• Brian S Diggs, Barbara Lenfesty, Melanie Arthur, Jerris R Hedges, Craig D Newgard, and Richard J Mullins.
• Department of Surgery, L223A, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098, USA. diggsb@ohsu.edu
• Acad Emerg Med. 2005 Mar 1; 12 (3): 267-70.

ObjectivesThe national morbidity and mortality associated with falls from a height is incompletely described. The authors estimated the rates of injury, hospitalization, and mortality due to these falls for subgroups of the U.S. population.MethodsAdministrative databases (1995-2000) provided national samples of patients treated for injuries following a fall from a height (ICD-9-CM E-codes E881.0, E881.1, or E882). Inpatient data are from the Nationwide Inpatient Sample, and emergency department data are from the National Hospital Ambulatory Medical Care Survey.ResultsA total of 347,484 (95% confidence interval = 308,417 to 386,551) emergency department presentations occur annually for injuries following a fall. Hospitalized patients older than 75 years of age had a 3.3% case fatality, and 42% were discharged to a skilled nursing facility. For patients older than 55 years of age, 86% of falls were not work related.ConclusionsLadder and structure falls by elders are a substantial emergency department problem warranting thorough clinical evaluation and injury prevention efforts.

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