Danger at every rung: Epidemiology and outcomes of ICU-admitted ladder-related trauma

Injury
Helen M AcklandD James Cooper

Abstract

The incidence of ladder-related falls is increasing, and this represents a disturbing trend, particularly in the context of increased life expectancy and the impending retirement of the populous 'baby-boomer' generation. To date, there have been no critical illness-focused studies reporting on the incidence, severity and outcomes of severe ladder-related injuries requiring ICU management. Major trauma patients admitted to ICU over a 5year period to June 2011 after ladder falls >1m were identified from prospectively collected trauma data at a Level 1 trauma service. Demographic and ICU clinical management data were collected and non-parametric statistical analyses were used to explore the relationships between variables in hospital mortality/survival. There were 584 ladder fall admissions, including 194 major trauma cases, of whom 29.9% (n=58) fell >1m and were admitted to ICU. Hospital mortality was 26%, and fatal cases were almost entirely older males in domestic falls of ≤3m who died as a result of traumatic brain injury. Non-survivors had lower GCS at the scene (p=0.02), higher AIS head code (p=0.01), higher heart rate and lower mean arterial pressure (p<0.01) in the initial 24h period in ICU, and were ≥55years of age (p=0.0...Continue Reading

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Citations

Dec 20, 2017·Journal of Neurotrauma·Ben BeckBelinda J Gabbe
May 6, 2019·The Medical Journal of Australia·Ben BeckBelinda J Gabbe
Jun 9, 2018·International Journal of Legal Medicine·Sylvia SchickSteffen Peldschus
Sep 29, 2018·BJS Open·B BeckB J Gabbe
Oct 28, 2019·Medicine, Science, and the Law·Judith Fronczek, Roger W Byard
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Apr 20, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ting Hway WongMarcus Eng Hock Ong
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Dec 15, 2018·ANZ Journal of Surgery·Mark C FitzgeraldUNKNOWN AusTQIP Consortium
Nov 14, 2020·Experimental Gerontology·Erika M PlinerStephen R Lord

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