Functional outcomes of motor vehicle crash thoracic injuries in pediatric and adult occupants

Schoell, Samantha L.; Weaver, Ashley A.; Talton, Jennifer W.; Barnard, Ryan; Baker, Gretchen; Stitzel, Joel D.; Zonfrillo, Mark R.

doi:10.1080/15389588.2017.1409894

Cited by 11 publications

(7 citation statements)

References 24 publications

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“…Chest injury was 2.6 times more common than abdominal injury in this study. This is in liaison with reports stating thoracic injury as one of the commonest MVA-related injuries [ 7 , 9 ]. Thoracic trauma commonly accompanies TSIs, especially at the dorsal spinal level.…”

Section: Discussionsupporting

confidence: 58%

“…The motor vehicle accident is a high-energy trauma mechanism with substantial risk for multiple spinal and nonspinal injuries [ 17 ]. The odd for MVA-related multiple injuries increases with the vehicle speed at the collision [ 8 , 9 ]. Among MVA-related injuries, thoracoabdominal injuries are serious.…”

Section: Discussionmentioning

confidence: 99%

“…Of these multiple injuries, thoracic and abdominal traumas are common [ 7 , 8 ]. Thoracic ranks second to head injury in the number of fatalities and serious injuries, while abdominal injury accounts for 10% of trauma-related deaths following MVAs [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Al-Gahtany

Maksoud

2021

Journal of Healthcare Engineering

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Background. Motor vehicle accident (MVA) is a global health hazard that results in spinal, thoracic, and abdominal injuries. Detailed studies on the association between MVA-related traumatic spinal injury (TSI) and thoracoabdominal injuries are lacking. This study aims to elucidate the prevalence, pattern of association between these injuries, and related outcomes in terms of in-hospital mortality. Methods. This is a retrospective single-center study of MVA-related TSI with thoracoabdominal associated injuries. Descriptive analysis was performed for gender, age, spinal injury level, thoracoabdominal injury region, admission day, hospital stay duration, and discharge category. The association between TSI and thoracoabdominal injury was analyzed, and the chi-square test was used to test the significance of differences. A statistically significant difference was considered at P values less than 0.05. Results. The cohort had a mean age of 33.6 ± 17.7 years with predominantly more males (85.1%). Thoracoabdominal injuries were present in 10.5% of MVA-related TSIs, and 9.2% of victims died during their hospital stay. There is a significant ( P = 0.045 ) association between the level of the spinal and the region of thoracoabdominal injuries. The presence of TSI-associated thoracic injury significantly ( P = 0.041 ) correlated with increased in-hospital mortality more than abdominal injury. Conclusion. Thoracoabdominal injuries concomitant with MVA-related TSI cause considerable mortality. A pattern of association exists between the level of spinal and region of thoracoabdominal injury. Knowledge of this pattern is helpful in the routine practice of trauma health partitioners.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

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Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Al-Gahtany

Maksoud

2021

Journal of Healthcare Engineering

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“…Among survivors to discharge, we assessed duration of mechanical ventilation, ICU and hospital length of stay (LOS), Functional Independence Measure (FIM), 11 and discharge disposition. FIM was assessed by bedside nurses at hospital discharge for patients ≥7 years, [12][13][14] with three domains of feeding, expression, and locomotion each scored from 1 (most impaired) to 4 (normal function). Post-discharge care included inpatient rehabilitation, skilled nursing facilities, other acute care, inpatient psychiatric care, and home healthcare services.…”

Section: Discussionmentioning

confidence: 99%

Acute Respiratory Distress Syndrome Following Pediatric Trauma: Application of Pediatric Acute Lung Injury Consensus Conference Criteria

Killien

Huijsmans

Ticknor

et al. 2020

Critical Care Medicine

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Objective: To assess the incidence, severity, and outcomes of pediatric acute respiratory distress syndrome (PARDS) following trauma using Pediatric Acute Lung Injury Consensus Conference criteria Design: Retrospective cohort study Setting: Level 1 pediatric trauma center Patients: Trauma patients ≤17 years admitted to the intensive care unit from 2009-2017 Interventions: None Measurements and Main Results:We queried electronic health records to identify patients meeting PARDS oxygenation criteria for ≥6 hours and determined whether patients met complete PARDS criteria via chart review. We estimated associations between PARDS and outcome using generalized linear Poisson regression adjusted for age, injury mechanism, Injury Severity Score, and serious brain and chest injuries. Of 2470 critically injured children, 103 (4.2%) met PARDS criteria. Mortality was 34.0% among PARDS patients versus 1.7% among non-PARDS patients (adjusted RR 3.7, 95% CI 2.0-6.9). Mortality was 50.

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“…Thoracic and abdominal traumas are common among victims of MVAs [ 14 , 15 ]. Thoracic injury is considered the second most common cause of mortality and major injury after HI [ 16 ]. Abdominal injury also contributes to trauma-related deaths following MVA and accounts for 10% of injuries due to MVAs [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Head Injury: a Single-Center Retrospective Study

Maksoud

Al-Gahtany

2022

Applied Bionics and Biomechanics

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Aim. To determine the pattern and in-hospital mortality of thoracoabdominal injuries associated with head injuries (HI) due to motor vehicle accidents. Settings and Design. A single-center retrospective study in a tertiary care hospital, level 1 trauma center in the southern region of Saudi Arabia. Methods and Materials. Descriptive analysis was conducted to evaluate sex, age, types of head injury, associated thoracoabdominal injuries, particular admission day, duration of hospital stay, and discharge category, and associations between different variables and outcomes were analyzed. Results. The cohort had a mean age of 26.9 ± 15.8 years , with a predominance of men (86.9%). Thoracoabdominal injuries were present in 6.8% of MVA-related HI, and 14.3% of victims expired during their hospital stay, mostly within the first 10 days. All expired patients had posttraumatic brain lesions. Moreover, there was a significant association between intensive care unit (ICU) admission and poor prognosis. Conclusions. Existence of posttraumatic brain lesions and requirement of ICU admission are significant variables affecting outcomes in patients with motor vehicle-associated HI with concomitant thoracoabdominal trauma in this study. Patients who survived the first 10 days after trauma seemed to have a better prognosis. More efforts are needed to reduce the health burden of this lethal injury.

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Functional outcomes of motor vehicle crash thoracic injuries in pediatric and adult occupants

Cited by 11 publications

References 24 publications

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Acute Respiratory Distress Syndrome Following Pediatric Trauma: Application of Pediatric Acute Lung Injury Consensus Conference Criteria

Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Head Injury: a Single-Center Retrospective Study

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