the injury patients falls from height who demographic structures with effective factors of mortality and morbidity.
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Abstract (EN)
The purpose of this study is determining demographic structures of the injury patients who come for falls from height The purpose and analyzing effective factors of mortality and morbidity.The data of 2252 patients who come for falls from height that were admitted to emergency department of University of Dicle in South East Anatolia Region between January 2005 and December 2008 was analyzed retrospectively. In the data happening month of falls from height, age, sex, reason of falls from height, place of falls from height, floor of falls from height, intubation, hypotension, tachycardia, head-neck, thorax, abdomen, pelvis extremity injury, application period, remaining time in the hospital, GCS, ISS, RTS, GOS are analyzed. The patients were divided into seven groups according to the height of falling. These groups and parameters of mortality which are explained above were analyzed.1435 (63,7 %) of patients were male and 817 (36,3 %) of patients were female of the patients for falls from height who were included into this study. 2131 (94,6 %) of patients were alive and 121 (5,4 %) of patients were dead. The age average of the patients was 16,305± 19,5462. The age average distribution is that the youngest is 1 month and the oldest is 95 years. 1238 patients came to the hospital for falls from height in June, July, August, September and this had 54,9 % in whole patients. According to the falling floor 493 patients fallen to soft floor and 1759 patients fell to sharp floor. According to the place of falls from height 1056 (46,9 %) of patients fell from roof, 1665 (73,9 %) of patients fell from 1-5 meters (2-3-4 groups) height. According to the system injury 594 of patients cranial injury had first level. The mortality rate was 5,4 %.Age, suicide, falling height, floor of falls from height, falls from roof, falls from balcony-window, falls from construction, falls from other places, cranial injury, thorax injury, abdomen injury, rib fracture, hemotoraks, pnomotoraks, lung contusion, hemopnomotoraks, internal abdomen free liquid, neurological deficit, cerebral edema, cranium fracture, EDH, SDH, SAK, IKH, cerebral contusion, pnomosefalus, RTS, GOS, ISS, GCS had meaningful affect on mortality (P<0,05 of all).SAK, hemopnomotoraks and GOS were determined and analyzed as independent variables which effects to the mortality according to the result of multivariate analyses.In conclusion it was thought that the falls from height events which, most of them happen during childhood because of the carelessness, imprudence or negligence can be decreased with protective precaution and consciousness raising studies for families.
Author
Mustafa İçer
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How to Cite
Mustafa İçer (Medical Specialty Thesis). the injury patients falls from height who demographic structures with effective factors of mortality and morbidity., 2009, Dicle University.
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