Department of Surgery, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA.
Department of Public Health and Preventive Medicine, The University of Kansas School of Medicine - Wichita, Wichita, KS, USA.
Am J Surg. 2020 Oct;220(4):1098-1102. doi: 10.1016/j.amjsurg.2020.02.030. Epub 2020 Feb 17.
This study's purpose was to determine if age, fall height, fall mechanism, landing surface, and landing position are associated with injury severity and hospital outcomes among pediatric fall patients.
A retrospective review was conducted of patients aged ≤18 years who sustained fall-related injuries admitted to an American College of Surgeons verified Level 1 trauma center from January 1, 2006 through December 31, 2015.
Patient age, fall mechanism, landing position, and landing surface were associated with the need for surgery. Patient age, fall mechanism, and landing position were also associated with intensive care unit admissions. Fall mechanism was the only variable associated with injury severity. No variables were associated with the need for mechanical ventilation or mortality.
Patient age, fall mechanism, landing surface, and landing position need to be considered with regard to injury severity and patient outcomes among pediatric fall patients.
本研究旨在确定儿童跌倒患者中，年龄、跌倒高度、跌倒机制、着地点和着地点是否与损伤严重程度和医院转归相关。
对 2006 年 1 月 1 日至 2015 年 12 月 31 日期间，收治于美国外科医师学院认证的 1 级创伤中心的≤18 岁跌倒相关损伤患者进行回顾性研究。
患者年龄、跌倒机制、着地点和着地点与手术需求相关。患者年龄、跌倒机制和着地点也与重症监护病房收治相关。跌倒机制是唯一与损伤严重程度相关的变量。没有变量与机械通气或死亡率相关。
在考虑儿童跌倒患者的损伤严重程度和患者转归时，需要考虑患者年龄、跌倒机制、着地点和着地点。
