Nemade P, Wade R, Patwardhan A R, Kale S
Department of Orthopaedics, Seth G. S. Medical College and K.E.M. Hospital, Acharya Donde Marg, Parel, Mumbai, Maharashtra, India.
J Postgrad Med. 2012 Oct-Dec;58(4):262-4. doi: 10.4103/0022-3859.105445.
Injuries related to the Hindu festival of Dahihandi where a human pyramid is formed and a pot of money kept at a height is broken, celebrated in the state of Maharashtra, have seen a significant rise in the past few years. The human pyramid formed is multi-layered and carries with it a high risk of injury including mortality.
To evaluate the nature, extent and influencing factors of injuries related to Dahihandi festival.
We present a retrospective analysis of patients who presented in a tertiary care center with injuries during the Dahihandi festival in the year 2010.
124 patients' records were evaluated for timing of injury, height of the Dahihandi pyramid, position of the patient in the multi-layered pyramid, mode of pyramid collapse and mechanism of an injury. A binary regression logistic analysis for risk factors was done at 5% significance level.
Univariate and multi-variate binary logistic regression of the risk factors for occurrence of a major or minor injury was done using Minitab™ version 16.0 at 5% significance.
Out of 139 patients presented to the center, 15 were not involved directly in the formation of pyramid, rest 124 were included in the analysis. A majority of the patients were above 15 years of age [110 (83.6%)]. 46 (37.1%) patients suffered major injuries. There were 39 fractures, 3 cases of chest wall trauma with 10 cases of head injuries and 1 death. More than half of the patients [78 (56.1%)] were injured after 1800 hours. 73 (58.9%) injured participants were part of the pyramid constructed to reach the Dahihandi placed at 30 feet or more above the ground. 72 (51.8%) participants were part of the middle layers of the pyramid. Fall of a participant from upstream layers on the body was the main mechanism of injury, and majority [101 (81.5%)] of the patients suffered injury during descent phase of the pyramid.
There is a considerable risk of serious, life-threatening injuries inherent to human pyramid formation and descent in the Dahihandi festival. Safety guidelines are urgently needed to minimize risk and prevent loss of human life.
在马哈拉施特拉邦庆祝的印度达希汉迪节期间会搭建人塔，打破高处放置的一罐钱，过去几年里，与此相关的受伤事件显著增加。搭建的人塔有多层，受伤风险很高，包括死亡风险。
评估与达希汉迪节相关受伤事件的性质、程度及影响因素。
我们对2010年达希汉迪节期间在一家三级护理中心因伤就诊的患者进行回顾性分析。
评估124例患者的受伤时间、达希汉迪塔的高度、患者在多层塔中的位置、塔倒塌的方式及受伤机制。在5%的显著性水平下对风险因素进行二元回归逻辑分析。
使用Minitab™ 16.0版本在5%的显著性水平下对发生轻伤或重伤的风险因素进行单变量和多变量二元逻辑回归分析。
在前往该中心的139例患者中，15例未直接参与搭建人塔，其余124例纳入分析。大多数患者年龄在15岁以上[110例（83.6%）]。46例（37.1%）患者受重伤。有39例骨折，3例胸壁外伤，10例头部受伤，1例死亡。超过一半的患者[78例（56.1%）]在1800时之后受伤。73例（58.9%）受伤参与者是为了够到离地30英尺或更高处的达希汉迪而搭建的人塔的一部分。72例（51.8%）参与者是塔中间层的一部分。上层参与者落到下层参与者身上是主要受伤机制，大多数[101例（81.5%）]患者在人塔下降阶段受伤。
在达希汉迪节中，搭建和下降人塔存在相当大的严重、危及生命的受伤风险。迫切需要安全指南以将风险降至最低并防止人员伤亡。
