Characteristics and costs of ladder fall injuries: A report from a single emergency center in Okayama

Nobuyuki Nosaka, Yu Goda, Emily Knaup, Kohei Tsukahara, Tetsuya Yumoto, Toyomu Ugawa, Yoshihito Ujike

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


We sought to identify the incidence, injury patterns, and financial burden of ladder fall injuries to provide a reference for reinforcing guidelines on the prevention of such injuries. We enrolled the patients who were injured in a ladder-related fall and required intensive care between April 2012 and March 2014 at Okayama University Hospital, a tertiary care hospital in Okayama City: 9 patients injured in 7 stepladder falls and 2 straight ladder falls. The median patient age was 69 years, and 8 were males. Six falls occurred in non-occupational settings. Head injuries predominated, and the injury severity score ranged from 2 to 35 (mean = 21 ± 12). At the time of discharge from the intensive care unit, one patient had died and 5 patients had some neurological disabilities. The case fatality rate was 11%. The total cost of care during the review period was ¥16,705,794, with a mean cost of ¥1,856,199 per patient Ladder fall injuries are associated with a high rate of neurological sequelae and pose a financial burden on the health insurance system. A prevention education campaign targeting at older-aged males in non-occupational settings may be a worthwhile health service investment in this community.

Original languageEnglish
Pages (from-to)275-278
Number of pages4
JournalActa medica Okayama
Issue number5
Publication statusPublished - 2015


  • Accident prevention
  • Accidental falls
  • Hospital costs
  • Injuries
  • Ladder

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)


Dive into the research topics of 'Characteristics and costs of ladder fall injuries: A report from a single emergency center in Okayama'. Together they form a unique fingerprint.

Cite this