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Erschienen in: Wiener klinische Wochenschrift 1-2/2015

01.01.2015 | original article

Injury pattern in correlation with the height of fatal falls

verfasst von: Stephanie Arbes, Prof. Andrea Berzlanovich

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 1-2/2015

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Summary

Background

Death due to blunt trauma as a sequel of falls, as a cause of an increased life span is expected. The aim of this retrospective study was to examine the correlation between the height of fall and the frequency, the extensiveness, and the type of injuries of certain body regions and organs.

Methods

The study included 201 cases of fatal falls, which consisted 118 male and 83 female cases. All subjects were assessed in a standard autopsy for height of fall, cause of death, and injury pattern.

Results

Concerning the height of fall, 111 (55.2 %) cases involved falls on a plane level, 72 (35.8 %) from one level to another lower level, less than 5 meters, and 18 (9 %) cases from one level to another lower level, more than 5 meters. Mean age at the time of death was 66.7-years-old (range 22–98). The immediate cause of death was in 94 cases blunt head trauma, in 40 cases cardiovascular diseases, in 56 cases bronchopulmonal diseases, in 3 patients Polytrauma, in 5 patients multi organ failure, and in 3 patients other causes were identified. At the autopsy, 66 patients showed fractures of the skeletal system. The most common cause of death independent from the height of fall was head trauma with 46.7 %.

Conclusion

Both post-mortem findings and medical and psychiatric history, in conjunction with the findings at the death scene and toxicology results have to be considered to obtain the clearest possible picture of the circumstance of death.
Literatur
1.
Zurück zum Zitat Türck E, Tsokos M. Pathologic features of fatal falls from height. Am J Forensic Med Pathol. 2004;25(3):194–9. CrossRef Türck E, Tsokos M. Pathologic features of fatal falls from height. Am J Forensic Med Pathol. 2004;25(3):194–9. CrossRef
2.
Zurück zum Zitat Kohli A, Banerjee KK. Pattern of Injuries in Fatal Falls from Buildings. Med Sci Law. 2006;46(4):335–41. PubMedCrossRef Kohli A, Banerjee KK. Pattern of Injuries in Fatal Falls from Buildings. Med Sci Law. 2006;46(4):335–41. PubMedCrossRef
3.
Zurück zum Zitat Venkatesh VT, Kumar MV, Jagannatha SR, Radhika RH, Pushpalatha RH. Pattern of skeletal injuries in cases of falls from a height. Med Sci Law. 2007;47(4):330–4. PubMedCrossRef Venkatesh VT, Kumar MV, Jagannatha SR, Radhika RH, Pushpalatha RH. Pattern of skeletal injuries in cases of falls from a height. Med Sci Law. 2007;47(4):330–4. PubMedCrossRef
4.
5.
Zurück zum Zitat Türck E, Tsokos M. Blunt cardiac trauma caused by fatal falls from height: an autopsy-based assessment of the injury pattern. J Trauma. 2004;57:301–4. CrossRef Türck E, Tsokos M. Blunt cardiac trauma caused by fatal falls from height: an autopsy-based assessment of the injury pattern. J Trauma. 2004;57:301–4. CrossRef
6.
Zurück zum Zitat Atanasijevic T, Savic S, Nikolic S, Djokic V. Frequency and severity of injuries in correlation with the height of fall. J Forensic Sci. 2005;50(3):608–12. PubMedCrossRef Atanasijevic T, Savic S, Nikolic S, Djokic V. Frequency and severity of injuries in correlation with the height of fall. J Forensic Sci. 2005;50(3):608–12. PubMedCrossRef
7.
Zurück zum Zitat Risser D, Bönsch A, Schneider B, Bauer G. Risk of dying after a free fall from height. Forensic Science Int. 1996;78:187–91. CrossRef Risser D, Bönsch A, Schneider B, Bauer G. Risk of dying after a free fall from height. Forensic Science Int. 1996;78:187–91. CrossRef
8.
Zurück zum Zitat Stevens JA, Thomas KE, Sogolow ED. Seasonal patterns of fatal falls and nonfatal falls among older adults in the U.S. Accident analysis and Prevention. 2007;39:1239–44. Stevens JA, Thomas KE, Sogolow ED. Seasonal patterns of fatal falls and nonfatal falls among older adults in the U.S. Accident analysis and Prevention. 2007;39:1239–44.
9.
Zurück zum Zitat Kannus P, Parkkari J, Koskinen S, Niemi S, Palvannen M, Jarvinem M, Vuori I. Fall-induced injuries and death among older adults. JAMA. 1999;281(20):1895–9. PubMedCrossRef Kannus P, Parkkari J, Koskinen S, Niemi S, Palvannen M, Jarvinem M, Vuori I. Fall-induced injuries and death among older adults. JAMA. 1999;281(20):1895–9. PubMedCrossRef
10.
Zurück zum Zitat Bux R, Parzeller M, Bratzke H. Causes and circumstances of fatal falls downstairs. Forensic Sci Int. 2007;171:122–6. PubMedCrossRef Bux R, Parzeller M, Bratzke H. Causes and circumstances of fatal falls downstairs. Forensic Sci Int. 2007;171:122–6. PubMedCrossRef
11.
Zurück zum Zitat Aufmolk M, Voggenreiter G, Majetschak M, Neudeck F, Schmidt-Neuerburg KP, Obertacke U. Unfallchirurg. 1999;102:525–30. CrossRef Aufmolk M, Voggenreiter G, Majetschak M, Neudeck F, Schmidt-Neuerburg KP, Obertacke U. Unfallchirurg. 1999;102:525–30. CrossRef
12.
Zurück zum Zitat Dickinson A, Roberts M, Kumar A, Weaver A, Lockey DJ. Falls from height: injury and mortality. J R Army Med Corps. 2012;158(2):123–7. PubMedCrossRef Dickinson A, Roberts M, Kumar A, Weaver A, Lockey DJ. Falls from height: injury and mortality. J R Army Med Corps. 2012;158(2):123–7. PubMedCrossRef
13.
Zurück zum Zitat Sorock G, Chen LH, Gonzalgo SR, Baker SP. Alcohol drinking history and fatal injury in older adults. Alcohol. 2006;40:193–9. PubMedCrossRef Sorock G, Chen LH, Gonzalgo SR, Baker SP. Alcohol drinking history and fatal injury in older adults. Alcohol. 2006;40:193–9. PubMedCrossRef
14.
Zurück zum Zitat Bloem B, Boers I, Cramer M, Westendorp R, Gerschlager W. Falls in elderly Wien Klein Wochenschr. 2001;113(10):352–62. Bloem B, Boers I, Cramer M, Westendorp R, Gerschlager W. Falls in elderly Wien Klein Wochenschr. 2001;113(10):352–62.
15.
Zurück zum Zitat Preuß J, Padosch S, Dettmeyer R. Driever F, Lignitz E, Madea B. Injuries in fatal cases of falls downstairs. Forensic Science Int. 2004;141:121–6. CrossRef Preuß J, Padosch S, Dettmeyer R. Driever F, Lignitz E, Madea B. Injuries in fatal cases of falls downstairs. Forensic Science Int. 2004;141:121–6. CrossRef
Metadaten
Titel
Injury pattern in correlation with the height of fatal falls
verfasst von
Stephanie Arbes
Prof. Andrea Berzlanovich
Publikationsdatum
01.01.2015
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 1-2/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-014-0639-9