Joseph T Carroll1, Alistair J Chapman2, Alan T Davis3, Carlos H Rodriguez4. 1. GRMEP/MSU General Surgery Residency, 221 Michigan Street 200A, Grand Rapids, MI 49503, USA. Electronic address: jtcarroll4541@gmail.com. 2. GRMEP/MSU General Surgery Residency, 221 Michigan Street 200A, Grand Rapids, MI 49503, USA. 3. Department of General Surgery, Michigan State University, Grand Rapids, MI, USA; GRMEP Research Department, Grand Rapids, MI, USA. 4. GRMEP/MSU General Surgery Residency, 221 Michigan Street 200A, Grand Rapids, MI 49503, USA; Department of General Surgery, Michigan State University, Grand Rapids, MI, USA; Division of Trauma Surgery, Spectrum Health, Grand Rapids, MI, USA.
Abstract
BACKGROUND: 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.
BACKGROUND: 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.