High vs Low Fall Injuries in Asia: 7-Year Multicenter Study

NCT07093658 | Completed

• 1 other identifier: 24MMHIS447e
• Study Type: observational
• Target: 59,099
• Locations: 0 countries
• Sites: N/A

Brief Summary

This multicenter study revealed a declining overall incidence of fall-related injuries, accompanied by a rising proportion of high falls, predominantly among non-elderly males. Mortality risk increased significantly at fall heights of 3 and 6 meters, supporting current field triage thresholds. Across both high and low falls, lower SpO₂ and GCS were key predictors of 30-day mortality, with head injury being an additional risk factor in low fall cases

Conditions

Fall Injury; Trauma

Keywords

Trauma; Fall injury

Outcome Measures

Primary Outcomes (1)

• 30-day mortality

  30-day mortality

  30-day

Study Arms (1)

Low fall injury group

Other: High fall injury group

Interventions

High fall injury group OTHER

High fall injury group

Low fall injury group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

This study included adult patients (aged ≥18 years) who were transported by emergency medical services (EMS) between January 2016 and December 2022. Patients were excluded if they had missing data on age, sex, injury mechanism, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), oxygen saturation (SpO₂), Glasgow Coma Scale (GCS), Abbreviated Injury Scale (AIS) for each body region, Injury Severity Score (ISS), Revised Trauma Score (RTS), or fall height. In addition, patients with missing records of 30-day mortality were excluded from the mortality cohort analysis.

You may qualify if:

• This study included adult patients (aged ≥18 years) who were transported by emergency medical services (EMS) between January 2016 and December 2022.
• Fall injury patients

You may not qualify if:

• missing data on age, sex, injury mechanism, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), oxygen saturation (SpO₂), Glasgow Coma Scale (GCS), Abbreviated Injury Scale (AIS) for each body region, Injury Severity Score (ISS), Revised Trauma Score (RTS), or fall height
• missing records of 30-day mortality

Sponsors & Collaborators

• Mackay Memorial Hospital: lead

Related Publications (2)

• Kim J, Shin SD, Im TH, Kug Jong Lee, Ko SB, Park JO, Ahn KO, Song KJ. Development and validation of the Excess Mortality Ratio-adjusted Injury Severity Score Using the International Classification of Diseases 10th Edition. Acad Emerg Med. 2009 May;16(5):454-464. doi: 10.1111/j.1553-2712.2009.00412.x.

  PMID: 19388920 BACKGROUND

• Kong SY, Shin SD, Tanaka H, Kimura A, Song KJ, Shaun GE, Chiang WC, Kajino K, Jamaluddin SF, Wi DH, Park JO, Moon SW, Ro YS, Cone DC, Holmes JF Jr. Pan-Asian Trauma Outcomes Study (PATOS): Rationale and Methodology of an International and Multicenter Trauma Registry. Prehosp Emerg Care. 2018 Jan-Feb;22(1):58-83. doi: 10.1080/10903127.2017.1347224. Epub 2017 Aug 9.

  PMID: 28792281 BACKGROUND

MeSH Terms

Conditions

Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physician

Study Record Dates

• First Submitted: July 23, 2025
• First Posted: July 30, 2025
• Study Start: January 1, 2016
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2024
• Last Updated: July 30, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share