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ID 53673
JaLCDOI
フルテキストURL
著者
Nosaka, Nobuyuki Department of Pediatrics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Goda, Yu Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Knaup, Emily Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
Tsukahara, Kohei Advanced Emergency and Critical Care Medical Center, Okayama University Hospital publons
Yumoto, Tetsuya Advanced Emergency and Critical Care Medical Center, Okayama University Hospital ORCID Kaken ID publons
Ugawa, Toyomu Advanced Emergency and Critical Care Medical Center, Okayama University Hospital ORCID publons researchmap
Ujike, Yoshihito Advanced Emergency and Critical Care Medical Center, Okayama University Hospital
抄録
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.
キーワード
accidental falls
accident prevention
hospital costs
injuries
ladder
Amo Type
Original Article
出版物タイトル
Acta Medica Okayama
発行日
2015-10
69巻
5号
出版者
Okayama University Medical School
開始ページ
275
終了ページ
278
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
英語
著作権者
CopyrightⒸ 2015 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT