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 journalArticle

Abstract

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
Volume69
Issue number5
Publication statusPublished - 2015

Fingerprint

Ladders
Emergencies
Costs and Cost Analysis
Wounds and Injuries
Costs
Health insurance
Intensive care units
Injury Severity Score
Education
Health
Tertiary Healthcare
Critical Care
Health Insurance
Craniocerebral Trauma
Tertiary Care Centers
Health Services
Intensive Care Units
Guidelines
Mortality
Incidence

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Nosaka, N., Goda, Y., Knaup, E., Tsukahara, K., Yumoto, T., Ugawa, T., & Ujike, Y. (2015). Characteristics and costs of ladder fall injuries: A report from a single emergency center in Okayama. Acta Medica Okayama, 69(5), 275-278.

Characteristics and costs of ladder fall injuries : A report from a single emergency center in Okayama. / Nosaka, Nobuyuki; Goda, Yu; Knaup, Emily; Tsukahara, Kohei; Yumoto, Tetsuya; Ugawa, Toyomu; Ujike, Yoshihito.

In: Acta Medica Okayama, Vol. 69, No. 5, 2015, p. 275-278.

Research output: Contribution to journalArticle

Nosaka, N, Goda, Y, Knaup, E, Tsukahara, K, Yumoto, T, Ugawa, T & Ujike, Y 2015, 'Characteristics and costs of ladder fall injuries: A report from a single emergency center in Okayama', Acta Medica Okayama, vol. 69, no. 5, pp. 275-278.
Nosaka, Nobuyuki ; Goda, Yu ; Knaup, Emily ; Tsukahara, Kohei ; Yumoto, Tetsuya ; Ugawa, Toyomu ; Ujike, Yoshihito. / Characteristics and costs of ladder fall injuries : A report from a single emergency center in Okayama. In: Acta Medica Okayama. 2015 ; Vol. 69, No. 5. pp. 275-278.
@article{5a4437bcd4f642e88b109f29d4635ad9,
title = "Characteristics and costs of ladder fall injuries: A report from a single emergency center in Okayama",
abstract = "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.",
keywords = "Accident prevention, Accidental falls, Hospital costs, Injuries, Ladder",
author = "Nobuyuki Nosaka and Yu Goda and Emily Knaup and Kohei Tsukahara and Tetsuya Yumoto and Toyomu Ugawa and Yoshihito Ujike",
year = "2015",
language = "English",
volume = "69",
pages = "275--278",
journal = "Acta Medica Okayama",
issn = "0386-300X",
publisher = "Okayama University",
number = "5",

}

TY - JOUR

T1 - Characteristics and costs of ladder fall injuries

T2 - A report from a single emergency center in Okayama

AU - Nosaka, Nobuyuki

AU - Goda, Yu

AU - Knaup, Emily

AU - Tsukahara, Kohei

AU - Yumoto, Tetsuya

AU - Ugawa, Toyomu

AU - Ujike, Yoshihito

PY - 2015

Y1 - 2015

N2 - 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.

AB - 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.

KW - Accident prevention

KW - Accidental falls

KW - Hospital costs

KW - Injuries

KW - Ladder

UR - http://www.scopus.com/inward/record.url?scp=84947918698&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947918698&partnerID=8YFLogxK

M3 - Article

C2 - 26490024

AN - SCOPUS:84947918698

VL - 69

SP - 275

EP - 278

JO - Acta Medica Okayama

JF - Acta Medica Okayama

SN - 0386-300X

IS - 5

ER -