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
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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.
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キーワード | accidental falls
accident prevention
hospital costs
injuries
ladder
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2015-10
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巻 | 69巻
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号 | 5号
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出版者 | Okayama University Medical School
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開始ページ | 275
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終了ページ | 278
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2015 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID | |
Web of Science KeyUT |