Abdominopelvic injuries due to road traffic accidents: Characteristics in a registry of 162,695 victims
| Autor: | Etienne Javouhey, Blandine Gadegbeku, Tristan Monchal, Olivier Monneuse, Amina Ndiaye |
|---|---|
| Přispěvatelé: | Department of General Surgery, Sainte Anne Military Hospital, Toulon, France, parent, Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE UMR T9405), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux (IFSTTAR), Emergency and Trauma Surgery Department, Hôpital Édouard Herriot, Hospices Civils de Lyon, France |
| Rok vydání: | 2018 |
| Předmět: |
Male
Trauma registry Abdominal Injuries Injury Severity Score PELVIC TRAUMA 0302 clinical medicine Risk Factors ABDOMINAL TRAUMA Medicine 030212 general & internal medicine Road traffic ABBREVIATED INJURY SCALE Abbreviated Injury Scale Bone Injury Mortality rate Accidents Traffic Middle Aged ABDOMEN humanities 3. Good health medicine.anatomical_structure Child Preschool Female France Safety Research Adult Automobile Driving EPIDEMIOLOGIE medicine.medical_specialty Adolescent Pelvis Young Adult 03 medical and health sciences TRAUMA REGISTRY Humans ROAD TRAFFIC ACCIDENT Aged business.industry Public Health Environmental and Occupational Health Infant 030208 emergency & critical care medicine Seat Belts bacterial infections and mycoses equipment and supplies medicine.disease Abdominal trauma Multivariate Analysis Emergency medicine bacteria Abdomen [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business TRAUMATISME |
| Zdroj: | Traffic Injury Prevention Traffic Injury Prevention, Taylor & Francis, 2018, 19 (5), pp. 529-534. ⟨10.1080/15389588.2018.1447669⟩ |
| ISSN: | 1538-957X 1538-9588 |
| DOI: | 10.1080/15389588.2018.1447669 |
| Popis: | Road traffic accidents (RTAs) are the first cause of abdominopelvic injuries (APIs). The objective of this study was to describe the characteristics and severity of APIs due to traffic accidents in a large French trauma registry and to identify risk factors for API.All victims from the French Rhône registry of victims of RTAs were analyzed from 1996 to 2013. This registry contained data that were issued over a 20-year period from 245 medical departments, from prehospital care until re-adaptation, and forensic medicine departments. All APIs, defined as an injury between the diaphragm and the pelvic bone, were extracted and studied.Among 162,695 victims, 10,165 had an API (6.7%). Accidents frequently involved young men and 2 cars. Mean Injury Severity Score (ISS) was 8.7. Mortality rate was 5.6%. Soft tissue injuries largely predominated (n = 6,388; 54.4% of patients). Overall, 2,322 victims had a pelvic bone injury. Internal abdominal organs were involved in 2,425 patients; the most frequent were the spleen, liver, and kidney. Wearing of the seat belt appeared to be a significant protective factor in API, including serious injuries. A partial analysis over the past 2 years among the most severe patients hospitalized in the intensive care unit indicated that nonoperative management was carried out in two thirds of the wounded. In uni- or multivariate analysis, sex, age, type of user, antagonist, time of occurrence, associated severe lesions, or wearing of the seat belt were statistically associated with the occurrence of API, highlighting a more dangerous user profile.Abdominopelvic injuries concern a minority of road traffic injuries, but they are responsible for significant mortality. Large solid organs are the most frequently affected. Women drivers wearing a seat belt and driving in town during the day appear to be more protected against API. |
| Databáze: | OpenAIRE |
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