scholarly journals All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review

CJEM ◽  
2017 ◽  
Vol 20 (2) ◽  
pp. 207-215 ◽  
Author(s):  
Holly Black ◽  
Desmond Whalen ◽  
Sabrina Alani ◽  
Peter Rogers ◽  
Cathy MacLean
Keyword(s):  
Public Education ◽  
Newfoundland And Labrador ◽  
Injury Severity ◽  
Trauma Registry ◽  
Physician Practice ◽  
Helmet Use ◽  
M 10 ◽  
Severity Scores ◽  
Hospital Deaths ◽  
Canadian Provinces

AbstractBackgroundInjury and death involving all-terrain vehicles (ATV) has been reported in a number of Canadian provinces. The objective of this study is to describe the frequency, nature, severity, population affected, immediate health costs, efficacy of related legislation, and helmet use in ATV related injuries and deaths in Newfoundland and Labrador (NL).MethodsA retrospective review of injured or deceased ATV riders of all ages entered in the Newfoundland and Labrador Trauma Registry from 2003 to 2013 was conducted. Variables studied included demographics, injury type and severity, use of helmets, admission/discharge dates, and referring/receiving institution. Data was also obtained from the Newfoundland and Labrador Center for Health Information (NLCHI) and included all in-hospital deaths and hospitalizations due to ATVs between 1995 and 2013.ResultsThere were a total of 298 patients registered in the trauma registry, resulting in 2759 admission days, nine deaths, and a total estimated immediate healthcare system cost in excess of $1.6 million. More males (N=253, 84.9%) than females (N=45, 15.1%) were injured in ATV related incidents, t(20)=7.12, p<.0001. Head and thorax injuries were the most serious. 38.6% of patients were confirmed to be wearing helmets. Mean injury severity scores are as follows: head injury (M=11, SD=9.51), thorax (M=10, SD=8.3), abdominal/pelvis (M=9, SD=7.62), upper extremity (M=9, SD=8.53), other injuries (M=9, SD=10.56) lower extremity (M=8, SD=8.34), and spine (M=8, SD=6.52).ConclusionsThis study describes ATV related injuries and deaths in NL. Information from this study may guide physician practice, public education, and future legislation.

Motorcyclist Traffic Accidents and Risk Factors: A Singapore Study

1990 ◽  
Vol 4 (1) ◽  
pp. 34-38 ◽  
Author(s):  
Tze Wai Wong ◽  
Wai-On Phoon ◽  
James Lee ◽  
Ivy Po Chu Yiu ◽  
Kam Pui Fung ◽  
...  
Keyword(s):  
Public Education ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Driving Experience ◽  
Factors Associated ◽  
Singapore General Hospital ◽  
Breath Testing ◽  
Severity Scores ◽  
One Year ◽  
Drunken Driving

Motorcyclist accidents cause significant morbidity and mortality in Singapore. To elucidate personal and environmental factors associated with such accidents, we studied 198 motorcyclists who were hospitalized in Singapore General Hospital between April 1986 and June 1987. The patients were mostly young and almost exclusively male with a high proportion of Malays. Most accidents occurred on Sundays and at night. Ten percent of the victims took alcohol before the accident. Most had low injury severity scores (ISS). Less experienced drivers had a significantly higher ISS than those with one year or longer of driving experience. Vigorous control of drunken driving, through public education and intensive breath testing, should reduce the incidence of traffic accidents.

Helmets Matter: Kentucky All-Terrain Vehicle Crashes Seen at a Tennessee Trauma Center

2018 ◽  
Vol 84 (2) ◽  
pp. 289-293
Author(s):  
George M. Testerman ◽  
Daniel C. Prior ◽  
Tamie D. Wells ◽  
Sarah E. Rollins ◽  
Stephen L. Oesch
Keyword(s):  
Relative Risk ◽  
Trauma Center ◽  
Injury Severity ◽  
Trauma Registry ◽  
Head Injuries ◽  
Multiple Logistic Regression Analysis ◽  
Multiple Logistic Regression ◽  
Helmet Use ◽  
State Laws ◽  
Helmet Laws

All-terrain vehicle (ATV) safety laws, including helmet use, vary by state and are sporadically enforced. Kentucky state laws require safety helmets only for younger riders. We hypothesized that ATV riders injured in Kentucky and seen at a Tennessee trauma center would more likely be unhelmeted, have more severe head injuries, and have higher mortality rates than those injured in Virginia or Tennessee. A Trauma Registry review of 750 injured ATV riders from June 1, 2005, through June 1, 2015 examined state location of accident, helmet use, markers of injury severity, and outcomes. Multiple logistic regression analysis examined predictors of severe head injuries and death with P < 0.05 significant. Unhelmeted ATV rider status predicted more severe head injuries (relative risk 23.5, P < 0.001) and death (relative risk 4.6, P < 0.001). ATV riders injured in the state of Kentucky were twice as numerous. In addition, they were more likely than ATVriders injured in Tennessee or Virginia to be unhelmeted, to have severe head injuries, and to sustain fatal injuries (all P < 0.001). This single trauma center study lends support for maintaining and enforcing current universal helmet laws for ATVriders of all ages in states where they are in effect and highlights the need to upgrade helmet laws that apply only to some riders.

Changing to AIS 2005 and agreement of injury severity scores in a trauma registry with scores based on manual chart review

Injury ◽  
2011 ◽  
Vol 42 (9) ◽  
pp. 934-939 ◽  
Author(s):  
Kenneth E. Stewart ◽  
Linda D. Cowan ◽  
David M. Thompson
Keyword(s):  
Chart Review ◽  
Injury Severity ◽  
Trauma Registry ◽  
Severity Scores

Blunt Adrenal Injury: Results of a State Trauma Registry Review

2019 ◽  
Vol 85 (4) ◽  
pp. 390-396 ◽  
Author(s):  
Jody C. Digiacomo ◽  
Noam Gerber ◽  
L. D. George Angus ◽  
Swapna Munnangi ◽  
Sara Cardozo-Stolberg
Keyword(s):  
New York ◽  
Adrenal Gland ◽  
Blunt Trauma ◽  
Injury Severity ◽  
Trauma Registry ◽  
New York State ◽  
Incidence Rates ◽  
Inhospital Mortality ◽  
Increased Risk ◽  
Severity Scores

In the past, injuries to the adrenal glands due to blunt trauma were considered rare, and were reported to be associated with high Injury Severity Scores (ISSs) and high mortality. Recent reports have reported a much high incidence associated with lower ISS and lower mortality. The purpose of this study was to assess the incidence of adrenal gland injuries due to blunt trauma in a large state trauma registry and determine whether these injuries are associated with a higher ISS and increased risk for mortality. A retrospective review was performed on the New York State Trauma Registry comparing blunt injured adults with adrenal injuries to those who did not. Concurrent organ injuries, ISS, and inhospital mortality were compared. Three hundred thirty-nine patients with adrenal gland injuries were identified. Concurrent liver and kidney injuries were more prevalent in the adrenal injured group, and concurrent injuries to the small and large intestine and spleen were more prevalent in the nonadrenal injured group. There was no difference in ISS or mortality between the adrenal injured and nonadrenal injured populations. The results of this study are consistent with recent smaller studies which identified incidence rates which were higher than previously reported and that ISS and mortality risk were unchanged by the presence of blunt adrenal gland injuries. Adrenal gland injuries due to blunt trauma are not uncommon, with an incidence rate of 0.61 per cent. Adrenal gland injuries are not associated with higher ISS or an increased risk of mortality.

Helmet use is associated with higher Injury Severity Scores in alpine skiers and snowboarders evaluated at a Level I trauma center

2019 ◽  
Vol 87 (5) ◽  
pp. 1205-1213 ◽  
Author(s):  
Eleah D. Porter ◽  
Spencer W. Trooboff ◽  
Madeleine G. Haff ◽  
James C. Cooros ◽  
Andrea B. Wolffing ◽  
...  
Keyword(s):  
Trauma Center ◽  
Injury Severity ◽  
Helmet Use ◽  
Severity Scores ◽  
Alpine Skiers ◽  
Level I

scholarly journals Validation of ICDPIC software injury severity scores using a large regional trauma registry

2015 ◽  
Vol 21 (5) ◽  
pp. 325-330 ◽  
Author(s):  
Nathaniel H Greene ◽  
Mary A Kernic ◽  
Monica S Vavilala ◽  
Frederick P Rivara
Keyword(s):  
Injury Severity ◽  
Trauma Registry ◽  
Severity Scores

scholarly journals Assessment of earthquake casualties and comparison of accuracy of five injury triage methods: evidence from a retrospective study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051802
Author(s):  
Yang Peng ◽  
Hai Hu
Keyword(s):  
Injury Severity ◽  
Area Under The Curve ◽  
Roc Curves ◽  
Primary Outcome Measure ◽  
Early Warning Score ◽  
Mass Casualties ◽  
Severity Scores ◽  
Hospital Deaths ◽  
Earthquake Casualty ◽  
Earthquake Casualties

ObjectiveThe use of an injury triage method among earthquake injury patients can facilitate the reasonable allocation of resources, but the various existing injury triage methods need further confirmation. This study aims to assess the accuracy of several injury triage methods, namely, the Simple Triage and Rapid Treatment (START) technique; CareFlight Injury Triage (CareFlight); Rapid Emergency Medicine Score (REMS); Triage Revised Trauma Score (T-RTS) and Triage Early Warning Score (TEWS), based on their effects on earthquake injury patients.DesignData in the Huaxi Earthquake Casualty Database were analysed retrospectively.SettingThis study was conducted in China.ParticipantsData on 29 523 earthquake casualties were separately evaluated using the START technique, CareFlight, REMS, T-RTS and TEWS, with these being the five types of injury triage studied.Primary outcome measureThe receiver operating characteristic (ROC) curves for the five injury triages were calculated based on hospital deaths, injury severity scores greater than 15 points, and whether casualties stayed in the intensive care unit.ResultsThe ROC curve areas of the START technique, CareFlight, REMS, T-RTS and TEWS were 0.750, 0.737, 0.835, 0.736 and 0.797, respectively. Among the five injury triages, the most accurate in predicting hospital deaths was REMS, with an average area under the curve (AUC) of 0.835, with this due to the inclusion of more evaluation indicators.ConclusionAll methods had an effect on the triage of earthquake mass casualties. Among them, the REMS injury triage method had the largest AUC of the five triage methods. Except for REMS, no obvious difference was found in the effect of the other four injury triage methods.

Comparative Outcomes of Traumatic Brain Injury from Biking Accidents With or Without Helmet Use

2015 ◽  
Vol 43 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Jehane H. Dagher ◽  
Camille Costa ◽  
Julie Lamoureux ◽  
Elaine de Guise ◽  
Mitra Feyz
Keyword(s):  
Brain Injuries ◽  
Injury Severity ◽  
Trauma Registry ◽  
Discharge Destination ◽  
Montreal General Hospital ◽  
Severity Scale ◽  
Neurological Patient ◽  
Helmet Use ◽  
Independent Variables ◽  
Dependent Variables

AbstractObjective: To determine if health outcomes and demographics differ according to helmet status between persons with cycling-related traumatic brain injuries (TBI).Methods: This is a retrospective study of 128 patients admitted to the Montreal General Hospital following a TBI that occurred while cycling from 2007-2011. Information was collected from the Quebec trauma registry and the coroner’s office in cases of death from cycling accidents. The independent variables collected were socio-demographic, helmet status, clinical and neurological patient information. The dependent variables evaluated were length of stay (LOS), extended Glasgow outcome scale (GOS-E), injury severity scale (ISS), discharge destination and death.Results:25% of cyclists wore a helmet. The helmet group was older, more likely to be university educated, married and retired. Unemployment, longer intensive care unit (ICU) stay, severe intracranial bleeding and neurosurgical interventions were more common in the no helmet group. There was no significant association between the severity of the TBI, ISS scores, GOS-E or death and helmet wearing. The median age of the subjects who died was higher than those who survived.Conclusion: Cyclists without helmets were younger, less educated, single and unemployed. They had more severe TBIs on imaging, longer LOS in ICU and more neurosurgical interventions. Elderly cyclists admitted to the hospital appear to be at higher risk of dying in the event of a TBI.

scholarly journals Nonoperative management of splenic injury in closely monitored patients with reduced consciousness is safe and feasible

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Michel Teuben ◽  
Roy Spijkerman ◽  
Taco Blokhuis ◽  
Roman Pfeifer ◽  
Henrik Teuber ◽  
...  
Keyword(s):  
Mental Status ◽  
Injury Severity ◽  
Splenic Injury ◽  
Nonoperative Management ◽  
Splenic Trauma ◽  
Blunt Splenic Injury ◽  
Icu Stay ◽  
Severity Scores ◽  
Gcs Score ◽  
The Impact

Abstract Background Treatment of blunt splenic injury has changed over the past decades. Nonoperative management (NOM) is the treatment of choice. Adequate patient selection is a prerequisite for successful NOM. Impaired mental status is considered as a relative contra indication for NOM. However, the impact of altered consciousness in well-equipped trauma institutes is unclear. We hypothesized that impaired mental status does not affect outcome in patients with splenic trauma. Methods Our prospectively composed trauma database was used and adult patients with blunt splenic injury were included during a 14-year time period. Treatment guidelines remained unaltered over time. Patients were grouped based on the presence (Group GCS: < 14) or absence (Group GCS: 14–15) of impaired mental status. Outcome was compared. Results A total of 161 patients were included, of whom 82 were selected for NOM. 36% of patients had a GCS-score < 14 (N = 20). The median GCS-score in patients with reduced consciousness was 9 (range 6–12). Groups were comparable except for significantly higher injury severity scores in the impaired mental status group (19 vs. 17, p = 0.007). Length of stay (28 vs. 9 days, p < 0.001) and ICU-stay (8 vs. 0 days, p = 0.005) were longer in patients with decreased GCS-scores. Failure of NOM, total splenectomy rates, complications and mortality did not differ between both study groups. Conclusion This study shows that NOM for blunt splenic trauma is a viable treatment modality in well-equipped institutions, regardless of the patients mental status. However, the presence of neurologic impairment is associated with prolonged ICU-stay and hospitalization. We recommend, in institutions with adequate monitoring facilities, to attempt nonoperative management for blunt splenic injury, in all hemodynamically stable patients without hollow organ injuries, also in the case of reduced consciousness.

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