The impact of tree-stand falls on a Level 1 trauma center in West Michigan

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• 作者：Joseph T. Carroll ; M.D.^a ; ^{jtcarroll4541@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Alistair J. Chapman ; M.D.^a ; Alan T. Davis ; Ph.D.^b ; ^c ; Carlos H. Rodriguez ; M.D. ; F.A.C.S.^a ; ^b ; ^d
• 关键词：Tree stand ; Fall ; Trauma ; Height ; BMI
• 刊名：The American Journal of Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：211
• 期：3
• 页码：555-558
• 全文大小：145 K

文摘

Falls from tree stands are common during the hunting season. We examined the impact of this injury mechanism on a Level 1 trauma center in West Michigan.

Methods

Retrospective cohort study examining tree-stand fall patients between 2001 and 2013.

Results

A total of 193 patients were included. Less than 3% of patients were wearing a harness. Falls from greater than 20 feet were associated with a higher injury severity score (P = .018). The injury severity score and Glasgow coma scale of the normal weight and overweight (OW) groups were the same. Overall 91.3% of normal weight patients were discharged home vs 63.5% of OW patients (P = .009). Median rehab stay was 12 days (3 to 92), and median charge was $24,048 (2,398 to 134,752).

Conclusions

Tree-stand falls cause significant injury, especially from heights greater than 20 feet. OW patients more frequently require rehabilitation. The infrequent use of safety harnesses is alarming.