Comparison of the injury severity and medical history of disease-related versus trauma-related bicyclist fatalities
| Autor: | Genta Miyama, Satomu Morita, Masahito Hitosugi, Takeshi Koseki, Satoshi Furukawa |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Health Status Poison control Occupational safety and health Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Japan Cause of Death Injury prevention Medicine Humans Medical history 030216 legal & forensic medicine Forensic Pathology Cause of death Chi-Square Distribution Trauma Severity Indices Abbreviated Injury Scale business.industry Incidence (epidemiology) Accidents Traffic Middle Aged medicine.disease 030210 environmental & occupational health Bicycling Issues ethics and legal aspects Emergency medicine Chronic Disease Wounds and Injuries Blood alcohol content Blood Alcohol Content Female Medical emergency business |
| Zdroj: | Legal medicine (Tokyo, Japan). 18 |
| ISSN: | 1873-4162 |
| Popis: | The objective of this study was to clarify the relationship between injury severity and mechanism of death in bicycle fatalities resulting from trauma compared with those resulting from disease, to propose effective measures to prevent fatal bicyclist accidents. Autopsy and accident records were reviewed for bicyclist fatalities who had undergone forensic autopsy at the Dokkyo Medical University School of Medicine between September 1999 and March 2014. Victims' health histories, blood alcohol levels, causes of death, mechanisms of injury, Abbreviated Injury Scale (AIS) scores and Injury Severity Scores (ISSs) were determined. Fifty-five bicyclists (43 male and 12 female) with a mean age of 62.5±17.3 years were included in this study. Sixteen victims had driven under the influence of alcohol (mean blood concentration of 1.8±0.7 mg/ml). Mean ISS was 32.4 and the chest had the highest mean AIS score (2.6), followed by the head (2.1) and the neck (1.8). Thirty-nine victims (70.9%) had died of trauma and 16 had died of disease. The disease-death victims had significantly higher prevalence of having diabetes mellitus, hyperlipidemia, hypertension, heart disease or cerebrovascular diseases (50.0% vs. 22.2%, p=0.03) and a lower rate of drunk driving (6.3% vs. 41.0%, p=0.01) than the trauma-death group. All victims who were affected by disease, and 33.3% of trauma-death victims, had fallen on the road without a vehicle collision (p |
| Databáze: | OpenAIRE |
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