Border-fence falls versus domestic falls at a South Texas trauma center.

Autor:	Darwish M; Trauma Services Department, South Texas Health System, McAllen, Texas, USA., McGraw C; Trauma Research, Injury Outcomes Network, Englewood, Colorado, USA., Foote CW; Trauma Services Department, South Texas Health System, McAllen, Texas, USA., Chen C; Trauma Services Department, South Texas Health System, McAllen, Texas, USA., Sohini V; Trauma Services Department, South Texas Health System, McAllen, Texas, USA., Bar-Or D; Trauma Research, Injury Outcomes Network, Englewood, Colorado, USA., Palacio CH; Trauma Services Department, South Texas Health System, McAllen, Texas, USA.
Jazyk:	angličtina
Zdroj:	Trauma surgery & acute care open [Trauma Surg Acute Care Open] 2023 Feb 28; Vol. 8 (1), pp. e001020. Date of Electronic Publication: 2023 Feb 28 (Print Publication: 2023).
DOI:	10.1136/tsaco-2022-001020
Abstrakt:	Objectives: Falling from height may lead to significant injuries and time hospitalized; however, there are few studies comparing the specific mechanism of fall. The purpose of this study was to compare injuries from falls after attempting to cross the USA-Mexico border fence (intentional) with injuries from domestic falls (unintentional) of comparable height. Methods: This retrospective cohort study included all patients admitted after a fall from a height of 15-30 ft to a level II trauma center between April 2014 and November 2019. Patient characteristics were compared by falls from the border fence with those who fell domestically. Fisher's exact test, χ 2 test and Wilcoxon Mann-Whitney U test were used as appropriate. A significance level of α<0.05 was used. Results: Of the 124 patients included, 64 (52%) were falls from the border fence while 60 (48%) were domestic falls. Patients sustaining injuries from border falls were on average younger than patients who had domestic falls (32.6 (10) vs 40.0 (16), p=0.002), more likely males (58% vs 41%, p<0.001), fell from a significantly higher distance (20 (20-25) vs 16.5 (15-25), p<0.001), and had a significantly lower median injury severity score (ISS) (5 (4-10) vs 9 (5-16.5), p=0.001). Additionally, compared with domestic falls, border falls had fewer injuries to the head (3% vs 25%, p=0.004) and chest (5% vs 27%, p=0.007), yet more extremity injuries (73% vs 42%, p=0.003), and less had an intensive care unit (ICU) stay (30% vs 63%, p=0.002). No significant differences in mortality were found. Conclusion: Patients sustaining injuries from border crossing falls were slightly younger, and although fell from higher, had a lower ISS, more extremity injuries, and fewer were admitted to the ICU compared with patients sustaining falls domestically. There was no difference in mortality between groups. Level of Evidence: Level III, retrospective study. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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