Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California.
Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California.
J Surg Res. 2019 Feb;234:283-286. doi: 10.1016/j.jss.2018.09.044. Epub 2018 Oct 23.
When ground-level falls occur in the bathroom, there is particular potential for morbidity and mortality given the high density of hard surfaces. Risk factors are not clearly defined by the existing literature. The objective of this study was to define the epidemiology, injury patterns, and outcomes after falls in the bathroom.
All patients presenting to LAC+USC Medical Center (01/2008-05/2015) after a fall in the bathroom (ICD-9 code E884.6) were included. Demographics, injury data, investigations, procedures, and outcomes were collected.
Fifty-seven patients were included, with mean age 45 y (range 0-92). All ages were affected, with ages 41-60 y at highest risk. Common comorbidities included cardiovascular disease (n = 23, 40%), neuromuscular disorders (n = 13, 23%), and diabetes (n = 9, 16%). Ten patients (18%) were intoxicated. Home medications included antihypertensives (n = 18, 32%), antipsychotics (n = 9, 16%), and anticoagulants (n = 8, 14%). Common investigations included X-rays (n = 41, 72%) and CT scans of the head (n = 20, 35%). The most frequent injuries were contusion/laceration (n = 45, 79%), fracture (n = 12, 21%), and traumatic brain injury (n = 7, 12%). Most patients did not require hospital admission (n = 46, 81%), although 4 (7%) needed intensive care unit care and operative intervention (ORIF [n = 2, 4%] or craniectomy [n = 2, 4%]). Mortality was low (n = 1, 2%). Most patients were discharged home (n = 40, 70%).
All ages, especially 41-60 y, are susceptible to falls in the bathroom. Despite the potential for serious injury, most do not require hospital admission. Risk factors include drugs/alcohol, cardiovascular disease, neuromuscular disorders, and diabetes. Efforts to minimize fall risk should be directed toward these individuals.
由于硬表面密度高，当浴室发生地面跌倒时，特别容易出现发病率和死亡率。现有文献并未明确界定危险因素。本研究的目的是定义浴室跌倒的流行病学、损伤模式和结果。
所有在洛杉矶加大医疗中心（2008 年 1 月至 2015 年 5 月）因浴室跌倒（ICD-9 代码 E884.6）就诊的患者均被纳入研究。收集了患者的人口统计学、损伤数据、检查、手术和结局数据。
共纳入 57 例患者，平均年龄 45 岁（0-92 岁）。所有年龄段均有发病，41-60 岁年龄组发病率最高。常见的合并症包括心血管疾病（n=23，40%）、神经肌肉疾病（n=13，23%）和糖尿病（n=9，16%）。10 例患者（18%）有中毒表现。家庭用药包括降压药（n=18，32%）、抗精神病药（n=9，16%）和抗凝药（n=8，14%）。常见的检查包括 X 射线（n=41，72%）和头部 CT 扫描（n=20，35%）。最常见的损伤是挫伤/撕裂伤（n=45，79%）、骨折（n=12，21%）和创伤性脑损伤（n=7，12%）。大多数患者无需住院（n=46，81%），但 4 例（7%）需要重症监护病房治疗和手术干预（ORIF[n=2，4%]或开颅术[n=2，4%]）。死亡率较低（n=1，2%）。大多数患者出院回家（n=40，70%）。
所有年龄段，尤其是 41-60 岁，都容易发生浴室跌倒。尽管有发生严重损伤的风险，但大多数患者无需住院治疗。危险因素包括药物/酒精、心血管疾病、神经肌肉疾病和糖尿病。应针对这些人群努力降低跌倒风险。
