Trauma-England最新文献_第2页

Pedal cyclist fatalities in the United States: 2011–2021 美国骑自行车死亡人数:2011-2021

Trauma-England Pub Date : 2023-09-16 DOI: 10.1177/14604086231198761

Robert D Flint, Ryan M Flint

引用次数: 0

The diurnal and seasonal relationships of pedestrian injuries secondary to motor vehicles in young people 青少年机动车继发性行人伤害的昼夜和季节关系

Trauma-England Pub Date : 2023-02-01 DOI: 10.1177/14604086221148954

Amina Akhtar, Adam Brooks, Samuel Kitchen, Rory C. O'Connor

{"title":"The diurnal and seasonal relationships of pedestrian injuries secondary to motor vehicles in young people","authors":"Amina Akhtar, Adam Brooks, Samuel Kitchen, Rory C. O'Connor","doi":"10.1177/14604086221148954","DOIUrl":"https://doi.org/10.1177/14604086221148954","url":null,"abstract":"Introduction There remains a significant morbidity and mortality in young pedestrians hit by motor vehicles, even in the era of pedestrian crossings and speed limits. The aim of this study was to compare the incidence and injury severity of motor vehicle-related pedestrian trauma according to time of day and season in a young population, based on the supposition that injuries would be more prevalent during dusk and dawn and during autumn and winter. Methods Data were retrieved from the National Trauma Audit and Research Network (TARN) database for patients between 10 and 25 years old who had been involved as pedestrians in road traffic collisions between 2013 and 2020. The incidence of injuries, their severity (using the injury severity score (ISS)) and mortality were analysed according to the hours of daylight, darkness and season. Results The study identified a seasonal pattern, highlighting that injuries were most prevalent during autumn (34.9% of injuries). Prevalence decreased throughout the year from winter (25.4%) to spring (21.4%), to summer (18.3%). The greatest incident rate (number of incidents/hour) occurred between 1500–1630 h, correlating to school pick up times, but overall there was no significant difference in injury prevalence between hours of darkness (47.3%) and daylight (52.7%). However, a significant relationship between ISS and daylight hours was demonstrated ( p-value = 0.0124), whereby moderate injuries (ISS score: 9–15) were more likely during the day (72.7%), while severe injuries (ISS score > 15) were more likely at night (55.8%). Conclusion We identified a relationship between the time of day and the frequency and severity of pedestrian trauma in young people. In addition, particular time groupings correspond to the greatest incidents rate, suggesting that reduced visibility coupled with school pick up times play a significant role. We recommend targeted public health measures to improve road safety that focus on these high-risk times of the day.","PeriodicalId":45797,"journal":{"name":"Trauma-England","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136172699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Major trauma in the elderly: Frailty decline and patient experience after injury. 老年人的重大创伤:损伤后的虚弱、衰退和患者体验。

IF 0.6

Trauma-England Pub Date : 2019-01-01 Epub Date: 2018-06-22 DOI: 10.1177/1460408618783221

Louis Koizia, Rosalind Kings, Alexander Koizia, George Peck, Mark Wilson, Shehan Hettiaratchy, Michael B Fertleman

{"title":"Major trauma in the elderly: Frailty decline and patient experience after injury.","authors":"Louis Koizia, Rosalind Kings, Alexander Koizia, George Peck, Mark Wilson, Shehan Hettiaratchy, Michael B Fertleman","doi":"10.1177/1460408618783221","DOIUrl":"https://doi.org/10.1177/1460408618783221","url":null,"abstract":"Introduction: The prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients' perceptions of their injuries after discharge.Aim: We hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission.Method: All consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury.Results: A total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (p < 0.05), and more than half commented positively on their overall quality of life following injury.Conclusions: These findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.","PeriodicalId":45797,"journal":{"name":"Trauma-England","volume":"21 1","pages":"21-26"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1460408618783221","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36799795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity. 从楼梯上摔下来:年龄和中毒对损伤模式和严重程度的影响。

IF 0.6

Trauma-England Pub Date : 2018-07-01 Epub Date: 2017-08-01 DOI: 10.1177/1460408617720948

Hridesh Chatha, Ian Sammy, Michael Hickey, Abdo Sattout, John Hollingsworth

{"title":"Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity.","authors":"Hridesh Chatha, Ian Sammy, Michael Hickey, Abdo Sattout, John Hollingsworth","doi":"10.1177/1460408617720948","DOIUrl":"https://doi.org/10.1177/1460408617720948","url":null,"abstract":"Background: Falling down a flight of stairs is a common injury mechanism in major trauma patients, but little research has been undertaken into the impact of age and alcohol intoxication on the injury patterns of these patients. The aim of this study was to compare the impact of age and alcohol intoxication on injury pattern and severity in patients who fell down a flight of stairs.Methods: This was a retrospective observational study of prospectively collected trauma registry data from a major trauma centre in the United Kingdom comparing older and younger adult patients admitted to the Emergency Department following a fall down a flight of stairs between July 2012 and March 2015.Results: Older patients were more likely to suffer injuries to all body regions and sustained more severe injuries to the spine; they were also more likely to suffer polytrauma (23.6% versus 10.6%; p < 0.001). Intoxicated patients were more likely to suffer injuries to the head and neck (42.9% versus 30.5%; p = 0.006) and were significantly younger than sober patients (53 versus 69 years; p < 0.001).Conclusion: Older patients who fall down a flight of stairs are significantly different from their younger counterparts, with a different injury pattern and a greater likelihood of polytrauma. In addition, alcohol intoxication also affects injury pattern in people who have fallen down a flight of stairs, increasing the risk of traumatic brain injury. Both age and intoxication should be considered when managing these patients.","PeriodicalId":45797,"journal":{"name":"Trauma-England","volume":"20 3","pages":"169-174"},"PeriodicalIF":0.6,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1460408617720948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36311098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Regional strategy development in the East Midlands 东米德兰的区域战略发展

IF 0.6

Trauma-England Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.011

P. Foley

引用次数: 2

Regionalism in North East England 英格兰东北部的地方主义

IF 0.6

Trauma-England Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.010

P. Benneworth, J. Tomaney

引用次数: 5

Yorkshire (and the Humber) 约克郡(和亨伯河)