Yıl: 2013 Cilt: 19 Sayı: 6 Sayfa Aralığı: 529 - 535 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Factors affecting mortality caused by falls from height

Öz:
AMAÇ: Acil servislere başvuran travma hastaları içinde yüksekten düşmeler ilk sırada yer alır ve önemli oranlarda morbidite ve mortaliteye neden olur. Çalışmamızda yüksekten düşmelerde mortalite üzerine etkili faktörleri araştırmayı amaçladık. GEREÇ VE YÖNTEM: Bu çalışmada Ocak 2005 ile Aralık 2008 tarihleri arasında Güneydoğu Anadolu bölgesinde yüksekten düşme ile gelen ve Dicle Üniversitesi Hastanesi Acil Servisinde tedavi edilen 2252 travmalı hastaya ait veriler geriye dönük olarak analiz edildi. Mortalite üzerinde etkili olabileceğini düşündüğümüz; düşmenin olduğu ay, yaş, cinsiyet, düşme nedeni, düşme yeri, düşme zemini, düşme yüksekliği, entübasyon, hipotan- siyon, taşikardi, baş boyun, göğüs, karın, pelvis, ekstremite yaralanması, Glasgow Koma Skalası (GKS), Injury Severity Score (ISS) ve Revize Travma Skoru’nu (RTS) içeren parametreleri inceledik. BULGULAR: Çalışmaya alınan hastaların 1435’i (%63.7) erkek, 817’si (%36.3) kadındı. Hastaların 2131’i (%94.6) yaşadı, 121’i (%5.4) öldü. Yaşayan hastaların yaş ortalaması 15.55±18.60 yıl, düşme yüksekliği ortalaması 3.09 metre iken, ölen hastaların yaş ortalaması 29.59±28.93 yıl, düşme yük- sekliği ortalaması 6.61±5.73 metre idi (p<0.001). TARTIŞMA: Yüksekten düşmelerde ölümcül düşme yüksekliği ortalaması 6.61 m’dir. Yaş, intihar, düşme yüksekliği, düşme zemini, düşme yeri, kafa travması, göğüs travması ve karın travması mortaliteyi etkileyen faktörlerdir.
Anahtar Kelime:

Konular: Cerrahi

Yüksekten düşmelerde mortaliteyi etkileyen faktörler

Öz:
BACKGROUND: Falls from height are among the most common trauma cases presenting to emergency departments and often cause mortality and morbidity. In the present study, we aimed to determine the factors that effectively reduce mortality caused by falls from height. METHODS: Data from 2252 trauma patients who presented to Dicle University Emergency Service between January 2005 and De- cember 2008 due to falling from height in the Southeastern Anatolia region were retrospectively analyzed. We analyzed the parameters that are considered to have a positive effect on mortality, which included the following: month of fall; age; gender; etiology; place of fall; type of ground on which the patient fell; height of fall; intubation; hypotension; tachycardia; neck, head, thoracal, abdominal, pelvic, and extremity injuries; Glasgow Coma Score (GCS); Injury Severity Score (ISS); and Revised Trauma Score (RTS). RESULTS: There were 1435 males (63.7%) and 817 females (36.3%) included in the study. Two thousand thirty-one (94.6%) patients survived the fall while 121(5.4%) died. The mean age of the surviving patients was 15.55±18.60 years, while the patients who died had a mean age of 29.59±28.93 years. The mean height of the fall of the survivors&#8217; was 3.09 meters, and the mean height of the fall for those that died was 6.61±5.73 meters (p<0.001). CONCLUSION: The mean fatal height of the fall in falls from height is 6.61 m. Age, attempted suicide, height of fall, type of ground on which the patient fell, place of fall, and head, thoracic, and abdominal trauma are the primary factors affecting mortality caused by falls from height.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA İÇER M, GÜLOĞLU C, ORAK M, ÜSTÜNDAĞ M (2013). Factors affecting mortality caused by falls from height. , 529 - 535.
Chicago İÇER Mustafa,GÜLOĞLU Cahfer,ORAK MURAT,ÜSTÜNDAĞ Mehmet Factors affecting mortality caused by falls from height. (2013): 529 - 535.
MLA İÇER Mustafa,GÜLOĞLU Cahfer,ORAK MURAT,ÜSTÜNDAĞ Mehmet Factors affecting mortality caused by falls from height. , 2013, ss.529 - 535.
AMA İÇER M,GÜLOĞLU C,ORAK M,ÜSTÜNDAĞ M Factors affecting mortality caused by falls from height. . 2013; 529 - 535.
Vancouver İÇER M,GÜLOĞLU C,ORAK M,ÜSTÜNDAĞ M Factors affecting mortality caused by falls from height. . 2013; 529 - 535.
IEEE İÇER M,GÜLOĞLU C,ORAK M,ÜSTÜNDAĞ M "Factors affecting mortality caused by falls from height." , ss.529 - 535, 2013.
ISNAD İÇER, Mustafa vd. "Factors affecting mortality caused by falls from height". (2013), 529-535.
APA İÇER M, GÜLOĞLU C, ORAK M, ÜSTÜNDAĞ M (2013). Factors affecting mortality caused by falls from height. Ulusal Travma ve Acil Cerrahi Dergisi, 19(6), 529 - 535.
Chicago İÇER Mustafa,GÜLOĞLU Cahfer,ORAK MURAT,ÜSTÜNDAĞ Mehmet Factors affecting mortality caused by falls from height. Ulusal Travma ve Acil Cerrahi Dergisi 19, no.6 (2013): 529 - 535.
MLA İÇER Mustafa,GÜLOĞLU Cahfer,ORAK MURAT,ÜSTÜNDAĞ Mehmet Factors affecting mortality caused by falls from height. Ulusal Travma ve Acil Cerrahi Dergisi, vol.19, no.6, 2013, ss.529 - 535.
AMA İÇER M,GÜLOĞLU C,ORAK M,ÜSTÜNDAĞ M Factors affecting mortality caused by falls from height. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(6): 529 - 535.
Vancouver İÇER M,GÜLOĞLU C,ORAK M,ÜSTÜNDAĞ M Factors affecting mortality caused by falls from height. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(6): 529 - 535.
IEEE İÇER M,GÜLOĞLU C,ORAK M,ÜSTÜNDAĞ M "Factors affecting mortality caused by falls from height." Ulusal Travma ve Acil Cerrahi Dergisi, 19, ss.529 - 535, 2013.
ISNAD İÇER, Mustafa vd. "Factors affecting mortality caused by falls from height". Ulusal Travma ve Acil Cerrahi Dergisi 19/6 (2013), 529-535.