Characteristics of injuries resulting from falls from height in the construction industry

Introduction: Falls from heights contribute to 34% of fatal accidents in Singapore. Of these, 51% of the accidents occur in the construction industry. This retrospective review, of all persons falling from heights in the construction industry from 2006 to 2012 and attending a major hospital, analyse...

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Main Authors: Venkataraman Anantharaman, Thajudeen Mohammed Zuhary, Hao Ying, Natarajan Krishnamurthy
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2023-04-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2022017
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author Venkataraman Anantharaman
Thajudeen Mohammed Zuhary
Hao Ying
Natarajan Krishnamurthy
author_facet Venkataraman Anantharaman
Thajudeen Mohammed Zuhary
Hao Ying
Natarajan Krishnamurthy
author_sort Venkataraman Anantharaman
collection DOAJ
description Introduction: Falls from heights contribute to 34% of fatal accidents in Singapore. Of these, 51% of the accidents occur in the construction industry. This retrospective review, of all persons falling from heights in the construction industry from 2006 to 2012 and attending a major hospital, analysed injury patterns and related them to mechanisms and contributory factors. Methods: Information collected included injury and casualty characteristics, safety measures, pre-existing medical conditions and clinical outcomes. Results: Of 1,085 patients, 951 were male with a mean age of 39.8 years, mean height of 165.9 cm and mean weight of 69.7 kg. Most of the casualties fell between 0800 and 2000 hours. Among the severely injured patients, 2.4% had head injuries, 54.9% had chest injuries and 39.2% had abdominal and pelvic injuries. For these casualties, the mortality rate was 60.8%. For patients with less than major trauma, the commonest injuries were in the lower limbs (41.8%), upper limbs (40.8%) and spine (22.2%). All the casualties survived. Falls from scaffolding, formwork and platforms were the most common causes of severe injuries (41.1%). Safety helmets and harnesses were reported to be used in 1.8% and 4.1% of instances of falls, respectively. Conclusion: Studying the patterns of injuries following falls at construction sites has the potential for injury prevention through safe practices, use of safety equipment and targeted training.
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spelling doaj-art-15e1c5d48d9a4d8ab63c5d2e656c19892025-08-20T02:59:24ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-04-0164423724310.11622/smedj.2022017Characteristics of injuries resulting from falls from height in the construction industryVenkataraman AnantharamanThajudeen Mohammed ZuharyHao YingNatarajan KrishnamurthyIntroduction: Falls from heights contribute to 34% of fatal accidents in Singapore. Of these, 51% of the accidents occur in the construction industry. This retrospective review, of all persons falling from heights in the construction industry from 2006 to 2012 and attending a major hospital, analysed injury patterns and related them to mechanisms and contributory factors. Methods: Information collected included injury and casualty characteristics, safety measures, pre-existing medical conditions and clinical outcomes. Results: Of 1,085 patients, 951 were male with a mean age of 39.8 years, mean height of 165.9 cm and mean weight of 69.7 kg. Most of the casualties fell between 0800 and 2000 hours. Among the severely injured patients, 2.4% had head injuries, 54.9% had chest injuries and 39.2% had abdominal and pelvic injuries. For these casualties, the mortality rate was 60.8%. For patients with less than major trauma, the commonest injuries were in the lower limbs (41.8%), upper limbs (40.8%) and spine (22.2%). All the casualties survived. Falls from scaffolding, formwork and platforms were the most common causes of severe injuries (41.1%). Safety helmets and harnesses were reported to be used in 1.8% and 4.1% of instances of falls, respectively. Conclusion: Studying the patterns of injuries following falls at construction sites has the potential for injury prevention through safe practices, use of safety equipment and targeted training.https://journals.lww.com/10.11622/smedj.2022017chest traumaconstruction industryfalls from heighthead injuryinjury severity score
spellingShingle Venkataraman Anantharaman
Thajudeen Mohammed Zuhary
Hao Ying
Natarajan Krishnamurthy
Characteristics of injuries resulting from falls from height in the construction industry
Singapore Medical Journal
chest trauma
construction industry
falls from height
head injury
injury severity score
title Characteristics of injuries resulting from falls from height in the construction industry
title_full Characteristics of injuries resulting from falls from height in the construction industry
title_fullStr Characteristics of injuries resulting from falls from height in the construction industry
title_full_unstemmed Characteristics of injuries resulting from falls from height in the construction industry
title_short Characteristics of injuries resulting from falls from height in the construction industry
title_sort characteristics of injuries resulting from falls from height in the construction industry
topic chest trauma
construction industry
falls from height
head injury
injury severity score
url https://journals.lww.com/10.11622/smedj.2022017
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AT natarajankrishnamurthy characteristicsofinjuriesresultingfromfallsfromheightintheconstructionindustry