{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:46:27Z","timestamp":1792169187370,"version":"4.4.0"},"reference-count":35,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Falling down a staircase is a common mechanism of injury in patients with severe trauma, but the effect of varying fall height according to the number of steps on injury patterns in these patients has been little studied. In this retrospective study, prospectively collected data from a Level 1 Trauma Center in Germany were analyzed regarding the injury patterns of patients admitted through the trauma room with suspicion of multiple injuries following a fall down a flight of stairs between January 2016 and December 2019. In total 118 patients were examined which where consecutively included in this study. More than 80% of patients suffered a traumatic brain injury, which increased as a function of the number of stairs fallen. Therefore, the likelihood of intracranial hemorrhage increased with higher numbers of fallen stairs. Fall-associated bony injuries were predominantly to the face, skull and the spine. In addition, there was a high coincidence of staircase falls and alcohol intake. Due to a frequent coincidence of staircase falls and alcohol, the (pre-)clinical neurological assessment is complicated. As the height of the fall increases, severe traumatic brain injury should be anticipated and diagnostics to exclude intracranial hemorrhage and spinal injuries should be performed promptly to ensure the best possible patient outcome.<\/jats:p>","DOI":"10.3390\/jcm11030697","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T05:26:17Z","timestamp":1643433977000},"page":"697","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Injury Patterns after Falling down Stairs\u2014High Ratio of Traumatic Brain Injury under Alcohol Influence"],"prefix":"10.3390","volume":"11","author":[{"given":"Jason-Alexander","family":"H\u00f6rauf","sequence":"first","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe\u2014University Frankfurt am Main, 60590 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Nau","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe\u2014University Frankfurt am Main, 60590 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4226-5934","authenticated-orcid":false,"given":"Nils","family":"M\u00fchlenfeld","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe\u2014University Frankfurt am Main, 60590 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1086-4016","authenticated-orcid":false,"given":"Ren\u00e9 D.","family":"Verboket","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe\u2014University Frankfurt am Main, 60590 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingo","family":"Marzi","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe\u2014University Frankfurt am Main, 60590 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3584-2518","authenticated-orcid":false,"given":"Philipp","family":"St\u00f6rmann","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe\u2014University Frankfurt am Main, 60590 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"ref_1","unstructured":"(2021, December 27). 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