Comparison of transportation related injury mechanisms and outcome of young road users and adult road users, a retrospective analysis on 24,373 patients derived from the TraumaRegister DGU®

Abstract

BackgroundMost young people killed in road crashes are known as vulnerable road users. A combination of physical and developmental immaturity as well as inexperience increases the risk of road traffic accidents with a high injury severity rate. Understanding injury mechanism and pattern in a group of young road users may reduce morbidity and mortality. This study analyzes injury patterns and outcomes of young road users compared to adult road users. The comparison takes into account different transportation related injury mechanisms.MethodsA retrospective analysis using data collected between 2002 and 2012 from the TraumaRegister DGU® was performed. Only patients with a transportation related injury mechanism (motor vehicle collision (MVC), motorbike, cyclist, and pedestrian) and an ISS ≥ 9 were included in our analysis. Four different groups of young road users were compared to adult trauma data depending on the transportation related injury mechanism.ResultsTwenty four thousand three hundred seventy three, datasets were retrieved to compare all subgroups. The mean ISS was 23.3 ± 13.1. The overall mortality rate was 8.61%. In the MVC, the motorbike and the cyclist group, we found young road users having more complex injury patterns with a higher AIS pelvis, AIS head, AIS abdomen and AIS of the extremities and also a lower GCS. Whereas in these three sub-groups the adult trauma group only had a higher AIS thorax. Only in the group of the adult pedestrians we found a higher AIS pelvis, AIS abdomen, AIS thorax, a higher AIS of the extremities and a lower GCS.DiscussionThis study reports on the most common injuries and injury patterns in young trauma patients in comparison to an adult trauma sample. Our analysis show that in contrast to more experienced road users our young collective refers to be a vulnerable trauma group with an increased risk of a high injury severity and high mortality rate. We indicate a striking difference in terms of the region of injury and the mechanism of injury when comparing the young versus the adult trauma collectives.ConclusionsYoung drivers of cars, motorbikes and bikes were shown to be on high risk to sustain a specific severe injury pattern and a high mortality rate compared to adult road users. Our data emphasize a characteristic injury pattern of young trauma patients and may be used to improve trauma care and to guide prevention strategies to decrease injury severity and mortality due to road traffic injuries.

Evaluation of differences in injury patterns according to seat position in trauma victims survived traffic accidents

“…3 Brockamp et al. 4 in his study on 24,373 road accidents trauma victims registered in German trauma registry found that younger population had significantly more severe life threatening injuries and lower Glasgow coma scale. Over the world, multiple efforts have been made in order to reduce the insult of road traffic accidents.…”

Road Traffic Injuries among Women Brought to the Largest Tertiary Hospital in the Philippines

“…Moreover, most of their vital signs were within normal ranges with few cases exceeding or going below the normal range for blood pressure, heart rate, and respiratory rate. In a study by Brockamp et al (2017) they observed that road crash patients involved in collisions with cars or motorbikes yielded higher severity scores for injuries to the head, abdomen, and extremities. 43 They also were more likely to present with poorer GCS levels.…”

“…In a study by Brockamp et al (2017) they observed that road crash patients involved in collisions with cars or motorbikes yielded higher severity scores for injuries to the head, abdomen, and extremities. 43 They also were more likely to present with poorer GCS levels. Road crash victims, especially pedestrians, are prone to severe injuries from head trauma.…”

Fisioterapia preventiva – percepção dos alunos sobre violência no trânsito e suas consequências

“…O consumo de álcool e drogas entre adolescentes é uma grande preocupação em muitos países, sendo a principal causa de lesões e morte prematura (TAGHIZADEH et al, 2016). Compreender o padrão de lesão dos usuários de estradas em diferentes faixas etárias é fundamental para melhorar o atendimento ao trauma e orientar estratégias de prevenção para reduzir a gravidade e a taxa de mortalidade (TOROYAN et al, 2007;BROCKAMP et al, 2017).…”