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Road trauma

Chon-Fu Lio, Hou-Hon Cheong, Chon-Hou Un, Iek-Long Lo, Shin-Yi Tsai
Objective: Correlation analysis and multiple linear regression analysis were conducted to estimate the influence of meteorological factors on road traffic injuries stratified by severity. Crash rate was defined as mean monthly road traffic accidents per 1,000 vectors. Design: Ecological time-series study. Setting: Macao traffic accident registry database between January 1st, 2001 and November 31st, 2016. Participants: In total, 393,176 traffic accidents and 72,501 cases of road traffic injuries (RTIs) were enrolled; patients' severity was divided into mild injury, required hospitalisation, and death...
2019: PeerJ
Ben Beck, Mark R Stevenson, Peter Cameron, Jennie Oxley, Stuart Newstead, Jake Olivier, Soufiane Boufous, Belinda J Gabbe
Compared with crashes with motor vehicles, single-bicycle crashes are an under-recognised contributor to cycling injury and the aetiology is poorly understood. Using an in-depth crash investigation technique, this study describes the crash characteristics and patient outcomes of a sample of cyclists admitted to hospital following on-road bicycle crashes. Enrolled cyclists completed a structured interview, and injury details and patient outcomes were extracted from trauma registries. Single-bicycle crashes (n=62) accounted for 48% of on-road crashes and commonly involved experienced cyclists...
February 14, 2019: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
Ahmed A Albayar, Abigail Roche, Przemyslaw Swiatkowski, Sarah Antar, Nouran Ouda, Eman Emara, Douglas H Smith, Ali K Ozturk, Basem I Awad
Spinal Cord Injury (SCI) is a major challenge in Neurotrauma research. Complex pathophysiological processes take place immediately after the injury and later on as the chronic injury develops. Moreover, SCI is usually accompanied by traumatic injuries because the most common modality of injury is road traffic accidents and falls. Patients develop significant permanent neurological deficits that depend on the extent and the location of the injury itself and in time they develop further neurological and body changes that may risk their mere survival...
2019: Frontiers in Neurology
Helen Fagerlind, Lara Harvey, Stefan Candefjord, Johan Davidsson, Julie Brown
BACKGROUND: Prehospital undertriage occurs when the required level of care for a major trauma patient is underestimated and the patient is transported to a lower-level emergency care facility. One possible reason is that the pattern of injuries exceeding a certain severity threshold is not easily recognizable in the field. The present study aims to examine whether the injury patterns of major road trauma patients are associated with trauma centre transport decisions in Sweden, controlling for the distance from the crash to the nearest trauma centre and other patient characteristics...
February 13, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
M K Ahsan, N Zaman, J Islam
Spine injuries, a common component in Polytrauma are usually affects the young people and is a major cause of morbidity and poses a significant health care expenditure and considerable threats to survival and quality of life. We retrospectively assess the demographics, incidence, mode of trauma, associated spine injuries, complications, neurological improvement and mortality. Records of total 1695 admitted patients, spinal injuries were 262 patients. Among them 30(11.45%) patients were associated with Polytrauma victims...
January 2019: Mymensingh Medical Journal: MMJ
Milind Ingle, Abhishek Bhalotia, Vijaysing Chandele
Introduction: Bilateral anterior column acetabulum fractures in literature have been reported due to osteoporosis and seizure disorders. Very few cases have been reported after road traffic accident (RTA) and that too in a young patient without osteoporosis. We present a similar case in a young patient following a high-velocity injury managed with open reduction and internal fixation (ORIF). Case Report: A 28-year-old male presented with bilateral anterior column acetabulum fracture following RTA...
September 2018: Journal of Orthopaedic Case Reports
Suresh Pillai
Introduction: Pathological fractures resulting from trivial trauma may be overlooked, especially, when it is after a road traffic accident. Case Report: A 56-year-old male was operated elsewhere for burst fracture L3 vertebra following a trivial road traffic accident. Due to the persistence of symptoms, he was reevaluated. Magnetic resonance imaging revealed infection at the operated site. The implants were removed, pus drained, and a transpedicular biopsy was taken from L3 vertebral body along with bone marrow aspirate from the iliac crest, suspecting a pathological fracture...
September 2018: Journal of Orthopaedic Case Reports
Margaret M Mansbridge, James Ryan, David C Hill, Martin Wullschleger
BACKGROUND: Limited data Exists ? on the Australian epidemiology of renal trauma, with very few studies published in the literature. The authors aim to detail the trends of renal trauma in the coastal city of the Gold Coast. METHODS: Retrospective data collection yielded 81 patients who sustained renal trauma from our 3-year period. Data included information on demographics, mechanism, American Association for the Surgery of Trauma (AAST) grade, presence of haematuria, associated injuries, management, and complications...
January 30, 2019: ANZ Journal of Surgery
Alagappan Meyyappan, Prabhu Subramani, Sriram Kaliamoorthy
Aims and Objectives: The purpose of the study was to analyze and compare the incidence of road traffic accidents (RTA) with head injuries and maxillofacial injuries in two arterial roads, Old Mahabalipuram road (OMR) and East Coast road (ECR), connecting with Chennai city and outlining the need of safety precautions to be followed to reduce the incidence of morbidity. Materials and Methods: This study involved the medical records of about 1835 trauma victims who reported to Chettinad Health city, kelambakkam, between August 2008 and June 2013...
July 2018: Annals of Maxillofacial Surgery
Adam Tucker, Kevin Donnelly, Lynn Murphy, Gary Ferguson, Sam Sloan, Phil Charlwood
Introduction: Scapular fractures are rare injuries and are often an indicator of high-energy trauma. These injuries are rare, and many are managed without surgery. The caveat to this is intra-articular extension into the glenoid when AO Foundation principles of fracture fixation for intra-articular injuries must be adhered to. We report a percutaneous arthroscopically assisted technique for fixation of a scapular fracture with extension into the glenoid fossa in a young male patient. Case Report: A 22-year-old Caucasian male presented to the emergency department after a road traffic collision...
July 2018: Journal of Orthopaedic Case Reports
Ruth A Shults, Jefferson M Jones, Kenneth K Komatsu, Erin K Sauber-Schatz
OBJECTIVE: We examined alcohol and marijuana use among injured drivers aged 16-20 years evaluated at Arizona level 1 trauma centers during 2008-2014. METHODS: Using data from the Arizona State Trauma Registry, we conducted a descriptive analysis of blood alcohol concentration (BAC) and qualitative test results (positive or negative) for delta-9-tetrahydrocannabinol (THC) by year of age, sex, race, ethnicity, injury severity, seat belt use, motorcycle helmet use, and type of vehicle driven...
January 25, 2019: Traffic Injury Prevention
Vicente J Undurraga Perl, Connie Johnson, Sean Kelley, Pam Woods, Kathleen Martin, David Zonies
INTRODUCTION: Once injured in the battlefield in Iraq and Afghanistan, U.S. and NATO troops receive medical treatment through tiered echelons of care with varying resources, from austere to state-of-the-art. Similar to civilian trauma systems, the aim is to provide rapid and safe patient movement toward definitive management. A consequence of the rapid transfer of patients is the possibility of missed or delayed diagnosis of injuries. With the new injury patterns seen during these conflicts, we aimed to identify and characterize which injuries are missed and what consequences do they have on our troops' road to recovery...
January 11, 2019: Injury
Saksham Gupta, Monty Khajanchi, Vineet Kumar, Nakul P Raykar, Blake C Alkire, Nobhojit Roy, Kee B Park
OBJECTIVETraumatic brain injury (TBI) is a global epidemic with an increasing incidence in low- and middle-income countries (LMICs). The time from arrival at the hospital to receiving appropriate treatment ("third delay") can vary widely in LMICs, although its association with mortality in TBI remains unknown.METHODSA retrospective cohort analysis with multivariable logistic regression was conducted using the Toward Improved Trauma Care Outcomes in India database, which contains data from 4 urban trauma centers in India from 2013-2015...
January 18, 2019: Journal of Neurosurgery
P S Priyamvada, R Jayasurya, Vijay Shankar, S Parameswaran
There is only limited information on the epidemiology and outcomes of acute kidney injury (AKI) in critically ill patients from low- and middle-income countries. This study aims to identify the etiology, short-term outcomes, and determinants of mortality in patients with AKI admitted to multiple medical and surgical Intensive Care Units (ICU's) in a tertiary care center. The study also aims to compare the clinical characteristics and outcomes of community-acquired AKI (CAAKI) and hospital-acquired AKI (HAAKI)...
November 2018: Indian Journal of Nephrology
I Romanet, N Graillon, M K Le Roux, L Guyot, C Chossegros, M De Boutray, J M Foletti
INTRODUCTION: With more than 270 million spectators, football - or soccer - is the most popular sport in the world. International football events generate many risky situations, including hooliganism and are an opportunity to analyze the incidence and the particularities of associated trauma. We sought to underline the potential rapid and brutal increase in maxillofacial trauma during a world-class competition. MATERIAL AND METHODS: A retrospective multicenter study of the epidemiology of maxillofacial traumas during the UEFA 2016 Cup was conducted...
January 11, 2019: Journal of Stomatology, Oral and Maxillofacial Surgery
Krishna Kumar Govindarajan, Mallikarjun Utagi, Bikash Kumar Naredi, Bibekanand Jindal, Kumaravel Sambandan, Deepakbharathi Subramaniam
INTRODUCTION: The aim of this study was to analyze the presentation and management of major grade renal trauma in children. METHOD: A retrospective study was performed including data collected from the patients who were admitted in Pediatric surgery with major grade renal injury (grade 3 and more) from January 2015 to August 2018. Demography, clinical parameters, management, duration of hospital stay and final outcome were noted. RESULTS: Out of 13 children (9 males and 4 females), with age range 2-12 years (mean of 8 years), reported self-fall was the commonest mode of injury followed by road traffic accident...
January 10, 2019: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Santanu Mukhopadhyay
Objectives: The incidence and patterns of mandibular fractures vary by country and population age. This retrospective study evaluated the etiologies and patterns of mandibular fractures in children. Materials and Methods: The clinical records of 89 children (45 males and 44 females) aged 0 to 12 years who presented with mandibular fractures from July 2012 to June 2016 were retrospectively reviewed. The sex, patient age, site of fracture, etiology of trauma, and monthly variations of the fractures were recorded...
December 2018: Journal of the Korean Association of Oral and Maxillofacial Surgeons
S Natarajan, C Anbarasi, R Meena, S D Muralidass, P Sathiyarajeswaran, K Gopakumar, R S Ramaswamy
A 42-year-old man with the complaints of left knee swelling, severe pain, difficult to stand was reported to Siddha Varmam division after a road accident. He was diagnosed as acute avulsion of Posterior cruciate ligament (PCL). It was diagnosed based on the history of trauma, knee pain and swelling after trauma, positive posterior drawer test and avulsion fracture shown by radiograph. He was treated with Siddha Varmam therapy and traditional bone setting. After a month of treatment, the PCL avulsion fracture got healed without any surgical interventions and patient able to walk normally...
January 8, 2019: Journal of Ayurveda and Integrative Medicine
Omar Mufi Aldwsari, Khalid Hadi Aldosari, Musab Khader Alzahrani, Zaid Ali Alzahrani, Abdulrahman Hamoud Alanazi, Khalid Mansour Alkhathlan, Mohammad Ghormallah Alzahrani, Ali Hazzaa Alzahrani, Sameer Al-Ghamdi
Background: Every minute, an accident occurs in Saudi Arabia, causing 39,000 injuries and 7,000 deaths annually. Facial trauma or maxillofacial trauma (MFT) is a frequent presentation of road traffic accidents (RTAs), ranging from simple nasal fractures to gross or severe maxillofacial injuries. Methods: A total number of 237 patients were included in this prospective study from May 2013 to January 2018. The following medical details were recorded for each case, gender, age, fracture location, the presence of scalp laceration, the presence of brain damage, type of brain damage, shock degree, Glasgow Coma Scale (GCS), number of units used for blood transfusions for documentation of patient survival rate...
November 2018: Journal of Family Medicine and Primary Care
Ozan Cengiz, Arife Çimen Atalar, Betül Tekin, Nerses Bebek, Betül Baykan, Candan Gürses
OBJECTIVE: Our aim is to assess the types and frequency of seizure-related injuries and to determine their effects on Quality of Life (QoL). METHODS: Fifty-seven patients with epilepsy were included to our study. The demographic and clinical data of all the participants were recorded. All patients completed the Quality of Life in Epilepsy Inventory 89 (QOLIE-89). Injury types were classified as burns, head trauma, dental traumas, fractures, body injuries, penetrating traumas, road injuries, and drowning...
January 5, 2019: Neurological Sciences
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