Blunt traumatic brachial plexus injuries in a northern rural US setting: increased likelihood in unshielded motor-powered crashes
| Autor: | Colleen M. Renier, Steven D. Eyer, Jared Vearrier, Theo A. Woehrle, Hooman Nikizad, Marilyn Odean, Samantha Leonard, John Bollins |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Truck
medicine.medical_specialty lcsh:Surgery accidents 030230 surgery Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Blunt Epidemiology medicine Original Research traffic business.industry Incidence (epidemiology) lcsh:Medical emergencies. Critical care. Intensive care. First aid Retrospective cohort study lcsh:RD1-811 lcsh:RC86-88.9 neck injuries accidental injuries Relative risk Emergency medicine Surgery epidemiology Rural area business Brachial plexus human activities 030217 neurology & neurosurgery |
| Zdroj: | Trauma Surgery & Acute Care Open Trauma Surgery & Acute Care Open, Vol 5, Iss 1 (2020) |
| ISSN: | 2397-5776 |
| Popis: | BackgroundBlunt traumatic brachial plexus injuries (BTBPI) are severe peripheral nerve injuries which present in a small portion of trauma patients but can result in long-term neurological disability and severe chronic pain.ObjectiveThe goal of this study was to describe the epidemiology of BTBPI in a northern rural setting caused by motor-powered collisions, and to determine the relative risk of these injuries in shielded (cars, trucks, vans, and so on) and unshielded vehicles (snowmobiles, all-terrain vehicles and motorcycles).MethodsThis retrospective study describes the epidemiology of BTBPI caused by motor-powered collisions and treated at two level II trauma centers in northeast Minnesota and determines the relative risk of these injuries in shielded (cars, trucks, vans, and so on) and unshielded vehicles (snowmobiles, all-terrain vehicles and motorcycles). We hypothesized unshielded motor vehicle crashes in rural areas are at an increased risk of incurring BTBPI.ResultsOut of all injuries resulting from motor-powered collisions in a 20-year period (9951), BTBPIs were found in 63 trauma patients, a prevalence of 0.6%. The rate of BTBPI involving unshielded vehicles (1.0%) was significantly higher than those involving a shielded vehicle (0.4%) and primarily occurred in rural areas (70%).ConclusionsUnshielded vehicle crashes, particularly snowmobiles, have the highest risk for BTBPI in our rural region. The overall incidence of these injuries appears to be declining.Level of evidenceLevel III. |
| Databáze: | OpenAIRE |
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