The hospital records of all such patients who were admitted to the ED were studied in detail with regard to patient profile, description and location of the injury, associated injuries, delay in referral, vital signs, labarotory RAD001 molecular weight parameters, treatment and survey.

For each casualty, we computed the ISS (defined as the sum of the squares of the highest Abbreviated Injury Scale (AIS) score in each of the three most severely injured body regions). Severe injury was defined as ISS ≥ 16. The duration of hospital stay and final outcome were recorded. All data were analyzed with IBM SPSS software, version 19.0. Results were expressed as mean-standard deviation (SD) or percentage. Statistical comparisons were carried out with Chi-Square test for categorical data and non-parametric spearman correlation tests were used to test the association between variables. A p value less than 0.05 was considered to be statistically significant. Results Falls from walnut trees are a significant health problem owing to being an important source of

morbidity and disability from spinal injury, and also a substantial social and economic burden due to labor force loss. Demographic data Fifty-four patients admitted to our emergency department with fall from walnut tree. Of these, 52 were adult and 2 were in pediatric age group. Fifty (92.6%) patients were male and STA-9090 solubility dmso 4 (7.4%) were female. The age range was 14 to 83 years (mean 48 ± 14 years). The earliest admission after the incident occurred at 25th minute and the latest occurred at 24th hour, and the mean delay was 77.96 ± 189.54 minute (Table 2). Table 2 Demographycal and clinical characteristics of patient Characteristics Farnesyltransferase   n (%) Gender Male 50 (72.6)   Female 4 (7.4) Age Pediatric 2 (3.7)   Adult 52 (96.3) Emergency admission time 25 minute (minimum)   24 hour (maximum) Iinjury severity score (ISS) 1-9 44 (81.5)   10-15 4 (7.5)   16-25 9 (11.1)   25-75 – Survey Discharged

19 (35.2)   Hospitalized 26 (48.1)   Referred 9 (16.7) Duration of hospitalization 2 days (minimum)   30 days (maximum) Clinical outcome Morbidity (9.25)   Mortality (-) Injury patterns Spinal region (44.4%) and particularly lumbar area (25.9%) sustained the most of the injuries among all body parts. Wedge compression fractures ranked first among all spinal injuries in which 6 were simple of 15 (27.8%) cases. Other types of spinal injuries were as S63845 mouse follows: 1 joint dislocation at C3-C4 level, 3 thoracic and 3 lumbar burst fractures, 1 transverse process fracture, and 1 lumbar spinal listhesis. Fourteen patients were exposed to isolated spinal column injuries (SCI), of whom 10 sustained spinal cord injuries leading to 5 paraplegias, 3 paresthesias, 2 quadriparesis, and 1 paraparesis. Neurological complications occurred the most with lumbar region injuries (40%) and with burst fractures (50%).