DOI: 10.36347/sasjm.2016.v02i05.005

Pages: Page: 115-117

We performed a retrospective study to determine whether or not head and/or neck trauma is a risk factor of a poor outcome among traumatized patents who fell into open drains. An Ichushi search (Japana Centra Revuo Medicine) was performed using the key words "drain" and “ditch” to identify articles on traumatized cases by Japanese authors published from 1983 to 2016. These cases were included as subjects. The exclusion criterion was no trauma after falling into drain. The subjects were divided into two groups: the head and/or spine (HS) group, which included cases who had suffered head and/or spine injury due to falling into an open drain, and a control group, which included patients without any such injuries. We investigated the following data: age, sex, situation of injury, drunken state or not, cerebral performance category (CPC) scale at discharge and the mortality rate. We then compared the findings between the two groups. There were 32 cases in the HS group and 47 controls. There were no significant differences between the two groups in the age, sex, situation and drunken state. Although we noted 14 poor outcomes and 5 mortalities in the HS group, there were no poor outcomes or mortalities among cases in the control group. This difference was statistically significant. Head and spinal traumatic lesions were significant risk factors for a poor outcome among traumatized patients who had fallen into an open drain