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[Falling from a height: Psychiatric comorbidity and complications].
Emile A Clous1, Kees J Ponsen, Pieter Boele van Hensbroek
1Academisch Medisch Centrum, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|August 27, 2015
Summary
Patients with a mental disorder face a 1.58 times higher risk of complications after a fall from a height. Mental health conditions are significant predictors of adverse outcomes in trauma patients.
Area of Science:
- Trauma surgery
- Psychiatric medicine
- Public health
Background:
- Falls from height are a significant cause of trauma.
- The impact of pre-existing mental disorders on post-fall complications is not well understood.
Purpose of the Study:
- To determine if mental disorders increase the risk of complications in patients following a fall from a height.
Main Methods:
- Retrospective study of 507 patients admitted after a fall from height (2004-2012).
- Data from trauma and surgical complications registries were analyzed.
- Chart review identified mental disorders; Mantel-Haenszel method calculated risk ratios.
Main Results:
- 147 patients (29%) experienced complications; 131 patients (25.8%) had mental disorders.
- Complication rates were higher in patients with mental disorders (45.8%) versus those without (23.1%).
- Mental disorder was a significant independent predictor of complications (Risk Ratio: 1.58).
Conclusions:
- Patients with mental disorders have a significantly higher risk of complications after a fall from height.
- Mental health conditions are an independent risk factor for adverse outcomes in trauma patients.
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