scholarly journals Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center

2021 ◽  
Vol 14 ◽  
pp. 5-11
Author(s):  
David Watson ◽  
Blair Benton ◽  
Elizabeth Ablah ◽  
Kelly Lightwine ◽  
Ronda Lusk ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Trauma Center ◽  
Motor Vehicle ◽  
Unit Length ◽  
Motor Vehicle Crashes ◽  
Injury Incidence ◽  
Vehicle Crashes ◽  
Traumatic Injuries ◽  
Level I ◽  
Motorcycle Crashes

Introduction: Traumatic injuries are preventable and understanding determinants of injury, such as socio-economic and environmental factors, is vital.  This study evaluated traumatic injuries and identified areas of high trauma incidence.                                                                                               Methods:  A retrospective review was conducted of all patients 14 years or older who were admitted with a traumatic injury to a Level I trauma center between 2016 and 2017.  Descriptive analyses were presented and maps of high injury areas were generated.                                Results:  The most frequent mechanisms of injury were falls (58.3%), motor vehicle crashes (22.3%), and motorcycle crashes (5.7%).  Fall patients were more likely to be female (59.6%) and were the oldest age group (72.1 ± 17.2) compared to motor vehicle and motorcycle crash patients.  Severe head (22.1%, P = 0.007) and extremity (35.7%, P = 0.001) injuries were most frequent among fall patients, however more motorcycle crash patients required mechanical ventilation (16.1%, P < 0.001) and experienced the longest intensive care unit length of stay (5.3 ± 6.8, P < 0.001) and mechanical ventilation days (6.6 ± 8.5, P < 0.036).  Motorcycle crash patients also had the most number of deaths (7.5%, P < 0.001).  The generated maps of all traumatic suggest that most injuries occur near our hospital and are located in several of the most population-dense zip codes.                                                                                                       Conclusions:  Falls, motor vehicle crashes, and motorcycle crashes were the most common mechanisms of injury.  The use of Geographic Information System aided in the identification of high injury incidence location.                           

Pediatric Safety Restraint Use in Motor Vehicle Crashes at a Level I Safety-Net Trauma Center

2021 ◽  
Vol 258 ◽  
pp. 132-136
Author(s):  
Scott Sylvester ◽  
Jamie M. Schwartz ◽  
Albert Hsu ◽  
Marie Crandall ◽  
Joseph J. Tepas ◽  
...  
Keyword(s):  
Trauma Center ◽  
Motor Vehicle ◽  
Safety Net ◽  
Motor Vehicle Crashes ◽  
Vehicle Crashes ◽  
Restraint Use ◽  
Level I

Traumatic peripheral nerve injuries in children: epidemiology and socioeconomics

2014 ◽  
Vol 14 (6) ◽  
pp. 688-694 ◽  
Author(s):  
Symeon Missios ◽  
Kimon Bekelis ◽  
Robert J. Spinner
Keyword(s):  
Peripheral Nerve ◽  
Motor Vehicle ◽  
Pediatric Trauma ◽  
Motor Vehicle Crashes ◽  
Trauma Patients ◽  
Vehicle Crashes ◽  
Peripheral Nerve Injuries ◽  
Nerve Injuries ◽  
Pedestrian Accidents ◽  
Motorcycle Crashes

Object Despite the negative effects of peripheral nerve injuries (PNIs) on long-term population health, their true prevalence among pediatric trauma patients is under debate. The authors investigated the prevalence of PNIs among children involved in trauma and investigated associations between PNIs and several patient characteristics. Methods The authors performed a retrospective cohort study of pediatric trauma patients who were registered in the National Trauma Data Bank from 2009 through 2011 and who fulfilled the study inclusion criteria. They used regression techniques to investigate the association of demographic and socioeconomic factors with the rate of PNIs among these patients. Results Of the 245,470 study patients, 50,211 were involved in motor vehicle crashes, 3380 in motorcycle crashes, 20,491 in bicycle crashes, 18,262 in pedestrian accidents, 26,294 in other crashes (mainly involving all-terrain vehicles and snowmobiles), and 126,832 in falls. The respective prevalence of PNIs was 0.66% for motor vehicle crashes, 1% for motorcycle crashes, 0.38% for bicycle crashes, 0.42% for pedestrian accidents, 0.79% for other crashes, and 0.52% for falls. Multivariate logistic regression analysis demonstrated that the following were associated with an increased incidence of PNIs: increased patient age (OR 1.10, 95% CI 1.01–1.20), higher Injury Severity Score (OR 1.10, 95% CI 1.01–1.20), elevated systolic blood pressure at arrival at the emergency room (OR 1.10, 95% CI 1.01–1.20), and increased number of trauma surgeons at the institution (OR 1.10, 95% CI 1.01–1.20). The following were associated with lower incidence of PNIs: female sex (OR 0.94, 95% CI 0.87–1.02), rural hospitals (OR 0.94, 95% CI 0.87–1.02), and urban nonteaching hospitals (OR 0.94, 95% CI 0.87–1.02). Conclusions PNIs are more common than previously identified for the pediatric trauma population. These injuries are associated with older age and increased severity of the overall injury.

The Onset of Structural Yield During Tensile Loading Increases With Age in the Pediatric PMHS Cervical Spine

2009 ◽  
Author(s):  
Kyle P. Quinn ◽  
Jason F. Luck ◽  
Roger W. Nightingale ◽  
Beth A. Winkelstein
Keyword(s):  
Motor Vehicle ◽  
Tensile Loading ◽  
Motor Vehicle Crashes ◽  
Vehicle Crashes ◽  
Pediatric Spine ◽  
Traumatic Injuries ◽  
Large Head ◽  
Increased Risk ◽  
Inertial Loading ◽  
The Relationship

Motor vehicle crashes are the leading cause of injury to the pediatric spine, and the mortality rate of pediatric spinal trauma victims has been approximated at 25–32% [1]. In addition, non-fatal painful traumatic injuries resulting from motor vehicle crashes or sports-related activities contribute to an estimated prevalence of neck pain of 21–41% in children and adolescents [2]. It has been hypothesized that the anatomy of the pediatric neck, combined with a relatively large head mass, presents an increased risk for traumatic inertial loading in that population, particularly during early development. However, the relationship between mechanical metrics related to pain and age remains undefined, limiting the development of meaningful estimates of tolerance to painful injury in this population.

MOPEDS: Motorized Objects Propelling Ethanol Drinking Subjects

2011 ◽  
Vol 77 (3) ◽  
pp. 304-306 ◽  
Author(s):  
A. Britton Christmas ◽  
Rita A. Brintzenhoff ◽  
Thomas M. Schmelzer ◽  
Karen E. Head ◽  
Ronald F. Sing
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Crashes ◽  
Continuous Data ◽  
Vehicle Crashes ◽  
Injury Mortality ◽  
Severity Of Injury ◽  
Driver's License ◽  
Recorded Data ◽  
Proportional Data ◽  
Motorcycle Crashes

Mopeds are not subject to the same laws and jurisdiction as cars or motorcycles, including the requirement of a driver's license. We undertook this study to examine the influence of alcohol (ETOH) on moped crashes. We retrospectively reviewed adult moped injuries compared with motor vehicle crashes (MVCs) and motorcycle crashes (MCCs) from 1995 through 2006. Demographics, severity of injury, mortality, and serum ETOH levels were recorded. Data were analyzed using the Student t test for continuous data and the χ2 test for proportional data. Motor vehicle crashes accounted for 7186 admissions. MCC and moped crashes numbered 973 and 113, respectively. Although not statistically significant ( P = 0.064), moped crashes yielded the highest mortality (9.7%) compared with MCCs (8.5%) and MVCs (6.7%). An increased association of blood ETOH levels with moped crashes, however, was statistically significant ( P = 0.004). Serum ETOH levels above 0.05 g/dL were observed in 1681 MVCs (23.4%), 241 MCCs (24.8%), and 44 moped crashes (39%). In this study, we discovered that moped crashes demonstrate a significantly higher ETOH involvement than either MVCs or MCCs representing a previously unrecognized public safety risk.

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