The Council of Forensic Medicine, Istanbul, Turkey.
Istanbul University-Cerrahpaşa, Cerrahpasa Faculty of Medicine, Forensic Medicine Department, 34303, Istanbul, Turkey.
J Forensic Leg Med. 2021 Feb;78:102113. doi: 10.1016/j.jflm.2020.102113. Epub 2021 Jan 15.
Falls from height are the most common cause of blunt trauma after traffic accidents. The focus of this retrospective study was to analyze the relationship between injuries in fatal falls and fall height, body mass index (BMI), and sex in 206 autopsy reports. Age, sex, weight, height, place of the fall, fall height, period between the incidence and death, external examination findings in the autopsy, intracranial findings, fractures, internal organ injuries, and information about the causes of death were recorded. Accidents and men were the largest groups. Injuries to the upper and lower extremities were frequently detected in accidents. Lower extremity injuries were more common in women. The occurrence of head and neck injuries were rare in overweight individuals. When evaluated by manner of death, there were differences in extremities and posterior body injuries. There was no difference between sex in terms of autopsy findings. It was observed that the injuries increased as the height increased. There was a statistical difference between the BMI groups in terms of liver, rib and sternum injuries. The most common cause of death was head injuries. Many factors have been known to affect injury patterns in cases of falls from height. Fall height, BMI, and gender are just a few of these factors. This study will be beneficial to support the findings of this study with larger-scale studies and statistical modeling that consider more factors affecting injuries in cases of falls.
高处坠落是交通事故后钝器伤最常见的原因。本回顾性研究的重点是分析 206 份尸检报告中致命坠落伤与坠落高度、体重指数(BMI)和性别之间的关系。记录了年龄、性别、体重、身高、坠落地点、坠落高度、发病与死亡之间的时间间隔、尸检时的外部检查结果、颅内发现、骨折、内脏损伤以及死亡原因的信息。事故和男性是最大的两个群体。在事故中,上肢和下肢受伤最为常见。下肢受伤在女性中更为常见。超重者头部和颈部受伤的发生率较低。从死因来看,四肢和后躯损伤存在差异。在尸检结果方面,性别之间没有差异。观察到随着高度的增加,损伤也随之增加。在肝脏、肋骨和胸骨损伤方面,BMI 组之间存在统计学差异。最常见的死亡原因是头部受伤。许多因素已知会影响高处坠落伤的损伤模式。坠落高度、BMI 和性别只是其中的几个因素。本研究将通过更大规模的研究和考虑更多影响高处坠落伤的因素的统计建模,为支持本研究的发现提供帮助。