Characteristics and Costs of Ladder Fall Injuries: A Report from a Single Emergency Center in Okayama
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We sought to identify the incidence, injury patterns, and financial burden of ladder fall injuries to provide a reference for reinforcing guidelines on the prevention of such injuries. We enrolled the patients who were injured in a ladder-related fall and required intensive care between April 2012 and March 2014 at Okayama University Hospital, a tertiary care hospital in Okayama City:9 patients injured in 7 stepladder falls and 2 straight ladder falls. The median patient age was 69 years, and 8 were males. Six falls occurred in non-occupational settings. Head injuries predominated, and the injury severity score ranged from 2 to 35 (mean=21±12). At the time of discharge from the intensive care unit, one patient had died and 5 patients had some neurological disabilities. The case fatality rate was 11%. The total cost of care during the review period was ¥16,705,794, with a mean cost of ¥1,856,199 per patient. Ladder fall injuries are associated with a high rate of neurological sequelae and pose a financial burden on the health insurance system. A prevention education campaign targeting at older-aged males in non-occupational settings may be a worthwhile health service investment in this community.
収録刊行物
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- Acta Medica Okayama
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Acta Medica Okayama 69 (5), 275-278, 2015-10
Okayama University Medical School
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詳細情報 詳細情報について
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- CRID
- 1390009224819404160
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- NII論文ID
- 120005666065
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- NII書誌ID
- AA00508441
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- ISSN
- 0386300X
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- PubMed
- 26490024
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
- PubMed
- CiNii Articles