Injury Severity of Ambulatory Patients Following Motor Vehicle Crash

2021 ◽  
Vol 28 (1) ◽  
pp. 37-40
Author(s):  
Christopher Stimson
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Vehicle Crash ◽  
Ambulatory Patients

scholarly journals Psychological distress following a motor vehicle crash: evidence from a statewide retrospective study examining settlement times and costs of compensation claims

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e017515 ◽  
Author(s):  
Rebecca Guest ◽  
Yvonne Tran ◽  
Bamini Gopinath ◽  
Ian D Cameron ◽  
Ashley Craig
Keyword(s):  
At Risk ◽  
Psychological Distress ◽  
Retrospective Study ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Multivariate Logistic Regression Analysis ◽  
Musculoskeletal Injury ◽  
Motor Vehicle Crash ◽  
Insurance Companies ◽  
Vehicle Crash

ObjectiveTo determine whether psychological distress associated with musculoskeletal injuries sustained in a motor vehicle crash (MVC), regardless of time of onset, impacts compensation outcomes such as claim settlement times and costs. Second, to identify factors routinely collected by insurance companies that contribute to psychological distress during the compensation process.DesignStatewide retrospective study.Data sourceAnalysis of the New South Wales statewide (Australia) injury register for MVC survivors who lodged a compensation claim from 2011 to 2013.Participants6341 adults who sustained a musculoskeletal injury and who settled a claim for injury after an MVC. Participants included those diagnosed with psychological distress (n=607) versus those not (n=5734).Main outcome measuresTime to settlement and total costs of claims, as well as socio-demographic and injury characteristics that may contribute to elevated psychological distress, such as socio-economic disadvantage, and injury severity.ResultsPsychological distress in those with a musculoskeletal injury was associated with significantly longer settlement times (an additional 17 weeks) and considerably higher costs (an additional $A41 575.00 or 4.3 times more expensive). Multivariate logistic regression analysis identified risk factors for psychological distress including being female, social disadvantage, unemployment prior to the claim, not being at fault in the MVC, requiring ambulance transportation and rehabilitation as part of recovery.ConclusionsResults provide compelling evidence that psychological distress has an adverse impact on people with musculoskeletal injury as they progress through compensation. Findings suggest that additional resources should be directed toward claimants who are at risk (eg, the socially disadvantaged or those unemployed prior to the claim), the major aim being to reduce risk of psychological distress, such as post-traumatic stress disorder, and associated risk of increased settlement times and claim costs. Prospective studies are now required that investigate treatment strategies for those at risk of psychological distress associated with an MVC.

An Injury Severity-, Time Sensitivity-, and Predictability-Based Advanced Automatic Crash Notification Algorithm Improves Motor Vehicle Crash Occupant Triage

2016 ◽  
Vol 222 (6) ◽  
pp. 1211-1219.e6 ◽  
Author(s):  
Joel D. Stitzel ◽  
Ashley A. Weaver ◽  
Jennifer W. Talton ◽  
Ryan T. Barnard ◽  
Samantha L. Schoell ◽  
...  
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Vehicle Crash ◽  
Time Sensitivity

Rural Motor Vehicle Crash Risk of Death is Higher After Controlling for Injury Severity

2007 ◽  
Vol 62 (1) ◽  
pp. 221-226 ◽  
Author(s):  
Robert L. Muelleman ◽  
Michael C. Wadman ◽  
T Paul Tran ◽  
Fred Ullrich ◽  
James R. Anderson
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Crash Risk ◽  
Risk Of Death ◽  
Vehicle Crash

scholarly journals Impaired driving charges in injured impaired drivers requiring treatment in an emergency department

CJEM ◽  
2012 ◽  
Vol 14 (05) ◽  
pp. 290-294 ◽  
Author(s):  
Warren Fieldus ◽  
Ed Cain
Keyword(s):  
Emergency Department ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Trauma Centre ◽  
Motor Vehicle Crash ◽  
Impaired Driving ◽  
Legal Limit ◽  
Vehicle Crash ◽  
Police Records ◽  
The Mean

ABSTRACTObjective:To determine the percentage of injured impaired drivers brought to the only trauma centre in Nova Scotia who were charged with impaired driving.Methods:This retrospective observational study identified alcohol impaired drivers involved in a motor vehicle crash (MVC) brought to the emergency department (ED). Patients were selected based on blood alcohol concentrations (BACs) found to be above the legal limit. Medical records were examined to determine if the patient was the driver in an MVC. Patient records were then cross-referenced with a police database to determine the percentage of injured impaired drivers who were charged with impaired driving.Results:Between April 1, 2006, and April 1, 2008, 1,102 patients brought to the QEII Health Sciences Centre (QEII HSC) ED were found to have BACs over the legal limit. Of these patients, only 57 (5.2%) were found to have been the driver in an MVC. The majority of patients were male (49; 86%), with an average age of 32 years. Most injuries (51; 89.5%) were the result of a single-vehicle crash. The mean Glasgow Coma Scale score was 12.6, and the mean Injury Severity Score was 14.4. Cross-referencing with police records showed that only 22.8% (13 of 57) of injured drivers were charged with impaired driving. Those drivers not charged with impaired driving had a significantly lower median BAC and median age.Conclusion:During the study, the majority of alcoholimpaired drivers injured in an MVC who were brought to the QEII HSC ED for assessment of their injuries were not charged with impaired driving.

scholarly journals Age-Related Differences in Motor-Vehicle Crash Severity in California

Safety ◽  
2019 ◽  
Vol 5 (3) ◽  
pp. 48 ◽  
Author(s):  
Adekunle Adebisi ◽  
Jiaqi Ma ◽  
Jaqueline Masaki ◽  
John Sobanjo
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Safety Information ◽  
Age Groups ◽  
The United States ◽  
Motor Vehicle Crash ◽  
Older Drivers ◽  
Predictor Variables ◽  
Middle Aged ◽  
Vehicle Crash

With ongoing changes in the age distribution of drivers in the United States, it is important to obtain insights on how to make the roadways equally safe for drivers across different age groups. In light of this, the objective of this study is to examine various crash characteristics and make recommendations on how to potentially improve roadway safety for all age groups. Using the Highway Safety Information System (HSIS) data, this study investigates the factors influencing motor-vehicle crash injury severity for young (aged 16–25), middle-aged (aged 26–64), and older drivers (above 64) in the state of California. A multinomial logit model was used to separately model crashes involving each age group and to evaluate the weight of different predictor variables on driver injury severity. The predictor variables were classified into four—driver, roadway, accident and environmental characteristics. Results suggest that there are close relationships between severity determinants for young and middle-aged drivers. However, older drivers tend to be most cautious among all age groups under all environmental and roadway conditions. Young drivers are more likely to explore their driving skills due to newness to driving. Middle-aged drivers are familiar with driving and tend to demonstrate less cautious behaviors, especially male drivers. Another insight obtained from this study is that older driver behavior is less dynamic compared to other age groups; their driving pattern is usually regular regardless of the surrounding conditions.

A Prospective Observational Analysis of Ambulation After Motor Vehicle Collisions

2012 ◽  
Vol 28 (1) ◽  
pp. 76-78 ◽  
Author(s):  
Mark A. Merlin ◽  
Colleen Ciccosanti ◽  
Matthew D. Saybolt ◽  
Olivia Bockoff ◽  
Michael Mazzei ◽  
...  
Keyword(s):  
Injury Severity ◽  
Motor Vehicle ◽  
Motor Vehicle Crash ◽  
Motor Vehicle Collisions ◽  
Injury Patterns ◽  
Publication Type ◽  
Vehicle Collisions ◽  
Observational Analysis ◽  
Vehicle Crash ◽  
Imaging Results

AbstractObjectivesPredicting injury patterns of patients based only on mechanism of injury is difficult and is well described in the literature. Characteristics of patients on-scene immediately following injury(ies) may lead to predicting injury patterns. Although reported frequently, the significance of victim ambulation after a motor vehicle crash is poorly understood. It was hypothesized that ambulation at the scene is not predictive of injury severity following a motor vehicle crash (MVC).MethodsA prospective, cohort study of 117 consecutive injured patients who were ambulatory after MVCs were enrolled. Paramedics in a large urban Emergency Medical Services (EMS) system were mandated to document “ambulatory” or “nonambulatory” for motor vehicle collisions in order to complete their prehospital electronic medical records. This assured accuracy and completeness in the data collection. All charts were abstracted for trauma-induced injury and imaging results.ResultsA total of 608 (10.9%) persons were ambulatory at the scene, of which 284 had an injury pattern documented in the prehospital or emergency department record. The average age was 35.9 (SD = 16.8) years, and 158 (55.6%) were male. A total of 707 injuries were identified in the 284 patients who had sustained injuries.ConclusionsAmbulation after motor vehicle collisions appears to be only infrequently associated with major injuries, although this population still may present with significant injuries. A larger, prospective study is warranted.MerlinMA, CiccosantiC, SayboltMD, BockoffO, MazzeiM, ShiroffA. A prospective observational analysis of ambulation after motor vehicle collisions. Prehosp Disaster Med. 2013;28(1):1-3.

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