{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T17:22:44Z","timestamp":1762017764329},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>OBJECTIVE: To analyze the lesions diagnosed in victims of falls, comparing them with those diagnosed in other mechanisms of blunt trauma.METHODS: We conducted a retrospective study of trauma protocol charts (prospectively collected) from 2008 to 2010, including victims of trauma over 13 years of age admitted to the emergency room. The severity of injuries was stratified by the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS). Variables were compared between the group of victims of falls from height (Group 1) and the other victims of blunt trauma (Group 2). We used the Student t, chi-square and Fisher tests for comparison between groups, considering the value of p &lt;0.05 as significant.RESULTS: The series comprised 4,532 cases of blunt trauma, of which 555 (12.2%) were victims of falls from height. Severe lesions (AISe\"3) were observed in the extremities (17.5%), in the cephalic segment (8.4%), chest (5.5%) and the abdomen (2.9%). Victims of Group 1 had significantly higher mean age, AIS in extremities \/ pelvis, AIS in the thoracic segment and ISS (p &lt;0.05). The group 1 had significantly (p &lt;0.05) higher incidence of tracheal intubation on admission, pneumothorax, hemothorax, rib fractures, chest drainage, spinal trauma, pelvic fractures, complex pelvic fractures and fractures to the upper limbs.CONCLUSION: Victims of fall from height had greater anatomic injury severity, greater frequency and severity of lesions in the thoracic segment and extremities.<\/jats:p>","DOI":"10.1590\/0100-69912014004009","type":"journal-article","created":{"date-parts":[[2014,10,4]],"date-time":"2014-10-04T14:49:01Z","timestamp":1412434141000},"page":"272-277","source":"Crossref","is-referenced-by-count":8,"title":["Comparative analysis between identified injuries of victims of fall from height and other mechanisms of closed trauma"],"prefix":"10.1590","volume":"41","author":[{"given":"Jos\u00e9 Gustavo","family":"Parreira","sequence":"first","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo; Santa Casa de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina Raphe","family":"Matar","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9 Luis Barreto","family":"T\u00f4rres","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline A. G.","family":"Perlingeiro","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo; Santa Casa de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia C.","family":"Solda","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo; Santa Casa de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Cesar","family":"Assef","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo; Santa Casa de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/1757-7241-20-64","article-title":"Care of the injured worldwide: trauma still the neglected disease of modern society","volume":"20","author":"Sakran JV","year":"2012","journal-title":"Scand J Trauma Resusc Emerg Med."},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/s00198-009-1100-1","article-title":"Cost of falls in old age: a systematic review","volume":"21","author":"Heinrich S","year":"2010","journal-title":"Osteoporos Int."},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1590\/S0104-42302010000600013","article-title":"Les\u00f5es graves em v\u00edtimas de queda da pr\u00f3pria altura","volume":"56","author":"Parreira JG","year":"2010","journal-title":"Rev Assoc Med Bras."},{"issue":"1-3","key":"ref4","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.forsciint.2013.01.044","article-title":"Retrospective analysis of free-fall fractures with regard to height and cause of fall","volume":"226","author":"Petaros A","year":"2013","journal-title":"Forensic Sci Int."},{"issue":"3-4","key":"ref5","doi-asserted-by":"crossref","first-page":"96","DOI":"10.2298\/SARH0404096A","article-title":"Level of total injury severity as a possible parameter for evaluation of height in fatal falls","volume":"132","author":"Atanasijevi\u00e6 T","year":"2004","journal-title":"Srp Arh Celok Lek."},{"issue":"8","key":"ref6","first-page":"526","article-title":"Polytrauma is more severe after a free fall from a height than after a motor vehicle accident","volume":"128","author":"Nguyen-Thanh Q","year":"2003","journal-title":"Ann Chir."},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/2229-5151.109408","article-title":"Epidemiology of workplace-related fall from height and cost of trauma care in Qatar","volume":"3","author":"Tuma MA","year":"2013","journal-title":"Int J Crit Illn Inj Sci."},{"issue":"6","key":"ref8","first-page":"334","article-title":"Morphologic studies of high fall injuries","volume":"15","author":"Xia P","year":"2012","journal-title":"Chin J Traumatol."},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1111\/1556-4029.12445","article-title":"Fatal falls from height in Taiwan","volume":"59","author":"Peng TA","year":"2014","journal-title":"J Forensic Sci."},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/01.paf.0000136441.53868.a4","article-title":"Pathologic features of fatal falls from height","volume":"25","author":"T\u00fcrk EE","year":"2004","journal-title":"Am J Forensic Med Pathol."},{"issue":"6","key":"ref11","doi-asserted-by":"crossref","first-page":"529","DOI":"10.5505\/tjtes.2013.77535","article-title":"Factors affecting mortality caused by falls from height","volume":"19","author":"I\u00e7er M","year":"2013","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"issue":"7","key":"ref12","first-page":"525","article-title":"Injuries due to falls from a great height","volume":"102","author":"Aufmkolk M","year":"1999","journal-title":"A comparative analysis of injuries and their outcome following suicide-related and accidental falls. Unfallchirurg."},{"key":"ref13","series-title":"The Abbreviated Injury Scale. 1990 Revision. 1990, Des Plaines, IL 60018, USA","year":"1990"},{"issue":"3","key":"ref14","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/00005373-197403000-00001","article-title":"The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care","volume":"14","author":"Baker SP","year":"1974","journal-title":"J Trauma."},{"key":"ref15","series-title":"Fractures","first-page":"1093","volume-title":"Fractures of the pelvis","author":"Kane WJ","year":"1984"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1136\/jramc-158-02-11","article-title":"Falls from height: injury and mortality","volume":"158","author":"Dickinson A","year":"2012","journal-title":"J R Army Med Corps."},{"issue":"1","key":"ref17","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s00414-011-0627-9","article-title":"Effects of fall conditions and biological variability on the mechanism of skull fractures caused by falls","volume":"127","author":"Hamel A","year":"2013","journal-title":"Int J Legal Med."},{"issue":"9","key":"ref18","doi-asserted-by":"crossref","first-page":"1522","DOI":"10.1016\/j.injury.2010.11.056","article-title":"Alcohol and psychoactive drugs increased the pre-hospital mortality in 655 fall-related fatalities in Greece: a call for management protocols","volume":"43","author":"Papadopoulos IN","year":"2012","journal-title":"Injury."},{"issue":"1-3","key":"ref19","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.forsciint.2010.01.010","article-title":"Retrospective analysis of fatal falls","volume":"198","author":"Thierauf A","year":"2010","journal-title":"Forensic Sci Int."},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"141","DOI":"10.5505\/tjtes.2012.12058","article-title":"Skeletal injuries following unintentional fall from height","volume":"18","author":"Gulati D","year":"2012","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"issue":"12","key":"ref21","first-page":"609","article-title":"Injury pattern after fall from great height. An analysis of 101 cases","volume":"98","author":"Hahn MP","year":"1995","journal-title":"Unfallchirurg."},{"issue":"2","key":"ref22","first-page":"141","article-title":"Falls from heights in and around the city of Batman","volume":"15","author":"Al B","year":"2009","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"issue":"4","key":"ref23","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0020-1383(03)00198-0","article-title":"Falls from flat-roofed houses: a surgical experience of 1643 patients","volume":"35","author":"Yagmur Y","year":"2004","journal-title":"Injury."},{"key":"ref24","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.jflm.2013.08.005","article-title":"Head and neck injury patterns in fatal falls: epidemiologic and biomechanical considerations","volume":"21","author":"Freeman MD","year":"2014","journal-title":"J Forensic Leg Med."},{"key":"ref25","doi-asserted-by":"crossref","first-page":"S315","DOI":"10.1016\/j.legalmed.2009.02.017","article-title":"Characteristics of chest injury in falls from heights","volume":"11 Suppl 1","author":"Atanasijevic TC","year":"2009","journal-title":"Leg Med."},{"issue":"5","key":"ref26","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1590\/S0100-69912011000500005","article-title":"Fratura de pelve: um marcador de gravidade em trauma","volume":"38","author":"Cordts Filho RM","year":"2011","journal-title":"Rev Col Bras Cir."},{"issue":"6","key":"ref27","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1097\/01.CCM.0000164564.11989.C3","article-title":"Prognostic factors in victims of falls from height","volume":"33","author":"Lapostolle F","year":"2005","journal-title":"Crit Care Med."}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v41n4\/0100-6991-rcbc-41-04-00272.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T01:28:07Z","timestamp":1495502887000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912014000400272&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["S0100-69912014000400272"],"URL":"https:\/\/doi.org\/10.1590\/0100-69912014004009","relation":{},"ISSN":["0100-6991"],"issn-type":[{"value":"0100-6991","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8]]}}}