-8
references.pmid: 18023620
references.citation: Acta Orthop Traumatol Turc. 2010;44(5):352-60
references.pmid: 21343685
references.citation: Spinal Cord. 2011 Feb;49(2):196-9
references.pmid: 20548320