{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:15:53Z","timestamp":1791360953348,"version":"4.3.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T00:00:00Z","timestamp":1627603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In Japan, falls from height result in the second highest trauma mortality rate after traffic motor vehicle collisions and the highest trauma-related mortality rate amongst young people. We aimed to identify factors that worsen injury severity and lower survival probability of patients who fell from height and to contribute to the improvement of their prehospital and in-hospital care. This retrospective analysis retrieved hospital records of 179 patients aged \u2265\u200915\u00a0years who were transported to our hospital after a fall from height during April 2014\u2013March 2020. On multiple regression analysis, fall height \u2265\u20095\u00a0m more significantly resulted in higher the injury severity score. Logistic regression analysis revealed that fall height \u2265\u20095\u00a0m with the reference of 2\u20133\u00a0m significantly resulted in lower the survival probability with odds ratio (95% confidence interval) of 0.10 (0.02\u20130.55). Using \u2018feet-first\u2019 as the reference body position, the odds ratios (95% confidence interval) of survival for those who impacted the surface on the lateral or dorsal regions were 0.11 (0.02\u20130.64) and 0.17 (0.03\u20130.99), respectively. Collecting information on the abovementioned factors at pre-hospitalisation may facilitate prompt diagnosis and treatment. These results may help improve prehospital and in-hospital care, avoiding preventable trauma deaths.<\/jats:p>","DOI":"10.1038\/s41598-021-95226-w","type":"journal-article","created":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T06:04:43Z","timestamp":1627625083000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Factors influencing the injury severity score and the probability of survival in patients who fell from height"],"prefix":"10.1038","volume":"11","author":[{"given":"Masashi","family":"Fujii","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Shirakawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mami","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mineko","family":"Baba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahito","family":"Hitosugi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"95226_CR1","unstructured":"Japan Trauma Data Bank Report, 2019 (2014\u20132018). 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Alcohol and psychoactive drugs increased the pre-hospital mortality in 655 fall-related fatalities in Greece: A call for management protocols. Injury 43, 1522\u20131526 (2012).","journal-title":"Injury"},{"key":"95226_CR5","first-page":"445","volume":"24","author":"M Akkoca","year":"2018","unstructured":"Akkoca, M. et al. Mortality determiners for fall from height cases. Ulus Travma Acil Cerrahi Derg. 24, 445\u2013449 (2018).","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"key":"95226_CR6","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1016\/S0020-1383(00)00034-6","volume":"31","author":"JP Beale","year":"2000","unstructured":"Beale, J. P., Wyatt, J. P., Beard, D., Busuttil, A. & Graham, C. A. A five year study of high falls in Edinburgh. Injury 31, 503\u2013508 (2000).","journal-title":"Injury"},{"key":"95226_CR7","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1016\/1047-2797(95)00059-3","volume":"5","author":"S Lin","year":"1995","unstructured":"Lin, S. 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