Beware of the force of the horse: mechanisms and severity of equestrian-related injuries
| Autor: | Loes Janssen, Pieter-Jan Van Balen, Dennis G. Barten, Peter R. Brink, Audrey A. A. Fiddelers, Heinrich M. J. Janzing |
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| Přispěvatelé: | MUMC+: NAZL en ROAZ (9), Surgery, RS: FHML non-thematic output |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male sports injury medicine.medical_specialty mechanism severity UNITED-STATES Poison control macromolecular substances Occupational safety and health 03 medical and health sciences Fractures Bone 0302 clinical medicine Injury Severity Score Injury prevention Epidemiology medicine Forensic engineering Animals Craniocerebral Trauma Humans Horses Eris Aged Netherlands Retrospective Studies biology business.industry Incidence (epidemiology) Human factors and ergonomics 030208 emergency & critical care medicine 030229 sport sciences biology.organism_classification trauma equestrian Emergency medicine Athletic Injuries PATTERNS Emergency Medicine Wounds and Injuries Female business Emergency Service Hospital |
| Zdroj: | European Journal of Emergency Medicine, 26(2), 133-138. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 1473-5695 0969-9546 |
| Popis: | BackgroundEquestrian-related injuries (ERIs) are relatively severe compared with injuries in other popular sports. Previous studies on epidemiology of ERIs vary widely and mainly focus on incidence instead of severity of the injury.PurposeThe aim of this study was to determine incidence, mechanisms and severity of ERIs in two Dutch hospitals (level 1 and level 2 trauma centers) over a 5-year period.Patients and methodsAll patients with ERIs who visited the emergency departments of VieCuri Medical Centre in Venlo and Maastricht University Medical Centre+ in Maastricht, The Netherlands, between July 2010 and June 2015 were retrospectively included. Clinical data were extracted from medical records.ResultsMost ERIs occurred in mounted riders (646 events; 68%); 94.9% of which involved a fall. Being kicked (42.5%) or trapped (30.1%) was the most common cause of injury in unmounted riders. Most frequently injured body parts were the upper extremities (43.8%) in mounted riders and lower extremities (40.5%) in the unmounted group. A relatively high percentage of facial injuries (9.7%) were found in the unmounted group. Seventeen per cent of all ERIs required admission. The median Injury Severity Score was 5 in the admitted population and 1 in the total population.ConclusionHorseback riding is a risky activity. Prior studies particularly studied admitted patients in level 1 trauma centers outside of Europe and demonstrated a high risk of significant injury. However, our study demonstrates that these studies in selected groups might have overestimated the severity of ERIs in the general population. |
| Databáze: | OpenAIRE |
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