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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Low falls causing major injury: a retrospective study.

Kathryn Lesko1, Conor Deasy2,3

  • 1School of Medicine, University College Cork, Cork, Ireland. 116100302@umail.ucc.ie.

Irish Journal of Medical Science
|March 19, 2020
PubMed
Summary
This summary is machine-generated.

Low falls are a common cause of major trauma, particularly in older adults. Mechanical falls at home are the most frequent cause, often leading to long-term disability and increased mortality with age.

Keywords:
CohortLow fallMajor traumaMechanical fall

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Area of Science:

  • Traumatology
  • Geriatric Medicine
  • Public Health

Background:

  • Falls from under 2 meters (low falls) represent the leading cause of major trauma in Ireland.
  • This injury mechanism affects a broad demographic, from children to the elderly.

Purpose of the Study:

  • To characterize major trauma from low falls and identify patient subgroups.
  • To inform preventative strategies and optimize care pathways for improved patient outcomes.

Main Methods:

  • Retrospective analysis of patients presenting with low-fall trauma to Cork University Hospital Emergency Department.
  • Data collected from the Trauma Audit and Research Network (TARN) between January 2015 and June 2018.

Main Results:

  • 1066 cases of low-fall major trauma were identified (49.3% of major trauma cases).
  • The average patient age was 67.3 years, with mechanical falls at home being the most common cause (48%).
  • Limb injuries were most frequent (49.3%), with 45.8% experiencing moderate disability and 36.6% achieving good recovery.

Conclusions:

  • Low falls disproportionately affect individuals over 55, frequently resulting in loss of independent living.
  • Advanced age correlates with increased wait times, longer hospital stays, and higher mortality rates.
  • Mechanical falls occurring in the home environment are the primary driver of low-fall related major trauma.