Motorcycle and Equestrian Trauma: An ACS TQIP Comparative Study.

IF 0.7 4区医学 Q4 CRITICAL CARE MEDICINE

Journal of Trauma Nursing Pub Date : 2025-01-01 Epub Date: 2025-01-27 DOI:10.1097/JTN.0000000000000828

Daniel E Ross, Satyam K Ghodasara, Justin S Roskam, Amanda G Gaccione, Louis T DiFazio, Jaroslaw W Bilaniuk, Zoltan H Nemeth

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引用次数: 0

Abstract

Background: Motorcycle and equestrian accidents can share similar trauma mechanisms and can result in serious injuries.

Objective: This study aims to analyze variations in injuries and safety standards through types, severity, and outcomes of traumatic injuries in both motorcycle and equestrian riders.

Methods: Using the 2020 ACS TQIP database, we split patients into two groups based on their primary injury. We chose codes V28 and V80.0 to identify non-collision fall or throw injuries for motorcycle and equestrian accidents respectively. A total of 17,730 motorcycle and 5,461 equestrian patients were identified.

Results: Motorcyclists were more likely to experience external/superficial injuries (41.34% vs. 29.08%, p < .001) and chest trauma (5.15% vs. 3.18%, p < .001), while equestrian trauma resulted in more injuries to the abdomen and pelvic content (24.07% vs. 15.75%, p < .001), extremities and pelvic girdle (9.85% vs. 4.98%, p < .001), and head/neck (15.57% vs. 12.16%, p < .001) comparatively. Motorcyclists also had a higher average length of inpatient stay (6.06 (8.03) vs. 4.32 (4.23) days, p < .001). Helmet use was more common among motorcyclists than horseback riders (57.79% vs. 24.24%, p < .001). The average injury severity score between the two groups was not significantly different.

Conclusion: These data show the different injuries observed between both activities and the need for increased safety equipment, especially in the case of hip and pelvic injuries among equestrians. The low rate of helmet, especially among equestrian riders, is concerning despite broad education regarding their benefits.

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摩托车和马术创伤：ACS TQIP比较研究。

背景：摩托车和马术事故具有相似的创伤机制，可导致严重的伤害。目的：本研究旨在通过摩托车和马术骑手创伤性损伤的类型、严重程度和结果来分析伤害和安全标准的差异。方法：使用2020 ACS TQIP数据库，根据患者的原发损伤将患者分为两组。我们选择代码V28和V80.0分别用于识别摩托车和马术事故的非碰撞摔倒或投掷伤害。共发现17730名摩托车患者和5461名马术患者。结果：摩托车手更容易经历外部/表面伤害（41.34% vs. 29.08%）。结论：这些数据表明，在两种活动和对安全设备的需求增加之间观察到不同的伤害，特别是在马术运动员的髋关节和骨盆损伤的情况下。尽管对头盔的好处进行了广泛的教育，但头盔的使用率低，尤其是在马术骑手中，这令人担忧。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Trauma Nursing CRITICAL CARE MEDICINENURSING&-NURSING

CiteScore

1.20

自引率

10.00%

发文量

106

期刊介绍： Journal of Trauma Nursing (JTN) is the official journal of the Society of Trauma Nurses. The Society of Trauma Nurses believes that trauma is a disease impacting patients through the continuum of care. The mission of STN is to ensure optimal trauma care through education, collaboration, leadership and membership engagement. As the official publication of the Society of Trauma Nurses, the Journal of Trauma Nursing supports the STN’s strategic goals of effective communication, education and patient advocacy with original, peer-reviewed, research and evidence-based articles and information that reflect the highest standard of collaborative care for trauma patients. The Journal of Trauma Nursing, through a commitment to editorial excellence, implements STN’s vision to improve practice and patient outcomes and to become the premiere global nursing organization across the trauma continuum.