ID | 53673 |
JaLCDOI | |
FullText URL | |
Author |
Nosaka, Nobuyuki
Goda, Yu
Knaup, Emily
Tsukahara, Kohei
publons
Ujike, Yoshihito
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Abstract | We sought to identify the incidence, injury patterns, and financial burden of ladder fall injuries to provide a reference for reinforcing guidelines on the prevention of such injuries. We enrolled the patients who were injured in a ladder-related fall and required intensive care between April 2012 and March 2014 at Okayama University Hospital, a tertiary care hospital in Okayama City:9 patients injured in 7 stepladder falls and 2 straight ladder falls. The median patient age was 69 years, and 8 were males. Six falls occurred in non-occupational settings. Head injuries predominated, and the injury severity score ranged from 2 to 35 (mean=21±12). At the time of discharge from the intensive care unit, one patient had died and 5 patients had some neurological disabilities. The case fatality rate was 11%. The total cost of care during the review period was ¥16,705,794, with a mean cost of
¥1,856,199 per patient. Ladder fall injuries are associated with a high rate of neurological sequelae and pose a financial burden on the health insurance system. A prevention education campaign targeting at older-aged males in non-occupational settings may be a worthwhile health service investment in this community.
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Keywords | accidental falls
accident prevention
hospital costs
injuries
ladder
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Amo Type | Original Article
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Publication Title |
Acta Medica Okayama
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Published Date | 2015-10
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Volume | volume69
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Issue | issue5
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Publisher | Okayama University Medical School
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Start Page | 275
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End Page | 278
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2015 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID | |
Web of Science KeyUT |