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Freitas, Mariana Gonçalves de, Palmira de Fátima Bonolo, Edgar Nunes de Moraes, and Carla Jorge Machado. "Elderly patients attended in emergency health services in Brazil: a study for victims of falls and traffic accidents." Ciência & Saúde Coletiva 20, no. 3 (March 2015): 701–12. http://dx.doi.org/10.1590/1413-81232015203.19582014.
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The article aims to describe the profile of elderly victims of falls and traffic accidents from the data of the Surveillance Survey of Violence and Accidents (VIVA). The VIVA Survey was conducted in the emergency health-services of the Unified Health System in the capitals of Brazil in 2011. The sample of elderly by type of accident was subjected to the two-step cluster procedure. Of the 2463 elderly persons in question, 79.8% suffered falls and 20.2% were the victims of traffic accidents. The 1812 elderly who fell were grouped together into 4 clusters: Cluster 1, in which all had disabilities; Cluster 2, all were non-white and falls took place in the home; Cluster 3, younger and active seniors; and Cluster 4, with a higher proportion of seniors 80 years old or above who were white. Among cases of traffic accidents, 446 seniors were grouped into two clusters: Cluster 1 of younger elderly, drivers or passengers; Cluster 2, with higher age seniors, mostly pedestrians. The main victims of falls were women with low schooling and unemployed; traffic accident victims were mostly younger and male. Complications were similar in victims of falls and traffic accidents. Clusters allow adoption of targeted measures of care, prevention and health promotion.
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Kingma, Johannes, and Henk-Jan Ten Duis. "Injuries Due to School Sports Accidents in 4 to 13-Yr.-Old Children." Perceptual and Motor Skills 90, no. 1 (February 2000): 319–25. http://dx.doi.org/10.2466/pms.2000.90.1.319.
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505 kindergarten and primary school children from 4 to 13 years of age were treated for school sports injuries during the period 1990–1997. The incidence of injuries increased statistically significantly from .5 per 1,000 children 4- to 5-yr.-old to 4.8 injured children per 1,000 in 12- to 13-yr.-old. 59% of the injuries involved upper extremities; 35% of these were in the wrist region. 33.5% of the injuries were of the lower extremities, with 50% being of the feet and 36.4% of the ankle. Accidental falls were the main situation (53%) in which school sport accidents occurred. Nearly 65% of these accidental falls occurred at the ground level; the remaining accidents (35%) occurred when the child was working on an apparatus, e.g., parallel bars, balancing beam, side horse. The 4- to 5-yr.-old children were the most vulnerable to accidental fall (67%). A statistically significant increase in injuries in ball sports was observed from 4- to 5-yr.-olds (0%) to the 12- to 13-yr.-olds (28%).
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Budiman, Ardelia Clara, Wisnu Wardhana, Sri Maliawan, and I. Wayan Niryana. "Characteristics of Patients with Spinal Cord Injury Caused by Accident in Denpasar during 2020–2022." Neurologico Spinale Medico Chirurgico 7, no. 1 (January 2024): 23–28. http://dx.doi.org/10.4103/nsmc.nsmc_31_23.
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Background: Spinal cord injury (SCI) is an injury located on the medulla spinalis, which could cause damage to the motor and sensory system. There are four mechanisms of accidents, which are traffic accidents, falls from height, sports accidents, and occupation-related accidents. Research regarding SCI caused by accident in Denpasar is still limited; therefore, to understand patients’ demography and clinical characteristics, further research is needed. Subjects and Methods: This research was a descriptive, cross-sectional research using total sampling and a prospective approach taken from the medical records of patients who are referred to the neurosurgeon department at Prof. Ngoerah General Hospital. Results: Based on the research results, most patients who are suffering from SCIs are male (73.5%), within the age range of 50–59 years old (22.1%), with falling from heights as the most common mechanism of accident, majority of it are classified as Grade A classification (33.8%). Most cases appeared with fractures (77.9%), and most were found in the cervical region (66%). As for the treatment, surgery interventions are more common (63.2%). Conclusions: Patients with SCI due to accidents are dominated by men, with the largest age group being 50–59 years old. The most common mechanism of accident is falling from height, and the majority of the cases are classified into Grade A using the American Spinal Injury Associaton classification. The majority of the cases are accompanied by fractures, especially in the cervical. Most of the cases are carried out by surgery interventions.
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Rudelli, Bruno Alves, Marcelo Valerio Alabarce da Silva, Miguel Akkari, and Claudio Santili. "Accidents due to falls from roof slabs." Sao Paulo Medical Journal 131, no. 3 (2013): 153–57. http://dx.doi.org/10.1590/1516-3180.2013.1313479.
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CONTEXT AND OBJECTIVE Falls from the roof slabs of houses are accidents of high potential severity that occur in large Brazilian cities and often affect children and adolescents. The aims of this study were to characterize the factors that predispose towards this type of fall involving children and adolescents, quantify the severity of associated lesions and suggest preventive measures. DESIGN AND SETTING Descriptive observational prospective longitudinal study in two hospitals in the metropolitan region of São Paulo. METHODS Data were collected from 29 cases of falls from roof slabs involving children and adolescents between October 2008 and October 2009. RESULTS Cases involving males were more prevalent, accounting for 84%. The predominant age group was schoolchildren (7 to 12 years old; 44%). Leisure activities were most frequently being practiced on the roof slab at the time of the fall (86%), and flying a kite was the most prevalent game (37.9%). In 72% of the cases, the children were unaccompanied by an adult responsible for them. Severe conditions such as multiple trauma and traumatic brain injuries resulted from 79% of the accidents. CONCLUSION Falls from roof slabs are accidents of high potential severity, and preventive measures aimed towards informing parents and guardians about the dangers and risk factors associated with this type of accident are needed, along with physical protective measures, such as low walls around the slab and gates with locks to restrict free access to these places.
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Lagbas, Clint, Shahrzad Bazargan-Hejazi, Magda Shaheen, Dulcie Kermah, and Deyu Pan. "Traumatic Brain Injury Related Hospitalization and Mortality in California." BioMed Research International 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/143092.
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Objective. The aim of this study is to describe the traumatic brain injury (TBI) population and causes and identify factors associated with TBI hospitalizations and mortality in California.Methods. This is a cross-sectional study of 61,188 patients with TBI from the California Hospital Discharge Data 2001 to 2009. We used descriptive, bivariate, and multivariate analyses in SAS version 9.3.Results. TBI-related hospitalizations decreased by 14% and mortality increased by 19% from 2001 to 2009. The highest percentages of TBI hospitalizations were due to other causes (38.4%), falls (31.2%), being of age≥75years old (37.2%), being a males (58.9%), and being of Medicare patients (44%). TBIs due to falls were found in those age≤4years old (53.5%),≥75years old (44.0%), and females (37.2%). TBIs due to assaults were more frequent in Blacks (29.0%). TBIs due to motor vehicle accidents were more frequent in 15–19 and 20–24 age groups (48.7% and 48.6%, resp.) and among Hispanics (27.8%). Higher odds of mortality were found among motor vehicle accident category (adjusted odds ratio (AOR): 1.27, 95% CI: 1.14–1.41); males (AOR: 1.36, 95% CI: 1.27–1.46); and the≥75-year-old group (AOR: 6.4, 95% CI: 4.9–8.4).Conclusions. Our findings suggest a decrease in TBI-related hospitalizations but an increase in TBI-related mortality during the study period. The majority of TBI-related hospitalizations was due to other causes and falls and was more frequent in the older, male, and Medicare populations. The higher likelihood of TBI-related mortalities was found among elderly male≥75years old who had motor vehicle accidents. Our data can inform practitioners, prevention planners, educators, service sectors, and policy makers who aim to reduce the burden of TBI in the community. Implications for interventions are discussed.
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Wang, Hongwei, Yuan Zhang, Qiang Xiang, Xuke Wang, Changqing Li, Hongyan Xiong, and Yue Zhou. "Epidemiology of traumatic spinal fractures: experience from medical university–affiliated hospitals in Chongqing, China, 2001–2010." Journal of Neurosurgery: Spine 17, no. 5 (November 2012): 459–68. http://dx.doi.org/10.3171/2012.8.spine111003.
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Object The main objective of this study was to analyze the epidemiological data obtained from patients with traumatic spinal fracture at 2 university-affiliated hospitals in Chongqing, China. Methods The authors retrospectively reviewed the hospital records of all patients who suffered traumatic spinal fracture and were treated at Xinqiao Hospital and Southwest Hospital (both affiliated with The Third Military Medical University) between January 2001 and December 2010. The demographic characteristics, injury characteristics, and clinical outcomes of patients over this 10-year period were compared. Results A total of 3142 patients (mean age 45.7 years, range 1–92 years) with traumatic spinal fractures were identified; 65.5% of the patients were male. The peak frequency of these injuries occurred in the 31- to 40-year-old age group. Accidental falls and traffic accidents were the most common causes of spinal fractures (58.9% and 20.9%, respectively). Traffic accidents tended to occur in younger patients, whereas accidental falls tended to occur in older patients. The most common area of fracture was the thoracolumbar spine (54.9%). Cervical spinal fractures were significantly more common in patients injured in traffic accidents, while lumbar spinal fractures were more common in accidental fall patients. Using the American Spinal Injury Association (ASIA) classification, 479 (15.3%) patients were classified as having ASIA A injuries; 913 (29.1%), ASIA B, ASIA C, or ASIA D; and 1750 (55.7%), ASIA E. ASIA A injuries were more common in patients who suffered thoracic spinal fractures (15.09%) than in those with fractures in other areas of the spine. A total of 954 (30.4%) patients had associated nonspinal injuries. Of these patients, 389 (40.78%) suffered a thoracic injury, and 191 (20.02%) sustained a head and neck injury. The length of hospitalization differed significantly between the accidental falls from high heights and falls from low heights, as did the mean cost of hospitalization (p < 0.05), but no significant difference was found between accidental falls from high heights and traffic accidents (p > 0.05). The length of hospitalization differed significantly among the 3 groups according to the ASIA classification, as did the mean cost of hospitalization (p < 0.05). Of patients with incomplete lesions, 39.3% improved 1 or more grades in ASIA classification during hospitalization. Conclusions Accidental falls emerged as the leading cause of traumatic spinal fracture in this study, and the numbers of fall-induced and sports-related injuries increased steadily with age. These results indicate that there should be increased concern for the consequences of fall- and sports-related injuries among the elderly.
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Betsis, Sotiris, Maria Kalogirou, Georgios Aretoulis, and Maria Pertzinidou. "Work Accidents Correlation Analysis for Construction Projects in Northern Greece 2003–2007: A Retrospective Study." Safety 5, no. 2 (May 27, 2019): 33. http://dx.doi.org/10.3390/safety5020033.
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Construction project related accidents are critical events and it is imperative that they are analyzed in order to understand and identify their root causes. Therefore, the present study analyzes work accidents on construction projects in northern Greece. The methodological approach firstly includes the collection of accident related data from the “Greek Work Inspection Organization”, which is followed by a descriptive analysis and corresponding codification of available data. The next step includes the creation of an appropriate database in SPSS to accommodate all relevant data and subsequent correlation analysis that aims to identify potential trends and tendencies within the accidents’ sample. The findings highlight the most frequent occurrences regarding construction work related accidents and at the same time identify correlations among the various parameters associated with them. The majority of accidents include inexperienced personnel and workers in the age range of 24–44 years old. Moreover, most accidents occur during the summer and are not fatal. Falls are by far the dominant type of accident, and as a consequence, fractures are the most frequently occurring type of injury. Finally, most accidents occur in the morning, with injuries focusing on the lower parts of the body, and in the presence of general use equipment. The current paper also identified associations among various accident characteristics. These findings could help towards reducing the number and severity of work-related accidents. Improved construction site organization, accompanied by the dedication of management towards health and safety and more frequent inspections, could decrease the number and severity of accidents.
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Gfeller, David, and Thomas Von Arx. "Retrospective Analysis of Dento-alveolar Injuries at a Swiss University Clinic (2011-2015)." SWISS DENTAL JOURNAL SSO – Science and Clinical Topics 131, no. 6 (June 14, 2021): 500–510. http://dx.doi.org/10.61872/sdj-2021-06-732.
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Abstract
The aim of this study was to evaluate all dento-alveolar injuries occurring within a period of 5 years that were examined at the Department of Oral Surgery and Stomatology at the University of Bern. The case histories of 852 patients (522 males and 330 females) were assessed retrospectively. The mean age was 17 years and 9 months. The youngest patient was 10 months old, the oldest was 91 years old. Most accidents were recorded in the months of March and July. Friday was observed as the weekday when accidents were at their peak. 54% of trauma patients were first examined on the day of the accident. The most frequent causes of accident were falls, cycling or sports accidents. Injury types included concussion (72.4%), subluxation (14%) and luxation (7.7%). Crown fractures without pulp exposure were recorded in 522 teeth (10.7%). Rare types of trauma were crown fractures with pulp exposure (3.7%), and avulsion injuries (3.2%). The most frequently affected teeth were central incisors (40%), followed by lateral incisors (35.6%) and canines (19.5%). 71.5% of the patients with dento-alveolar trauma also had soft-tissue injuries (from abrasions to lacerations), mostly lip (51.6%), gingival (19%), and chin injuries (10.9%). The multivariate analysis showed that age had a significant impact on concussions, subluxations, intrusions, crown fractures, root fractures and non-oral injuries. For concussions and subluxations, the probability of an injury was the highest for the mixed dentition group. For intrusions, the probability of an injury decreased with age, but it was vice versa for crown fractures, root fractures and non-oral injuries. It was found that bicycle injuries had the highest injury probability for avulsions, luxations, subluxations, soft tissue – and non-oral injuries.
Accepted for publication: October 30, 2020
Published online: January 28, 2021
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Araújo Junior, Francisco Alves de, Anderson Matsubara, Luiz Henrique Cardoso Pereira, Eric Henrique Batista Schmidt, and Gabriel Luiz de Souza Kondlatsch. "Epidemiology of Spinal cord Injury in references trauma center in Curitiba (Paraná, Brazil)." Coluna/Columna 20, no. 2 (June 2021): 123–26. http://dx.doi.org/10.1590/s1808-185120212002240563.
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ABSTRACT Objective: To outline the clinical-epidemiological profile of patients who were victims of SCT, to identify the main trauma mechanisms for this injury and its outcome. Methods: Retrospective cross-sectional study, in which the epidemiological data, computed tomography reports and medical records of patients with fractures identified in their examinations at trauma reference hospitals in Curitiba-PR, in 2018, were analyzed. Results: 705 patients were studied. There was a male prevalence (64%), the most affected age group was 21 to 30 years old (18%), the mean age was 48.23 years, the mean female age being approximately 10 years higher. The main mechanisms were traffic accidents (34%), falls from a higher level (29%) and falls from the same level (25%). The most affected segment was the lumbar with 46% of cases. The incidence of surgical treatment was 15%, of spinal cord injury was 5%, and death was the outcome in less than 3% of cases. Conclusions: The profile of the patient victim of SCT in 2018 in Curitiba-PR was that of a young man, victim of a traffic accident with thoracolumbar involvement without spinal cord injury, under conservative treatment.Level of evidence II; Retrospective Study.
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N, Jyothsna. "A Study to Assess the Knowledge and Practice Regarding Prevention of Falls Among Elderly at Navajeevan Vruddhashramam in Tirupati." Galore International Journal of Applied Sciences and Humanities 7, no. 4 (November 27, 2023): 26–29. http://dx.doi.org/10.52403/gijash.20230404.
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BACKGROUND: Falls among the elderly are one of the major causes of morbidity and mortality worldwide. They constitute the second leading cause of unintentional deaths after road-traffic accidents. The aim of the study was to estimate the prevalence of falls among the elderly and to investigate the factors that contribute to this phenomenon. MATERIALS AND METHODS: Quasi experimental one group pre and post-test design was used to assess the knowledge and practice of old age people regarding prevention of recurrent falls, over the age of 60, in Navajeevan vruddhashramam, Tirupati. The sample under scrutiny was estimated to be 30 in total. The investigator developed questionnaires to assess the effectiveness of booklet on the knowledge and practice regarding prevention of falls among elderly at Navajeevan vruddhashramam. The collected data was organized, tabulated, analyzed and interpreted by using descriptive and inferential statistics based on the objectives of the study and effectiveness of booklet was analyzed and interpreted by using descriptive and inferential statistics. the study RESULTS Showed that Among 30 samples in pretest 47% (14/30) had average knowledge on prevention of recurrent falls. Among 30 samples in post -test (20/30) 67% have good knowledge on prevention of recurrent falls. The mean score was observed was 9.93 and post means score is 22.3 by applying the T test, the calculator value is 11.28 and T-value is 2.0017. So that by obtained “t” value was highly significant at p < 0.05 level. The conclusion drawn from the study information booklet was more effective on prevention of recurrent falls among elderly people. Keywords: falls, old age people, booklet, knowledge and practice
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Jalalvandi, Fereshteh, Peyman Arasteh, Roya Safari Faramani, and Masoumeh Esmaeilivand. "Epidemiology of Pediatric Trauma and Its Patterns in Western Iran: A Hospital Based Experience." Global Journal of Health Science 8, no. 6 (October 26, 2015): 139. http://dx.doi.org/10.5539/gjhs.v8n6p139.
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<p><strong>BACKGROUND & OBJECTIVE:</strong><em> </em>Trauma is a major cause of mortality in children aged 1 to 14 years old and its patterns differs from country to country. In this study we investigated the epidemiology and distribution of non-intentional trauma in the pediatric population.</p><p><strong>MATERIALS & METHODS: </strong>The archives of 304 children below 10 years old who presented to Taleghani trauma care center in Kermanshah, Iran from March to September 2008, were reviewed. Patients’ demographic and injury related information were registered. The participants were categorized into three age groups of 0-2, 3-6 and 7-10 years old and the data was compared among age groups and between both sexes.</p><p><strong>FINDINGS: </strong>The most common cause for trauma was falling from heights (65.5%) and road traffic accidents (16.4%). The most common anatomical sites of injury were the upper limbs followed by the head and neck (36.8% and 31.2%, respectively). Injuries mostly occurred in homes (67.4%). The injuries were mostly related to the orthopedics and the neurosurgery division (84.1% and 13.1%, respectively). Accident rates peaked during the hours of 18-24 (41.3%). Male and female patients did display any difference regarding the variables.</p><p>Children between the ages of 0-2 years old had the highest rate of injury to the head and neck area (40.3%) (p=0.024). Falls and road traffic accidents displayed increasing rates from the ages of 0-2 to 3-6 and decreasing rates to the ages of 7-10 years old (p=0.013). From the ages of 0-2 to 3-6 years old, street accidents increased and household traumas decreased. After that age household trauma rates increased and street accidents decreased (p=0.005). Children between the ages of 7-10 years old had the highest rate of orthopedic injury (p=0.029).</p><p><strong>CONCLUSION:</strong><em> </em>Special planning and health policies are needed to prevent road accidents especially in children between the ages of 3-6 years old. Since homes were the place where children between the ages of 0-2 were mostly injured, parents should be educated about the correct safety measures that they need to take regarding their children's environments. The orthopedics department needs to receive the most training and resources for the management of pediatric trauma.</p>
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Madaan, Priyanka, Deepak Agrawal, Deepak Gupta, Atin Kumar, Prashant Jauhari, Biswaroop Chakrabarty, R. M. Pandey, Vinod Kumar Paul, M. C. Misra, and Sheffali Gulati. "Clinicoepidemiologic Profile of Pediatric Traumatic Brain Injury: Experience of a Tertiary Care Hospital From Northern India." Journal of Child Neurology 35, no. 14 (August 4, 2020): 970–74. http://dx.doi.org/10.1177/0883073820944040.
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Traumatic brain injury is an important cause of acquired brain injury. The current study brings to light the clinicoepidemiologic profile of pediatric traumatic brain injury in India. Retrospective record analysis of children (aged ≤ 16 years) with traumatic brain injury presenting to an apex-trauma-center in North India over 4 years was done. Of more than 15 000 patients with a suspected head injury, 4833 were children ≤16 years old. Of these, 1074 were admitted to the inpatient department; 65% were boys with a mean age at presentation being 6.6 years. Most patients (85%) had a Glasgow Coma Scale score of 13 to 15 at presentation while Glasgow Coma Scale scores of ≤8 was seen in 10% of patients. Neuroimaging (computed tomography [CT]) abnormalities were seen in 12% of patients, with the commonest abnormality being skull fracture, followed by contusions, and extradural hemorrhage. Around 2% of patients required decompressive craniotomy whereas 3% of patients succumbed to their illness. Among the inpatients with pediatric traumatic brain injury, two-thirds were boys with a mean age at presentation of 7.6 years. Severity of traumatic brain injury varied as mild (64%), moderate (11%), and severe (25%). The most common mode of injury was accidental falls (59%) followed by road traffic and rail accidents (34%). Neuroimaging abnormalities were seen in half of inpatients with pediatric traumatic brain injury, with the commonest abnormality being skull fracture. Pediatric head injuries are an important public health problem and constitute a third of all head injuries. They are more common in boys, and the most common modes of injury are accidental falls, followed by road traffic accidents.
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Amer, Ameera Ibrahim, Balges Mohammad Alrowili, Raghad Naif Aljohani, Mona Dabshi Alanazi, Basmah Mustafa Ageel, Rawan Hussein Alhasawi, Iradah Abas Alsbban, et al. "Causes of primary tooth avulsion and replantation treatment." International Journal Of Community Medicine And Public Health 8, no. 10 (September 27, 2021): 5049. http://dx.doi.org/10.18203/2394-6040.ijcmph20213687.
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During primary dentition, the etiology changes by age group. For instance, traumas secondary to collisions and falls are attributable to early movement within the first six years, while accidents secondary to frequent playing are the main reason within the following nine years, and violence is the most common etiology until the age of 25 years old. Previous studies have estimated that traumas from falls, sporting activities, bicycling, traffic accidents, and violence were the most common causes of dental injuries in children. Iatrogenic causes also contribute to 0.04-12% of dental injuries, including avulsions. According to the current evidence, whether to use reimplantation or not is still controversial and further investigations are needed. Among the various case reports, damage to the permanent successors, root resorption, clot formation, and pulp necrosis were documented as potential complications and adverse events with intended reimplantation. However, many techniques were reported to overcome these problems. Besides, favorable outcomes following reimplantation could be hypothetically obtained as sound articulation, proper mastication, and proper dentition. Therefore, this encourages reimplantation, however, further evidence is still needed to validate the proposed advantages and disadvantages of the approach.
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DEMİRCİ, Burak, and Abuzer COŞKUN. "Evaluation of forensic fall from height cases aged two years and younger." Cukurova Medical Journal 47, no. 4 (December 28, 2022): 1558–67. http://dx.doi.org/10.17826/cumj.1171320.
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Purpose: Childhood trauma is often caused by accidental or neglected falls. In this study, we aimed to evaluate demographic and clinical factors to determine the incidence of falls from height in children under two years old.
Materials and Methods: The study included 106 forensic cases who presented to the emergency department after falling from a height of one meter or more as a result of an accident or negligence between January 1, 2016 and December 31, 2021. According to the level of fall height, the cases were divided into two groups as below 3 meters and above. Clinical findings, hospitalization, and mortality status were used to group patients.
Results:Of the 106 cases included in the study, 59(55.7%) were male.The mean age of the patients was 12.89±6.80 months (p=0.002) and the mean height level was 3.67±2.85 m (p=0.001).The mean height of the Low and High groups was 1.78±0.71, 6.92±2.09 meters, respectively.Crainal fracture was present in 21(19.8%) patients in the high group and all traumatic parenchymal brain lesions except contusion were seen in the high group (p=0.001). Four (3.8 %) of the 9(8.5%) dead cases died in emergency department. The average height of emergency department fall victims was 9.75±2.63 meters (p=0.001).
Conclusion: Especially cases of falling from height under the age of two are common and are an important cause of morbidity and mortality. Fall height level is an important marker in terms of clinical and prognosis. Informing and educating caregivers and parents can prevent accidents and neglect in advance.
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Dias, Paulo César Marinho, Elmiro Santos Resende, and José Weber Vieira de Faria. "Dosage of Alcohol, Cocaine and Marijuana in Patients with Moderate and Severe Traumatic Brain Trauma Attended at the Hospital of Clinics of the Federal University of Uberlândia." Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 42, no. 04 (November 17, 2023): e316-e322. http://dx.doi.org/10.1055/s-0043-1776791.
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Abstract Introduction In Brazil, there are 125,000 hospitalizations a year for traumatic brain injuries (TBI) at a high socio-economic cost, causing serious and permanent sequelae, often associated with the use of alcohol, cocaine and marijuana. Objective to discover the epidemiological characteristics of patients with moderate and severe TBI, treated at the Emergency Room of the Hospital of Clinics of the Federal University of Uberlândia (UFU), and their association with the use of alcohol, cocaine and marijuana. Material and Methods saliva and urine samples were collected from 80 patients with moderate and severe TBI, aged ≥18 years, between September 2020 and December 2021. Research was made into the use of alcohol, cocaine and marijuana, using chromatographic immunoassay test kits. Results A total of 28 cases (35%) were positive for alcohol, 22 cases for marijuana (27.5%) and 23 cases for cocaine (28.7%). The average age was 41 years old, with a predominance between 20 to 49 years old and of the male sex (90%). Accidents occurred mainly at night (52.5%) and on weekdays (65%). The most frequent cause of accident was transport (53.8%), followed by falls (22.5%) and aggression (16.2%). Of the transport accidents, motorcycle and automobiles accidents predominated (28.75%). Overall mortality was 16.2%, with zero positive cases for alcohol, 17.4% positive for cocaine and 27.3% positive for marijuana. Conclusion we observed an association between TBI, alcohol, marijuana and cocaine, as well as an increase in cocaine and marijuana cases when compared with a study performed at this institution in 2003.
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Sjamsudin, Endang, Harmas Yazid Y, Abel Tasman, and Winarno Priyanto. "Emergency Treatment of Soft Tissue and Dentoalveolar Fractures using Risdon Wiring in Children due to Motorcycle Accident : Case Report." International Journal of Medical and Biomedical Studies 7, no. 1 (February 6, 2023): 32–38. http://dx.doi.org/10.32553/ijmbs.v7i1.2663.
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Introduction: Dentoalveolar fractures are often found in children due to physical trauma, falls, and motorized accidents. In pediatric patients, there are variations in age, jaw development, and dentition which are the primary considerations in choosing a dentoalveolar fracture treatment method. This case report aims to describe and discuss the emergency management of soft tissue injuries and mandibular dentoalveolar fractures with Risdon wiring in pediatric patients due to motorized accidents. Case report: A 9-year-old female patient complained of bleeding from the mouth due to a traffic accident. Clinical and radiographic examination showed dentoalveolar segment fractures in tooth region 32-42, stab wounds, and lacerations on the inferior lip, vestibule, and gingiva in tooth region 32-42. The patient underwent wound cleaning, wound suturing, and treatment of dentoalveolar fractures with fixation using Risdon wiring in the mandibular region 36-46. Conclusion: Conservative treatment of dentoalveolar fractures in pediatric patients with minimal intervention can give good results. Risdon wiring as a fixation method can be used in the emergency treatment of dentoalveolar fractures in pediatric patients with mixed dentition. Keywords: Soft tissue trauma, dentoalveolar fracture, Risdon wiring, emergency
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Kingma, Johannes, and Henk-Jan Ten Duis. "Severity of Injuries Due to Accidental Fall across the Life Span: A Retrospective Hospital-Based Study." Perceptual and Motor Skills 90, no. 1 (February 2000): 62–72. http://dx.doi.org/10.2466/pms.2000.90.1.62.
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This retrospective study investigated injuries due to accidental fall across the life span for which 19,593 patients were admitted to the Emergency Unit of the Groningen University Hospital during the period 1990 through 1997. 64% of the accidental falls were found for those in the age range between 10 years and 59 years; however, the proportion of accidental falls with regard to other causes of injuries by age group were the highest in youngsters (infants up to 9 years old) and in elderly persons (over 60 years old), 43% or more of these patients having falls with injuries. The clinically treated patients had on the average a statistically greater Injury Severity Score (7.2) than the outpatients (2.4). The highest percentages of medically treated inpatients were the patients of 60 years and over. Their mean ISS score was about the same for elderly inpatients, but the percentage of clinical treatment increased with age as well as the mortality. 30% of the injuries were found in the lower extremities and 30% in the upper extremities. Bone fracture was statistically significantly the major (36%) injury followed by contusion (20%). 34% of the accidental falls occurred at home, and statistically significantly more females, 50 years of age and older, were injured than males.
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Martins, Rosa, Nélia Carvalho, Susana Batista, and Alexandra Dinis. "Falls in Elderly: Study of the Prevalence and Associated Factors." European Journal of Development Studies 2, no. 3 (May 12, 2022): 12–17. http://dx.doi.org/10.24018/ejdevelop.2022.2.3.92.
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Institutionalized elderly presents a higher risk of falling than those who are not. The issue of falls among elderly people should be considered as a serious public health problem because of its consequences and permanent costs. Objective: This study will intend to assess the risks and the determinative factors of falls among institutionalized elderly. Methods: A non-experimental, cross-sectional, descriptive- correlational and quantitative study. We used a non-probability convenience sampling composed of 136 elderly people who were institutionalized at the time. They were between 65 and 99 years old, with an 85,98 years old average age. To collect the data, we used a protocol formed by questions about these people’s socio-demographic, contextual and clinical characterization. We also used the Family Functionality Scale, the Self-care Dependency Evaluation Scale and the Tinetti Scale (POMA I). Results: Most of the people from our sample show a high risk of suffering from falls: we have concluded that about 45.6% of elderly people present a high risk of falling, 16.5 % a medium risk and 38.2% a low risk of suffering from this kind of accident. We also observed that the risk of falling was higher among elderly who showed the following characteristics: in females (p=0,014), in those who show a poor literacy (p=0,000), in those who exhibit any kind of cognitive impairment (p=0,014), in people who suffer from neurological and osteoarticular diseases (p=0,000) and in elderly who suffer from loss of visual and hearing acuity (p=0,010). By contrast, the elderly who experience a better autonomy as far as their walking capacity, personal hygiene and medication are concerned are those who show a lower risk of fall accidents. Conclusions: Falls in institutionalized elderly are becoming a serious problem in the elderly, requiring health professionals to effectively intervene in their prevention.
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Scartezini, Guilherme Romano, Orlando Aguirre Guedes, Ana Helena Gonçalves de Alencar, Cyntia Rodrigues de Araújo Estrela, and Carlos Estrela. "Maxillofacial trauma in a public hospital in Central Brazil: A retrospective study of 405 patients." Revista Odonto Ciência 31, no. 4 (August 3, 2017): 153. http://dx.doi.org/10.15448/1980-6523.2016.4.21918.
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OBJECTIVE: To evaluate epidemiological aspects of maxillofacial injuries in hospitalized patients.METHODS: The sample was composed of 405 patients treated at the Department of Oral and Maxillofacial Surgery of the Emergency Hospital of Aparecida de Goiânia, Brazil, between 2011 and 2013. The following informations were collected from the patients’ medical records: gender, age, cause of injury, seasonal distribution and type of injury. The statistical treatment analyzed data from frequency distribution and chi-squared test. The level of significance was set at 5% for all analyses.RESULTS: A higher occurrence of maxillofacial injuries was observed in males (72.59%) and with 21-30 years old (26.17%). The main etiologic factors involved were vehicle traffic accidents (30.62%), falls (22.72%) and violence (21.48%). The seasonal distribution showed that most cases occurred in autumn (38.02%), followed by summer (34.07%). The most common injuries were facial fractures (80%), with the nasal bones being the most affected anatomical region (39.75%). Statistically significant associations between etiological factor, gender and age (p<0.005) were observed.CONCLUSION: There was a high number of maxillofacial injuries in males aged less than 30 years old due to vehicle traffic accidents.
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Hemmo-Lotem, Michal, Claudia Jinich-Aronowitz, Liri Endy-Findling, Michal Molcho, Michal Klein, Yehezkel Waisman, Yehuda L. Danon, and Joav Merrick. "Child Injury in Israel: Emergency Room Visits to a Children's Medical Center." Scientific World JOURNAL 5 (2005): 253–63. http://dx.doi.org/10.1100/tsw.2005.32.
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The object of this study was to provide data for policy making and prevention program planning in Israel. The study examined all visits to the Department of Emergency Medicine at the Schneider Children's Medical Center in 1996 (41,279 visits in total). Approximately 22.6% of the emergency room patients were admitted following injury. Most (97%) were unintentional injury. Approximately 42% of the patients were less than 4 years old and about 20% were 2 years old. In all age groups, the rate of boys was double. Approximately 92% were Jews. Despite this low rate of non-Jewish patients, however, they constituted 20% of later hospitalizations. The main injuries recorded were bruises and wounds from blunt objects, falls, motor vehicle–related accidents, and sport injuries. The most commonly injured body parts were the head and upper and lower limbs. In 82%, medical treatment was reported and 7% were hospitalized. In examining injuries over the year, there were no significant differences between the different months, but there were clusters of injuries around various holidays—bicycle and skateboard accidents at Rosh Hashanah, Yom Kippur, and Succoth; pedestrian accidents around Lag BaOmer; burns on Purim, Hannukkah, and Passover; and accidental poisoning around Passover. The findings gave an indication of the nature of the injured population groups. These data could be useful for prevention strategy, both on the level of physical injury as well as on the level of the times of the year, when the risk was higher. The data collected very strongly raise the urgent need for establishing a national surveillance system, which would allow tracking injury-related data with respect to young people throughout the country.
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Adri Nurrahim, Muhammad, Endang Sjamsudin, and Asri Arumsari. "PREVALENCE OF MAXILLOFACIAL TRAUMA WITH FRONTAL FRACTURE AT HASAN SADIKIN GENERAL HOSPITAL BANDUNG." International Journal of Medical and Biomedical Studies 7, no. 2 (February 20, 2023): 22–27. http://dx.doi.org/10.32553/ijmbs.v7i2.2668.
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Patients with maxillofacial fractures have a high risk of accompanying head injury because of the close anatomical location of facial bones and cranium. Forces striking the face are transmitted directly to the neurocranium, resulting in more severe brain injury. Objective: To analyze the prevalence of patients with maxillofacial fractures with frontal fractures at RSHS Bandung in 2020. Methods: Descriptive study of medical records of maxillofacial trauma patients with frontal fractures at Hasan Sadikin Hospital, Bandung, January-December 2020. The data collected included gender, age, aetiology and location of the fracture. Results: The majority gender was 79.8% male, while the female was only 20.2%. The age range is 17-25 years old (36%). Most fracture locations were maxillofacial trauma without frontal fracture (92.2%), compared to maxillofacial fracture with frontal fracture as much as 10%. The most common trauma etiology was Traffic accidents (81.3%), followed by falls as much as 17.8%, and physical violence 0.7%. Conclusion: Maxillofacial trauma with frontal fracture has relatively few incidences, and the primary aetiology is Traffic accidents in young adults.
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Davari, Rahim, Akbar Pirzadeh, and Fatemeh Sattari. "Etiology and Epidemiology of Nasal Bone Fractures in Patients Referred to the Otorhinolaryngology Section, 2019." International Archives of Otorhinolaryngology 27, no. 02 (April 2023): e234-e239. http://dx.doi.org/10.1055/s-0043-1768208.
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Abstract Introduction One of the most observed diseases in the otorhinolaryngology emergency, compared with the other facial fractures, is related to nasal bone fractures (NBFs). The peak of incidence is seen in the age group ranging from 11 to 30 years old. Objective The present evaluation was devoted to the etiology and epidemiological study of NBFs. Methods In the present cross-sectional study, 376 patients with NBF were evaluated. The necessary information such as gender, age, education, job, causes of NBF, and clinical symptoms of patients have been recorded on the checklist. Results The study revealed that 76.9% of the patients were male and 23.1% were female; 37.5% of all patients were self-employed, and most of them were from urban areas. Traffic accident (26.6%) and falling (25.5%) were the main reasons for NBF. The most common clinical symptoms for NBF were tenderness (96%; n = 361), nasal swelling (90.4%; n = 340), and deformity (89.4%; n = 336). Conclusion The results showed that the incidence of NBFs in young men without higher education level and self-employed were high which can be related to the traffic accidents and fights. Also, falls, beatings and accidental hit are the most common causes of NBFs among women. Therefore, to decrease the incidence of otorhinolaryngology trauma, training about the general life skill and providing awareness about using personal safety equipment and measures should be increased at the future.
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Skiredj, Aiat Allah, Fadoua Boughaleb, Loubna Aqqaoui, Toualouth Lafia, Assia Mouad, Mounir Erraji, Erraji Fouad Ettayebi, and Houda Oubejja. "Epidemiological profile of unintentional accidents in children over a period of 4 years." E3S Web of Conferences 319 (2021): 01007. http://dx.doi.org/10.1051/e3sconf/202131901007.
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Background: Unintentional injuries are one of the most important public health problems among children in developed and some developing countries. Aim: Our purpose is to determine the prevalence of everyday life unintentional injuries among children admitted for at least 24 hours in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. Methods: A cross-sectional study of unintentional injuries in children was undertaken over 4 years (2016- 2019) in the pediatric surgical emergencies (PSE) department, Children’s hospital of Rabat, Morocco. The data were analysed by statistical software Jamovi 1.6.23. Drownings and foreign bodies were excluded. Results: 1204 patients were screened, of which 545 files were studied. The median age was 8 years[4;12] with 36,5% were less than 6 years old, 70,4% were boys. The most injuries occurred mostly during winters and summers (41,6 vs 33,8%). The medical insurance plan was provided by compulsory medical insurance (AMO) and RAMED (Medical Assistance Scheme) (30,4% and 46.5% respectively). The main circumstances were accidents of everyday life (52%) with predominance of falls. For the public road accident, pedestrians were predominant. Hospital stay did not exceed 24 hours (73%) mainly in the surgical emergency department.
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Fhon, Jack Roberto Silva, Suzele Cristina Coelho Fabrício-Wehbe, Thais Ramos Pereira Vendruscolo, Renata Stackfleth, Sueli Marques, and Rosalina Aparecida Partezani Rodrigues. "Accidental falls in the elderly and their relation with functional capacity." Revista Latino-Americana de Enfermagem 20, no. 5 (October 2012): 927–34. http://dx.doi.org/10.1590/s0104-11692012000500015.
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AIM: This study aimed to determinate the prevalence of falls in the elderly and its relationship with the functional capacity. METHOD: This is an epidemiological and cross-sectional study; a two-stage cluster sample of 240 male and female subjects aged over 60 years was used. Data were collected from November 2010 to February 2011. The following questionnaires were used: socio-demographic profile, assessment of falls, Functional Independence Measure, Lawton and Brody Scale. Significance was set at 0.05. To identify the occurrence of falls and their relation with functional capacity, the prevalence ratio and prevalence odds ratios were used, as well as multiple logistic regression. RESULTS: Average age was 73.5 years (±8.4); 25% 80 years or more, with preponderance of female gender; 48.8% attended school between 1-4 years. The average was 1.33 falls (±0.472), with prevalence in women and elderly between 60 and 79 years old; the most frequently sites were the backyard and bathroom. Strong correlation between the level of functional independence and instrumental activities and age was found, but no relation between elderly victims of falls and the gender and age variables. CONCLUSION: Women who suffered falls related to functional independence were predominant, which can be prevented through elderly health promotion strategies, a policy that serves to offer living conditions to people in the aging process.
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Casey, Martin, Joshua Niznik, Greta Anton, Michelle Meyer, Casey Kelley, Jan Busby-Whitehead, Kathleen Davenport, and Ellen Roberts. "BURDEN OF FALL-RISK INCREASING DRUGS IN OLDER ADULTS PRESENTING WITH FALLS TO THE EMERGENCY ROOM." Innovation in Aging 6, Supplement_1 (November 1, 2022): 867. http://dx.doi.org/10.1093/geroni/igac059.3099.
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Abstract Prescribing of fall-risk increasing drugs (FRIDs) may be an important driver of falls in older adults. Understanding the types and frequencies of FRIDs prescribed to older adults presenting with falls to an emergency department (ED) may help identify opportunities for deprescribing. We performed a cross sectional analysis of data collected from a pharmacist-led fall-prevention program focused on older adults presenting with a fall to an academic ED in the southeastern United States between August 2020 – December 2021. ED pharmacists identified older adults (≥65 years old) presenting with a chief complaint of ‘fall’ and then performed a medication reconciliations to verify and obtain data on outpatient prescription drug use. FRIDs were identified in accord with the 2019 American Geriatrics Society Beers Criteria and the Centers for Disease Control and Prevention Stopping Elderly Accidents, Deaths, & Injuries (STEADI-Rx) list. The ED pharmacists performed medication reconciliations on 424 unique older adults presenting with a fall. The cohort had a mean age of 81.3 years and were mostly female (63.3%) and white (84.9%). Prescription use of FRIDs were identified in 45.8% (194/424) of older adults presenting with a fall. An estimated 25.5% (108/424) of the subjects were prescribed 2 or more FRIDs. The most common FRIDs identified were antidepressants (25.9%), anticonvulsants (18.6%), opioids (12.7%), benzodiazepines (8.5%), and antipyschotics (3.1%). . Prescription use of FRIDs, including use of 2 or more FRIDs, was common in older adults presenting with a fall to the ED.
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Ayadi, Abir, Olfa Jlassi, Amira Houria, Jamel Grissi, Samya Jamoussi, and Imene Magroun. "P-137 FATAL OCCUPATIONAL ACCIDENTS IN TUNISIA: KEY FIGURES." Occupational Medicine 74, Supplement_1 (July 1, 2024): 0. http://dx.doi.org/10.1093/occmed/kqae023.0644.
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Abstract Introduction Fatal occupational accidents (FOA) represent a real concern in the world of work due to their severity and economic cost. The aim of our study was to describe the epidemiological profile of FOA in Tunisia. Methods Retrospective descriptive study including victims of FOA reported by the national health insurance fund during the period of three years from 2019 to 2021. Results According to the latest statistics from the National Health Insurance Fund (2019-2021), 345 FOA were reported, of which 100 were recognized in 2021 compared to 114 in 2020, i.e. a significant drop of 12.3%. A male predominance was observed in 95% of cases. The most affected age group was between 51 and 60 years old. There were 275 accidents occurring in the workplace, compared to 70 commuting accidents. The sectors most at risk were building and public works, transport, and wholesale and distribution. The three main causes of FOA in 2021 were: falls, heart attacks at work, and electrocution in 29.8%, 17.9%, and 13.1% of cases respectively. Discussion FOA continue to affect an underprivileged working population. Efforts to improve workplace safety are required to reduce FOA. Conclusion FOA affect an underprivileged working population. Collaboration between the various stakeholders in occupational safety, employees, and employers is essential to establish the necessary and adequate safety measures and to preserve the health of workers, especially in high-risk sectors.
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Oliveira Friestino, Jane Kelly, and Denise Cuoghi de Carvalho Veríssimo Freitas. "OFICINAS SOBRE QUEDAS E ACIDENTES DOMÉSTICOS GERAIS EM PESSOAS IDOSAS NO PROGRAMA UniversIDADE." REVISTA BRASILEIRA DE EXTENSÃO UNIVERSITÁRIA 7, no. 2 (August 23, 2016): 75–81. http://dx.doi.org/10.36661/2358-0399.2016v7i2.3088.
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O envelhecimento é um processo normal do desenvolvimento do ser humano, caracterizado por mudanças fisiológicas (senescência) ou patológicas (senilidade). Com o avançar da idade, as comorbidades podem estar presentes no idoso. O desempenho das atividades de vida diária fica prejudicado e, devido a alterações sensório-motoras, cognitivas e psicossociais, aumenta a vulnerabilidade para a ocorrência de quedas e acidentes domésticos, comprometendo a capacidade funcional e podendo levar à morte. O objetivo deste trabalho é apresentar o relato de experiência do oferecimento de oficinas intituladas: “Acidentes domésticos com pessoa idosa: prevenção e ação” a um grupo de idosos participantes de um programa específico para essa faixa etária. As oficinas foram ofertadas como parte do Programa de Extensão Universitária–UniversIDADE de uma Universidade pública do interior de São Paulo. Os encontros da oficina foram realizados entre maio e agosto de 2015, com duração de uma hora cada encontro, totalizando sete encontros. Uma enfermeira e uma fisioterapeuta foram mediadoras voluntárias. Os temas abordados foram: quedas, alterações sensoriais, estratégias de prevenção e ação em acidentes domésticos, queimaduras e hemorragias. Quanto aos resultados das oficinas destacaram-se a participação ativa dos idosos nas discussões dos temas abordados e a relevância dos mesmos para a prevenção dos acidentes domésticos e da ocorrência de queda. Considerou-se importante a atuação dos idosos como agentes multiplicadores das informações adquiridas nas atividades, com extensão aos seus familiares, a outros idosos de seu convívio e para sua própria qualidade de vida.
Palavras-chave: Extensão Universitária, Relações Comunidade-Instituição, Acidentes domésticos, Prevenção, Saúde do Idoso.
Workshops on falls and general domestic accidents in elderly people in the UniversIDADE Program
Abstract: Aging is a natural process of human development characterized by normal physiological (senescence) or pathological (senility) changes. As old age advances comorbidities may impact the individual. The performance of daily activities might be compromised by sensory-motor, cognitive and psychosocial impairments, and as a result, the likelihood of falls and domestic accidents is increased, compromising the functional capability and ultimately being fatal. This paper aims at providing an account of the experiences of the workshop entitled: "Domestic accidents involving the elderly: prevention and action" for a group of elderly in a university program targeting this specific age group. The workshops were offered as part of the "UniversIDADE", an Extension Program of a public university in São Paulo State, Brazil. The meetings were coordinated by two volunteers, a nurse and a physiotherapist. The topics addressed in the workshops were falls, sensory changes, prevention strategies, action to be taken in case of domestic accidents, burns and hemorrhages. The meetings highlighted the active participation of the elderly in the discussions of the topics approached in the workshop and their relevance for preventing domestic accidents. Furthermore, the role of older people as multipliers of information acquired in activities with extension to their families was emphasized to other seniors close to them and as an important aspect to improve their own life quality.
Key-words: University Extension, Community-Institutional Relations, Domestic Accidents, Prevention, Elderly Health.
Talleres sobre caídas y accidentes domésticos generales en ancianos del Programa UniversIDADE
Resumen: El envejecimiento es un proceso natural del desarrollo humano, caracterizado por cambios fisiológicos normales (senescencia) o patológicos (senilidad). Con la edad avanzada las comorbilidades pueden estar presentes en la vida de los ancianos. El rendimiento de las actividades diarias es perjudicado y, a causa de cambios en la capacidad sensorial-motora, cognitivos y psicosociales, los ancianos están más vulnerables a caídas y accidentes domésticos, lo que puede comprometer su salud y llevar a la muerte. El objetivo de este trabajo es presentar un informe de la experiencia de los talleres titulados: "Los accidentes domésticos con ancianos: la prevención y la acción". Los talleres fueron ofrecidos por el Programa de Extensión Universitaria “UniversIDADE” de una universidad pública de São Paulo, Brasil. Con un total de siete encuentros, los talleres se llevaron a cabo entre mayo y agosto de 2015, con duración de una hora cada, dictados por dos mediadoras voluntarias; una enfermera y una fisioterapeuta. Los temas tratados en los talleres fueron: caídas, cambios sensoriales, las estrategias de prevención y acción en los accidentes domésticos, quemaduras y hemorragias. Como resultados de las reuniones, se destaca la participación activa de los ancianos en las discusiones de los temas tratados en cada actividad y la importancia de ellos como multiplicadores de la información adquirida en los talleres, con extensión a sus familias, a otras personas ancianas de su convivencia y a su propia calidad de vida.
Palabras-clave: Extensión Universitaria, Relaciones Comunidad-Institución, Accidentes Domésticos, Prevención, Salud del Anciano
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Perng, Huey-Jen, Yu-Lung Chiu, Chi-Hsiang Chung, Senyeong Kao, and Wu-Chien Chien. "Fall and risk factors for veterans and non-veterans inpatients over the age of 65 years: 14 years of long-term data analysis." BMJ Open 9, no. 8 (August 2019): e030650. http://dx.doi.org/10.1136/bmjopen-2019-030650.
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IntroductionFalls are one of the most important causes of injuries and accidental deaths among this segment of over the age of 65 years.The long-term follow-up study of fall-related injuries was conducted in elderly veterans over the age of 65 years, and the risk of falls in veterans and non-veterans was compared.MethodsThis study used the National Health Insurance Research Database for the period from 2000 to 2013 in Taiwan. This longitudinal study tracked falls in veterans over the age of 65 years, designated a control group (non-veterans), using 1:2 pairing on the basis of sex and time receiving medical care, and used Cox regression to analyse and compare the risk of falls among veterans and non-veterans.ResultsThis study subjects consisted of 35 454 of the veterans had suffered falls (9.5%), as had 55 037 of the non-veterans (7.4%). After controlling for factors such as comorbidities/complications, the veterans had 1.252 times the risk of falls of the non-veterans. Furthermore, among persons in the 75–84 years old age group, veterans had 1.313 times the risk of falls of non-veterans, and among persons with mental illnesses and diseases of the eyes, veterans had 1.300 and 1.362 times the risk of falls of non-veterans. In addition, each veteran had an average of 4.07 falls during the 2000–2013 period, which was significantly higher than in the case of non-veterans (3.88 falls).ConclusionsVeterans’ risk of falls and recurrent falls were both higher than those of non-veterans, and age level, comorbidities/complications and level of low urbanisation were all important factors affecting veterans’ falls. The responsible authorities should, therefore, use appropriate protective measures to reduce the risk of falls and medical expenses in high-risk groups.
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Howard, Matthew A., Alan S. Gross, Ralph G. Dacey, and H. Richard Winn. "Acute subdural hematomas: an age-dependent clinical entity." Journal of Neurosurgery 71, no. 6 (December 1989): 858–63. http://dx.doi.org/10.3171/jns.1989.71.6.0858.
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✓ Reports prior to 1980 describe overall mortality rates for acute subdural hematomas (SDH's) ranging from 40% to 90% with poor outcomes observed in all age groups. Recently, improved results have been reported with rapid diagnosis and surgical treatment. A relatively large number of older patients (34 patients over 65 years old) were treated recently at Harborview Medical Center, enabling a retrospective comparison with similarly treated younger patients (33 patients aged 18 to 40 years). Clinical information and computerized tomography morphometric data were obtained. Patients in the younger group were most often injured in motor-vehicle accidents (15 cases), whereas falls were most frequent in the older group (19 cases). Patients in both groups were rapidly resuscitated in the field; more than 30% were treated within 1 hour after the time of injury. Injury severity, determined by the admission Glasgow Coma Scale score, was similar for the two groups. Mean acute SDH volume was significantly larger in the older patients than in the younger group (mean ± standard deviation: 96.2 ± 117.2 vs. 21.6 + 27.7 cu cm), as was the amount of midline shift (1.2 ± 1.69 vs. 0.6 ± 0.75 cm). Surgical treatments were similar, but outcomes were dramatically different for the younger and older patients. Mortality rates were more than four times higher in older patients than in younger ones (74% vs. 18%). Three older patients and 25 younger patients were functional survivors. Old age, a larger SDH volume, and a larger midline shift all correlated with a poor outcome. The results of this study suggest that the pathophysiology of acute SDH varies with age, and that currently employed resuscitation and treatment methods have differentially improved the outcome for younger patients.
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Vinodh, J. Benjamin, Naveen Sathiyaseelan, RM Subramanian, Arun Vignesh, and Nithesh Kumar Rathi. "Uncommon Yet Noteworthy: A Clear and Comprehensive Case Report on Pediatric Hip Dislocation." Journal of Orthopaedic Case Reports 13, no. 12 (2023): 26–29. http://dx.doi.org/10.13107/jocr.2023.v13.i12.4064.
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Introduction: Children, especially those under the age of five, seldom get hip dislocations. Young children may sustain dislocations from minor accidents such as slips or falls from low heights, whereas adolescents typically do so from high-intensity events such as car crashes or collision sports. Posterior dislocation occurs 8–9 times more frequently than those in the anterior. Here, we describe about the acute posterior hip dislocation suffered by a 5-year-old boy in this case report. Case Report: A 5-year-old girl reported to ER with left hip pain and difficulty to walk after slipping and falling while playing football at home. About 90 min after the fall, she presented at the hospital. The injured hip showed internal rotation, adduction, and flexion. An immediate pelvis X-ray revealed a right hip posterior dislocation. Under intravenous anesthesia, the dislocation was successfully reduced utilizing the Allis technique in the emergency room 3 h after the accident. Post-reduction radiographs verified that the reduction was successful. After 15 days of immobilization and 2 weeks of bilateral skin traction, the youngster was able to resume full weight-bearing walking with excellent tolerance. Conclusion: To reduce the risk of avascular necrosis (AVN), pediatric hip dislocations require prompt reduction within 6 h. Soft-tissue injuries are found using post-reduction magnetic resource imaging. AVN requires constant observation for at least 2 years. Since traumatic hip dislocations in children under the age of five are rare, prompt diagnosis and treatment are essential. Keywords: Pediatric dislocation, posterior hip dislocation, Allis technique.
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Ibrahim, Yousef, and Tosan Okoro. "Do Trampoline Injuries Result in More Hospital Intervention Compared to Other Mechanisms of Injury?" Ortopedia Traumatologia Rehabilitacja 21, no. 1 (February 28, 2019): 41–44. http://dx.doi.org/10.5604/01.3001.0013.1079.
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Background. A significant proportion of emergency department (ED) presentations are related to trampoline injuries. The aims of this study were to assess whether presentations to the ED as a result of a trampoline injury have an increased incidence of requiring intervention as opposed to other mechanisms of injury in children under 9 years old. Materials and methods. Retrospective observational assessment of ED presentations of children under 9 years old recorded in the European Injuries Database (EU IDB) in 2014. Results. Of a total of 28135 ED presentations, 4.4% (n=1257) were as a direct result of trampoline injuries. 38.6% (n=486) of these patients required further intervention (inpatient treatment/outpatient treatment/transfer to another facility) compared to other injury mechanisms such as sport (43.8%; 992/2263), falls from a height (28.3%; 5756/20363), park injuries (42.5%; 641/1507) and road traffic accidents (RTAs) (40.9%; 1124/2745). There was no statistically significant difference between trampoline injuries (38.6%) and road traffic accidents (40.9%), in terms of requiring further intervention (Fisher’s exact test p=0.18). Conclusion. Injuries from trampolines, although a small proportion of all injuries recorded, have a similar incidence of requiring intervention when compared to other, major, modes of injury such as RTAs in this age group – this information has implications for current public health policy and parental approval of this activity.
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Aurangzeb Kalhoro, Muhammad Hamid Ali, Vashdev Khimani, Raiz Ahmed Raja, and Mahesh Kumar Luhano. "Depressed Skull Fracture Surgical Management and Outcome among Head Injury Patients: Experience at Tertiary Care Hospital." Pakistan Journal Of Neurological Surgery 27, no. 4 (December 1, 2023): 475–81. http://dx.doi.org/10.36552/pjns.v27i4.937.
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Objective: To evaluate outcomes in patients with managed depressed skull fractures operatively having head injuries. Methods: This study was conducted at Liaquat University of Medical and Health Sciences, Jamshoro. We analyzed 76 patients who underwent operative management for skull fractures. Patient selection included both children and adults with skull fractures evident on CT brain scans using bone windows. Results: Our study included 76 patients, with 48 males and 28 females, and a mean age of 28.68 ± 10.33 years. Among them, 45 (59.21%) were under 30 years old, and the highest incidence of depressed skull fractures occurred in the 21 – 30 age group. Road traffic accidents were the leading cause, accounting for 42 (55.25%) cases, while falls from heights contributed to 24 (31.57%) cases, and 7 (9.21%) resulted from objects falling on the patients. Conclusion: Patients with head injuries can be fatal if not managed promptly. Neglecting the management of a depressed fracture can also impact the outcome in these cases and lead to a series of complications.
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CAZACU-STRATU, Angela, Svetlana COCIU, Alexandru PLAMADEALA, and Madalina COMAN. "Parents' knowledge, attitudes and practices regarding household injury of children under 5 years old." One Health & Risk Management 4, no. 2 (March 11, 2023): 40–45. http://dx.doi.org/10.38045/ohrm.2023.2.06.
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Introduction. Around 950,000 children and teenagers die each year as a result of injuries and violence throughout the world. The most common cause of death for children under the age of five is trauma that occurs in the home environment. Aim of the study: To assess the knowledge, attitudes and practices of parents with children aged 0-5 years old regarding unintentional injuries among home environment. Materials and methods. Parents of children under five years old were asked to complete a survey between October and December 2021, which was distributed online via social media. The questionnaire contained 43 items and was analysed using Microsoft Excel. Results. The questionnaire was completed by 300 parents with children up to 5 years old, mostly aged between 26-35 years old (72%), with high education (79.3%), of them 96% females, majority from urban areas (79.7%), with medium socio-economic status. Nearly 75% of respondents believe their child could get hurt at home, most commonly through an injury (42.7%), followed by ingesting foreign objects (22%). Falls were the primary cause of the majority of the child's accidents over the last year (60%) despite them being uncommon (54.7%) and infrequent (22%) in nature. Most often (54.7%), parents said that they see and hear their child all the time, but occasionally leave them for a short time. When their child suffered an injury at home, only 33.3% of parents sought medical attention. Conclusion. The results of this study will allow for a greater focus on young children's safety in the household. By identifying and emphasizing the knowledge, attitudes, and practices of parents with children 0–5 years old, we will be able to notify the necessary authorities and advise particular measures to prevent home accidents.
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Munivenkatappa, Ashok, Vineet Kumar, Prashant Bhandarkar, Nobhojit Roy, Jyoti Kamble, and Amit Agrawal. "Neurotrauma in Old Aged: A Study from India." Indian Journal of Neurosurgery 06, no. 01 (February 10, 2017): 004–9. http://dx.doi.org/10.1055/s-0037-1598092.
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Introduction Traumatic brain injury (TBI) is common in all the age groups. In India with increased life expectancy and more active old-aged population, basic details of neurotrauma in old aged are limited. The aim of the present study is to determine injury pattern and factors influencing outcome of the neurotrauma in old-aged patients, and also to contribute to national trauma data. Methods The study is based on prospective observational registry Towards Improved Trauma Care Outcomes (TITCO) database collected from four Indian government hospitals during October 1, 2013 to September 30, 2015. Data of neurotrauma patients aged 60 years or older were considered for analysis. SPSS version 24.0 was used for statistical analysis. The chi-square test was used for comparison of categorical data with significance level of p < 0.05. Results Old-aged patients contributed for 1,629 (10.2%) of total neurotrauma data. Men were 2.4 times higher than women, but mortality was almost same in both the sexes. Approximately 860 (53%) of injuries were due to falls and 490 (30%) due to road traffic accidents (RTA). Approximately 708 (44%) of subjects patients had moderate to severe brain injuries. Approximately 1,136 (70%) of patients required CT scan and 435 (27%) of patients underwent brain surgery. Approximately 588 (36%) of patients expired during study period. There was significant (p = 0.0001) difference between mortality of old-aged and productive age group (19–59 years). The deaths between the two groups differed significantly (p = 0.0001) among sex, injury cause, severity, requirement of CT scan, and surgery. Conclusion Our study highlights that geriatric TBI is a significant phenomenon and reflects our national data. Possible risk factors associated with deaths are identified in our population. More research is needed to develop specific management and preventive protocols.
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Trefan, L., R. Houston, G. Pearson, R. Edwards, P. Hyde, I. Maconochie, RC Parslow, and A. Kemp. "Epidemiology of children with head injury: a national overview." Archives of Disease in Childhood 101, no. 6 (March 14, 2016): 527–32. http://dx.doi.org/10.1136/archdischild-2015-308424.
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BackgroundThe National Confidential Enquiry describes the epidemiology of children admitted to hospital with head injury.MethodChildren (<15 years old) who died or were admitted for >4 h with head injury were identified from 216 UK hospitals (1 September 2009 to 28 February 2010). Data were collected using standard proformas and entered on to a database. A descriptive analysis of the causal mechanisms, child demographics, neurological impairment, CT findings, and outcome at 72 h are provided.ResultsDetails of 5700 children, median age 4 years (range 0–14.9 years), were analysed; 1093 (19.2%) were <1 year old, 3500 (61.4%) were boys. There was a significant association of head injury with social deprivation 39.7/100 000 (95% CI 37.0 to 42.6) in the least deprived first quintile vs. 55.1 (95% CI 52.1 to 58.2) in the most deprived fifth quintile (p<0.01). Twenty-four children died (0.4%). Most children were admitted for one night or less; 4522 (79%) had a Glasgow Coma Scale score of 15 or were Alert (on AVPU (Alert, Voice, Pain, Unresponsive)). The most common causes of head injury were falls (3537 (62.1%); children <5 years), sports-related incidents (783 (13.7%); median age 12.4 years), or motor vehicle accidents (MVAs) (401 (7.1%); primary-school-aged children). CT scans were performed in 1734 (30.4%) children; 536 (30.9%) were abnormal (skull fracture and/or intracranial injury or abnormality): 269 (7.6%) were falls, 82 (10.5%) sports related and 100 (25%). A total of 357 (6.2%) children were referred to social care because of child protection concerns (median age 9 months (range 0–14.9 years)).ConclusionsThe data described highlight priorities for targeted age-specific head injury prevention and have the potential to provide a baseline to evaluate the effects of regional trauma networks (2012) and National Institute of Health and Care Excellence (NICE) head injury guidelines (2014), which were revised after the study was completed.
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Surya Pramana, I. Kadek Adi, and Kadek Yoga Premana. "Characteristics of Femur Fracture Patients at RSUD Sanjiwani from January - August 2023." International Journal of Research and Review 11, no. 3 (March 30, 2024): 436–39. http://dx.doi.org/10.52403/ijrr.20240352.
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Background: The causes of femur fractures are diverse and can be influenced by several factors. These bone fractures often occur due to high-impact trauma, such as car accidents, sports injuries, or other traumatic events that result in excessive stress on the bone. Another contributing factor is bone energy or strength reduction, which is frequently observed in the elderly population. Methods: This study is retrospective descriptive research with cross-sectional data collection. Data were obtained from the medical records of patients diagnosed with femur fractures who received treatment at RSUD Sanjiwani Gianyar in 2023. Results: The majority of patients experienced injuries due to falls (68.2%). Based on age, the study noted that 29.5% of patients were between 18 and 40 years old, 25% were between 40 and 65 years old, and 45.5% were over 65 years old. Most patients were female (72.7%), and the majority of patients had closed fractures (93.2%), while only a small percentage had open fractures (6.8%). Based on this data, the majority of fractures occurred in the proximal one-third of the femur bone (56.8%), followed by the medial one-third (20.5%) and the distal one-third (22.7%). Conclusion: There is a variation in patient age, with the majority being over 65 years old. Furthermore, most patients are female, with the majority experiencing closed fractures, and the most common location for fractures is the proximal one-third of the femur bone. These findings provide a general overview of the characteristics of this study's patient population with femur fractures. Keywords: Femur Fracture, Frailty, Pathological Fracture
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Nordin, Nordiana, Linda Osman, Chiat Fong Liew, Nadiah Sa'at, Siti Mallissa Mohd Shariff, and Hasliza Asmungin. "98 Falls among Hospitalized Patients in Hospital Sungai Buloh." Age and Ageing 48, Supplement_4 (December 2019): iv18—iv27. http://dx.doi.org/10.1093/ageing/afz164.98.
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Abstract Introduction There is very minimal data documented on inpatient falls and characteristics in Malaysia. In 2017, Falls Incident Report Form (HSB-MED-FORM-017 Pin.1/18) is made mandatory to be filled up in Hospital Sungai Buloh (HSB), following each incident of falls in order to get a better and concrete data on the characteristic of falls. Objectives To capture data on incidence of inpatient falls in HSB in the year 2018. Method This is a prospective, observational study of all in-patient falls in the 783 bedded hospitals in the year 2018. Data were collected, documented and subsequently analyzed via SPSS Ver 23. Result The falls rate is 0.89 per 1000 bed days. There are a total of 123 fallers (including Paediatrics). 37/113 (33%) were above 65 years old, and 82 were males. 43 (38%) fell on night shift. 84 (74%) fell in the 4 bedded area. 60% of the fallers were in the high risk group of Morse fall score (MFS), of which 49/71(69%) fell at bedside (p<0.007). 25/64 (39%) with high MFS fell despite bed railing was up (p<0.05). There was no association between age group and location of falls. 32/33 (97%) of those attempting to get out of bed, also fell at bedside (p<0.001). Majority fallers [31(27.2%)] were on anti-hypertensives. 23.9% were on 2 or more high risk falls drugs. There was no association between medications with age or MFS. 59/113 (52.2%) had no injuries, 18% sustained lacerations. 1 case sustained an intracranial bleed and succumbed. Conclusion Accidental fall is a common problem in adults. In this study, the majority of fallers are in the younger age group. We confirmed a higher incidence of falls in those classified in the high risk category. These possibly explains the correct usage of MFS in all admissions, hence an effective falls prevention and education programme.
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Al Beiruti, N., W. Marcenes, D. Tayfour, and S. Issa. "Epidemiology of traumatic injuries to the permanant incisors of 9-12-years-old school children in Damascus, Syria." Eastern Mediterranean Health Journal 7, no. 1-2 (March 15, 2001): 291–301. http://dx.doi.org/10.26719/2001.7.1-2.291.
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This cross-sectional survey was carried out to assess epidemiological data concerning dental injuries to the permanent incisors of Syrian children. It included 1087 children aged 9 to 12 years, of both sexes, randomly selected from public and private primary schools in Damascus. The response rate was 100%. The prevalence of traumatic injuries to the permanent incisors rose from 5.2% at the age of 9 years to 11.7% at the age of 12 years [P = 0.007]. The difference in prevalence between boys and girls was not statistically significant [P > 0.05]. The majority [59.8%] of children who had experienced injuries to the permanent incisors reported that they were not taken to the dentist for evaluation or treatment of the damage. Among those children who had experienced traumatic injuries to the teeth 93.1% presented with untreated damage. Because some injuries were minor, such as small enamel fractures, the proportion of children who needed treatment was 63.2%. There was a tendency for children with an incisal overjet greater than 5 mm to have experienced dental injuries [P = 0.06]. Children with inadequate lip covcmgc were more likely to have experienced dental injuries than those with adequate lip coverage [P = 0.000]. The most common reported cause of iniuries to the permanent incisors was violence [42.5%], followed by traffic accidents [24.1%] collisions with people or inanimate objects [16.0%] and falls [9.1%]. In conclusion, traumatic dental injury may pose a serious dental public health problem.
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Groves, James E., Philip W. Lavori, and Jerrold F. Rosenbaum. "Accidental Injuries of Hospitalized Patients: A Prospective Cohort Study." International Journal of Technology Assessment in Health Care 9, no. 1 (1993): 139–44. http://dx.doi.org/10.1017/s026646230000310x.
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AbstractEight hundred and six medical and surgical patients who were hospitalized via the emergency ward were followed over their entire inpatient stays and rated in anterograde, double-blind fashion for inpatient incidents (falls, medication errors, other). Injuries were minor but affected 2.2% of admissions, a figure which is strikingly similar to studies in other hospitals. There was a statistical trend toward a higher-than-normal risk of hazardous in-hospital incidents for males age 20 to 40 admitted because of injury and for medically ill females over 60 years old.
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AlSahlawi, Aysha, Gillian Morantz, Caroline Lacroix, Christine Saint-Martin, and Roy W. R. Dudley. "Bilateral Parietal Skull Fractures in Infants Attributable to Accidental Falls." Pediatric Neurosurgery 56, no. 5 (2021): 424–31. http://dx.doi.org/10.1159/000516972.
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<b><i>Introduction:</i></b> Multiple skull fractures, including bilateral parietal skull fractures (BPSFs) in infants are considered to be suspicious for abusive head trauma (AHT). The aim of this report is to describe a series of BPSF cases in infants which occurred due to accidental falls. <b><i>Methods:</i></b> We searched our neuroradiology database for BPSF in infants (<1 year old) diagnosed between 2006 and 2019; we reviewed initial presentation, mechanisms of injury, clinical course, head imaging, skeletal survey X-rays, ophthalmology, social work and child abuse physicians (CAP) assessments, and long-term follow-up. “Confirmed accidental BPSF” were strictly defined as having negative skeletal survey and ophthalmology evaluation and a CAP conclusion of accidental injury. <b><i>Results:</i></b> Twelve cases of BPSF were found; 3 were confirmed to be accidental, with a mean age at presentation of 3 months. Two infants had single-impact falls, and 1 had a compression injury; all 3 had small intracranial hemorrhages. None had bruises or other injuries, and all remained clinically well. A literature search found 10 similar cases and further biomechanical evidence that these fractures can occur from accidental falls. <b><i>Conclusion:</i></b> While AHT should be kept in the differential diagnosis whenever BPSFs are seen, these injuries can occur as a result of accidental falls.
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Savenkova, Ekaterina N., Alexander A. Efimov, Ksenya A. Raikova, and Leonid M. Kurzin. "Analysis of changes in violent deaths among children and adolescents in the Saratov Region in 2018–2022." Tambov Medical Journal 6, no. 2 (2024): 35–46. http://dx.doi.org/10.20310/2782-5019-2024-6-2-35-46.
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Abstract. The analysis of violent child mortality is important in developing preventive measures to reduce this indicator. Aims and Tasks. The research purpose is to analyze the structure of violent death among children in the Saratov Region in 2018–2022. Materials and Methods. The research materials include the results of forensic medical examinations of the corpses of 314 children under the age of 18 who died from external causes. Results/Discussion. We establish decrease in the rate of violent death among children from 17.7 to 12.2 per 100 thousand of the population. There is a prevalence of blunt trauma (35.7 %), asphyxia (34.7 %) and poisoning (22 %) in violent death causes among children. The dynamics showed a tendency towards an increase in the proportion of blunt trauma. We note the peak of deaths from asphyxia in 2020 (45.8 %), reveal an increase in the proportion of hangings. Asphyxia is the leading cause of death in children under 1 year old, asphyxia and blunt trauma with a high percentage of falls from high altitude (40 %) – in the 1–3 year old group. In the 4–6 years old group the main types of death are blunt trauma (38.6 %) and poisoning (36.4 %). In the 7–11 years old group asphyxia is in the lead (40.4 %), followed by blunt trauma (36.5 %) with a high percentage of traffic accidents. In 12–17 years old group blunt trauma is in the first place (38.5 %), asphyxia with a predominance of hangings is in the second place. Conclusions. As we note a decrease in the violent death of children in general, we establish a tendency of increasing the proportion of blunt trauma and a change in the structure of asphyxia with a significant increase in the proportion of hangings. Differences in the structure of causes of death in different age groups were revealed.
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Tong, Wing Yee, Sek Wan Tan, and Shu-Ling Chong. "Epidemiology and risk stratification of minor head injuries in school-going children." Annals of the Academy of Medicine, Singapore 50, no. 2 (February 28, 2021): 119–25. http://dx.doi.org/10.47102/annals-acadmedsg.2020274.
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Introduction: Head injuries occur commonly in children and can lead to concussion injuries. We aim to describe the epidemiology of head injuries among school-going children and identify predictors of brain concussions in Singapore. Methods: This is a retrospective study of children 7–16 years old who presented to the Emergency Department (ED) of KK Women’s and Children’s Hospital in Singapore with minor head injury between June 2017 and August 2018. Data including demographics, clinical presentation, ED and hospital management were collected using a standardised electronic template. Multivariable logistic regression analysis was performed to identify early predictors for brain concussion. Concussion symptoms were defined as persistent symptoms after admission, need for inpatient intervention, or physician concerns necessitating neuroimaging. Results: Among 1,233 children (mean age, 6.6 years; 72.6% boys) analysed, the commonest mechanism was falls (64.6%). Headache and vomiting were the most common presenting symptoms. A total of 395 (32.0%) patients required admission, and 277 (22.5%) had symptoms of concussion. Older age (13–16 years old) (adjusted odds ratio [aOR] 1.53, 95% confidence interval [CI] 1.12–2.08), children involved in road traffic accidents (aOR 2.12, CI 1.17–3.85) and a presenting complaint of headache (aOR 2.64, CI 1.99–3.50) were significantly associated with symptoms of concussion. Conclusion: This study provides a detailed description of the pattern of head injuries among school-going children in Singapore. High risk patients may require closer monitoring to detect post-concussion syndrome early. Keywords: Brain injuries, child, concussions, school, sport
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Tong, Wing Yee, Sek Wan Tan, and Shu-Ling Chong. "Epidemiology and risk stratification of minor head injuries in school-going children." Annals of the Academy of Medicine, Singapore 50, no. 2 (February 28, 2021): 119–25. http://dx.doi.org/10.47102/annals-acadmedsg.2020247.
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Introduction: Head injuries occur commonly in children and can lead to concussion injuries. We aim to describe the epidemiology of head injuries among school-going children and identify predictors of brain concussions in Singapore. Methods: This is a retrospective study of children 7–16 years old who presented to the Emergency Department (ED) of KK Women’s and Children’s Hospital in Singapore with minor head injury between June 2017 and August 2018. Data including demographics, clinical presentation, ED and hospital management were collected using a standardised electronic template. Multivariable logistic regression analysis was performed to identify early predictors for brain concussion. Concussion symptoms were defined as persistent symptoms after admission, need for inpatient intervention, or physician concerns necessitating neuroimaging. Results: Among 1,233 children (mean age, 6.6 years; 72.6% boys) analysed, the commonest mechanism was falls (64.6%). Headache and vomiting were the most common presenting symptoms. A total of 395 (32.0%) patients required admission, and 277 (22.5%) had symptoms of concussion. Older age (13–16 years old) (adjusted odds ratio [aOR] 1.53, 95% confidence interval [CI] 1.12–2.08), children involved in road traffic accidents (aOR 2.12, CI 1.17–3.85) and a presenting complaint of headache (aOR 2.64, CI 1.99–3.50) were significantly associated with symptoms of concussion. Conclusion: This study provides a detailed description of the pattern of head injuries among school-going children in Singapore. High risk patients may require closer monitoring to detect post-concussion syndrome early. Keywords: Brain injuries, child, concussions, school, sport
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Pederielli, Sara, Cristina Mirelli, Federico Pozzi, Aldo Bruno Giannì, and Roberto Biagi. "Dental Trauma at a University Dental Clinic in Milan including the SARS-CoV-2 Period." Dentistry Journal 9, no. 12 (December 2, 2021): 145. http://dx.doi.org/10.3390/dj9120145.
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The aim of this study i.e., is to present the distribution of traumatic dental injuries (TDI) in 306 patients registered at the Unit of Dental Emergencies at a University Dental Clinic in Milan, Italy, between June 2019 and May 2021. This time frame includes the beginning of the SARS-CoV-2 pandemic. Information regarding age, gender, number and type of injured teeth, type of traumatic injury, and data on where or how the injury happened were recorded. Seventy-nine percent of patients can be classified as pediatric (under 14 years old), and in all age groups, male patients were found to be more susceptible (1.6:1). A total of 480 teeth were involved, 59% of which were deciduous, and 41% permanent. The most affected teeth in both dentitions were upper central incisors. In deciduous teeth, periodontal lesions were more common, whereas in permanent dentitions, dental fractures were diagnosed more often. Most data found in this study confirms the results found in the literature. The biggest difference, due to changes in daily routine during the SARS-CoV-2 pandemic, can be found by analyzing the incidence and etiology. As a matter of fact, there was a decrease in school accidents, whereas domestic falls remained constant.
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Kosola, S., P. Salminen, and T. Laine. "Heading for a Fall — Moped and Scooter Accidents from 2002 to 2007." Scandinavian Journal of Surgery 98, no. 3 (September 2009): 175–79. http://dx.doi.org/10.1177/145749690909800309.
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Background and Aims: Mopeds and scooters have become increasingly popular among Finnish teenagers. The aim of this retrospective study was to assess incidence of and injury patterns associated with moped and scooter accidents in adolescents. Materials and Methods: All 222 patients treated for moped and scooter-related injuries at Helsinki Children's Hospital and Töölö Trauma Centre from January 2002 to December 2007 were included. Information was drawn from patient records and compared with nation-wide Finnish data gathered from public data-bases. Results: The annual number of patients at our centres increased from 14 to 76 and the proportion of girls increased from 7% to 25%. A similar trend was found on a national level. In our material, collisions between mopeds and other motorized vehicles accounted for 52% of accidents, and 33% of patients were injured from falling. Seventy-five percent of patients were hospitalized, and 50% needed at least one procedure requiring general anaesthesia. Five percent of the patients were under the influence of alcohol. Trauma of the head occurred in 22%; helmets did not protect against severe trauma. On a national level the proportion of 15- to 17-year-old road traffic victims has doubled in five years. Among this age group, more than half of all road-traffic accidents involve mopeds and scooters. Conclusions: Over a time span of six years, moped accidents among adolescents have become very common. Our results suggest that measures should be taken to diminish the number of moped and scooter accidents and to improve driver safety.
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Kimura, Toshiya, Makoto Miura, Kumiko Gyo, Koichiro Yamada, Keigo Honda, Yasuyuki Hayashi, Yuki Tanigami, Mai Nakahira, and Hiroki Ikeda. "In-Hospital Falls at the Department of Otorhinolaryngology." International Journal of Practical Otolaryngology 01, no. 01 (July 2018): e16-e22. http://dx.doi.org/10.1055/s-0038-1675405.
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AbstractA fall accident is an event that is associated with many disadvantages. In our hospital, 5,259 fall cases have been reported over the past 7 years according to our incident reports, and account for 16.5% of all incident reports. We conducted a detailed examination of 120 of these fall cases at the Department of Otolaryngology. Most of all, “before and after excretion” is a common fall-outbreak-motive reason for falls in all departments. In the field of otolaryngology, “use of drugs” and “walking disorder” are frequently encountered reasons for a fall. Calculation of age-specific fall rates revealed two peaks: around 0 years old and after 80 years old. It is suggested that a fall is associated with a reduced ability for maintaining the standing position. A correlation has been reported between the fall rate and the average length of hospitalization. Both the length of hospitalization of 12.3 days and fall rate of 1.97 among the cases seen at the Department of Otolaryngology are lower than all courses that are in other fields, on average. In the patients seen at the Department of Otolaryngology, the fall rate rises significantly as the length of hospitalization increases. In the Department of Otolaryngology, the fall rate of the malignancy group is high (2.91), irrespective of the treatment regimens. Each of the three items—“14 hospitalization days or more,” “65 years old or older,” and “malignancy”—contributes to falls in patients seen at the Department of Otolaryngology, and multivariate analysis revealed a particularly strong contribution of the previous two items. In elderly patients with expected long-term hospitalization, it is necessary to proactively attempt risk reduction; we first make all patients aware of the risk of long-term hospitalization at the first examination, and divide length of stay into multiple times. We review the assessment score after reexamining the “disease severity” and “performance status” as risk factors for falls, and want to realize more efficient measures for preventing falls in the future.
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Wu, Tai Yin, Wei Chu Chie, Rong Sen Yang, Jen Pei Liu, Kuan Liang Kuo, Wai Kuen Wong, and Chen Kun Liaw. "Factors Associated with Falls Among Community-Dwelling Older People in Taiwan." Annals of the Academy of Medicine, Singapore 42, no. 7 (July 15, 2013): 320–27. http://dx.doi.org/10.47102/annals-acadmedsg.v42n7p320.
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Introduction: Falls are common among older people. Previous studies have shown that falls were multifactorial. However, data regarding community-dwelling Chinese population are minimal. We aimed to study factors associated with falls among community-dwelling older Chinese people. Materials and Methods: We conducted a cross-sectional study in a community hospital in Taiwan in 2010. Our sample included 671 elders from the 3680 examinees of the free annual Senior Citizens Health Examination. Participants were interviewed with a detailed questionnaire, and 317 elders were further invited for serum vitamin D tests. The main outcome was falls in the previous 12 months. Predictor variables included sociodemographic characteristics, lifestyle risk factors, body stature, frailty, serum 25 (OH) D levels, and medications. Results: The mean age of the 671 participants was 75.7 ± 6.4 years old, and 48.7% of which were female. Fallers comprised 21.0% of the study population. In multivariate models, female gender (adjusted odds ratio (aOR): 2.32), loss of height in adulthood (aOR: 1.52), low body weight (aOR: 2.69), central obesity (aOR: 1.67), frailty (aOR: 1.56), polypharmacy (aOR: 2.18) and hyperglycaemia (aOR: 1.56) were factors associated with falls. Vitamin D insufficiency (serum 25 (OH) D levels <30 ng/mL) was not associated with falls (OR: 0.78; 95% CI, 0.38 to 1.60) (n = 317) in this study. Conclusion: Among community-dwelling older people in Taiwan, falls were mainly associated with female gender, polypharmacy, frailty, reduced body height, low body weight or central obesity, and hyperglycaemia. In addition to other risk factors, body stature should be considered as a novel risk factor when screening elders at risk for falls. Key words: Accidental falls, Aged, Risk factors
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K, Rahman, M., Dutta, N. K, and Dash, K. P. "Outcome of Comminuted Femoral Shaft Fractures by Locking Plate-A Hospital Based Study." Saudi Journal of Biomedical Research 7, no. 12 (December 15, 2022): 360–66. http://dx.doi.org/10.36348/sjbr.2022.v07i12.006.
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Introduction: Maximum number of fractures often result from high-energy wounds like car accidents in young and mainly often from falls in elderly populations. Locking plates are fracture fixation expedients with threaded screw holes, in which screws allow to strand to the plate and work as a fixed-angle convenience. The study aims to investigate the outcome of locking compression plates in comminuted femoral diaphyseal fractures. Methods: An experimental clinical trial was carried out in the Department of Orthopedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2010 to June 2012. A total number of 9 patients (N=9) following purposive sampling were enrolled in this study. Data were collected using the predesigned semi-structured questionnaire. Verbal consent was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. The data analysis was performed using Statistical Package for the Social Sciences (SPSS) Version 16.0.0. Result: Among the study population (N=9), most of the patients (3,33.3%) were between 20-29 years old, and two patients (2, 22.2) were 60 to69 years old with a mean age of 42.7 years old. Around two-thirds of the study population (6,66.7%) were male. The majority of the study population (6,66.7%) caused the injury due to a motor vehicle accident, one patient (1,11.1%) got injured due to falling from a height, four patients (4,44.4%) right side was involved & left side was involved in rest of the patients (5,55.6%), upper tibial skeletal traction treatment was done in six patients (6,66.7%) previously & kabiraji treatment was done in three patients (3,33.3%) respectively. Based on the outcome after six months, the result was excellent, good in four patients (4,44.4%) and fair in one patient (1,11.1%). Conclusion: Femoral shaft fractures are a common orthopaedic injury causing severe trauma in the ageing population. Femoral shaft fractures are often related to other co-morbidities necessitating life support valuation. Among the numerous treatment measures, locking plate and intramedullary nailing are suitable with outstanding ........
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Indresputra, Faozan, Rizmoon Nurul Zulkarnaen, Muhammad Rifqi Hariri, Fitri Fatma Wardani, Prima Wahyu Kusuma Hutabarat, Dwi Setyanti, Widya Ayu Pratiwi, and Lutfi Rahmaningtiyas. "PREDICTION OF SUSCEPTIBILITY FOR OLD TREES (> 100 YEARS OLD) TO FALL IN BOGOR BOTANICAL GARDEN." Indonesian Journal of Forestry Research 10, no. 1 (April 30, 2023): 1–19. http://dx.doi.org/10.59465/ijfr.2023.10.1.1-19.
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Preservation effort to prevent tree collections loss even on aged trees (> 100 years old) is one of important missions in Bogor Botanical Garden since its establishment in 1817. Abiotic factors such as global warming and biotic factors from pests and diseases can threaten the survival of aged tree collections. Their survival is also influenced by plant health’s deterioration as they age. As the BBG has many functions not only for conservation but also for human ecological activities, fallen tree accidents are becoming primary concern to prevent biodiversity loss and people’s lives. We examined 154 trees health to determine a falling probability of 1106 aged trees based on several factors that caused to fall in the past and to make model prediction generated by nine supervised machine learning algorithms. We also classify susceptibility of tree families prone to fall from the highest accuracy of algorithm prediction. Inverse Distance Weighted interpolation method was used to depict zone map of trees prone to fall. The prediction showed that Random Forest model had the highest accuracy and low false negative (FN) value which were important to minimize error calculation on aged trees was not prone to fall but it turns out to be prone to fall. It predicted 885 trees prone to fall which 358 had high probability to fall. Fabaceae, Lauraceae, Moraceae, Meliaceae, Dipterocarpaceae, Sapindaceae, Rubiaceae, Myrtaceae, Araucariaceae, Malvaceae, and Anacardiaceae were tree families that were highly predicted to fall.
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Rodrigues, Iara Guimarães, Gustavo Pereira Fraga, and Marilisa Berti de Azevedo Barros. "Falls among the elderly: risk factors in a population-based study." Revista Brasileira de Epidemiologia 17, no. 3 (September 2014): 705–18. http://dx.doi.org/10.1590/1809-4503201400030011.
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Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.