Grouping of body areas affected in traffic accidents. A cohort study

León, Alba; Ascuntar-Tello, Johana; Valderrama-Molina, Carlos Oliver; Giraldo, Nelson; Constain, Alfredo; Puerta, Andrés; Restrepo, Camilo; Jaimes, Fabián

doi:10.1016/j.jcot.2017.11.012

Cited by 8 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…El sistema musculoesquelético prevaleció en los registros de ocurrencia. Estos datos corroboran los resultados presentes en otra investigación sobre el tema, en la que la mayoría de los TTA implican complicaciones musculoesqueléticas resultantes del evento traumático (25) .…”

Section: Discussionunclassified

Prevalência e fatores associados aos acidentes por motocicleta segundo zona de ocorrência

2020

View full text Add to dashboard Cite

Investigación descriptiva, analítica y documental que analiza la prevalencia y los factores asociados a los accidentes de motocicleta según el área de ocurrencia. Los datos provienen de registros de atención prehospitalaria. Se realizaron estadísticas descriptivas e inferenciales, y los factores asociados se analizaron mediante regresión logística binaria, adoptando una significación del 5% y 95% de confianza. La muestra totalizó 1.039 víctimas. La mayoría de los registros ocurrieron en el área urbana, que involucraban al hombre, donde la víctima era el conductor del vehículo, no había ingerido alcohol y usado el casco. La mayoría de las asistencias fueron realizadas por el Servicio de Asistencia Móvil de Emergencia, al final de la semana y en el turno de noche. La puntuación media de la escala de coma de Glasgow para el área urbana fue ligeramente superior a la rural, con una diferencia significativa. El tiempo medio entre la solicitud de atención y la llegada al lugar del suceso, así como entre la solicitud de atención y el ingreso hospitalario fueron significativos, prevaleciendo en las zonas rurales. En el análisis bivariado de la asociación de accidentes de tráfico en motocicleta con la zona de ocurrencia, las variables que mostraron una asociación significativa fueron: la escala de coma de Glasgow, el tiempo entre la solicitud y la llegada del servicio, el tiempo entre la solicitud del servicio y la admisión hospital, sexo, consumo de alcohol, uso de casco, otra parte involucrada, período de ocurrencia, giro del accidente, tipo de atención y tipo de alta de la víctima. Descriptive, analytical and documentary research that analyzed the prevalence and factors associated with motorcycle accidents according to the area of occurrence. The data came from prehospital care records. Descriptive and inferential statistics were performed, and the associated factors were analyzed using binary logistic regression, adopting a significance of 5% and 95% confidence. The sample totaled 1,039 victims. Most of the records occurred in the urban area, involving the male, where the victim was the driver of the vehicle, had not ingested alcohol and used the helmet. Most of the attendances were performed by the Emergency Mobile Attendance Service, at the end of the week and at night shift. The mean score of the Glasgow Coma Scale for the urban area was slightly higher than the rural one, with a significant difference. The mean time between the request for care and the arrival at the place of occurrence, as well as between the request for care and hospital admission were significant, being prevalent for rural areas. In the bivariate analysis of the association of traffic accidents by motorcycle with the occurrence zone, the variables that showed a significant association were: Glasgow coma scale, time between request and arrival of the service, time between request of service and admission hospital, sex, alcohol intake, helmet use, other party involved, period of occurrence, accident turn, type of care and discharge type of the victim.

show abstract

Section: Discussionunclassified

Prevalência e fatores associados aos acidentes por motocicleta segundo zona de ocorrência

2020

View full text Add to dashboard Cite

show abstract

“…An international study identified that the most affected body parts as well as their severity depended on the vehicle and the victim’s condition and classification at the time of admission. The importance of this knowledge provides improvement in the quality of care provided ( Leon et al., 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Trajectory of the Victims of Overland Transport Accidents: From Prehospital to Hospital Care

et al. 2020

View full text Add to dashboard Cite

Objective The aim is to evaluate the trajectory of the victims of ground transportation accidents from the prehospital care to the hospital. Methods The sample consisted of 1,264 patients collected from the prehospital care, from June 2015 to June 2016. The trajectory was analyzed by the difference in the average time elapsed between the call and the hospital entrance. The Mann–Whitney and Kruskal–Wallis tests were used, adopting a significance level of 5% and 95% confidence. Results Patients had a mean age of 31.2 years, Glasgow Coma Scale of 14.8 points, and 24.8 days of hospitalization. It is characterized predominantly masculine, conductive of the vehicle, being the motorcycle prevalent; most of them wore a helmet/seat belt and no alcohol. The association between the average time of care and the characteristics related to the victim was significant: the use of the belt/helmet, alcoholism, and type of discharge and relative to the accident: area of occurrence, period of the week, shift of occurrence, type of prehospital care, and other party involved. Conclusion The characteristics related to ground transportation accident interfere in the time of prehospital care to the hospital, which can influence the prognosis.

show abstract

“…The incidence of fractures is higher in developing countries with over 90% of road accident related incidents reported worldwide [4], while the cost of healthcare per patient is a large component of the country's GDP [5]. According to the World Health Organization the highest portion of road traffic accident victims are in the age group between 15 to 29 years, and sustain some sort of a long-standing disability [6]; motorcycle accidents being a key reason [7][8][9]. This is an important age group of individuals, especially for a developing country as it contains the bulk of its workforce.…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Evaluation Method to Optimize External Fixator Configuration in Long Bone Fractures—Conceptual Model and Experimental Validation Using Pilot Study

2021

View full text Add to dashboard Cite

External fixation is a commonly used method in stabilizing fracture sites. The performance of the fixator depends on how it affects the mechanical properties of the fracture site and is governed by parameters like the fixator type and fixator configuration. Identifying ideal configurations prior to surgery will help surgeons in planning the procedure, limiting the possibility of complications such as non-union. In this study, a framework has been proposed as a surgical pre-planning tool, to assist surgeons compare mechanical properties of a fracture site under different fixator configurations, and thereby identify the optimum solution. A computational tool was identified as the best method for this purpose. Cost and time of computation were given special consideration to reduce complexity in clinical settings. A pilot study was conducted on a section of the proposed framework, where the aim was to understand the feasibility of implementation. In the pilot study, a unilateral uni-planar fixator on a simple diaphyseal transverse fracture was analyzed. During the pilot study the selected fixator was tested and a few models were developed to assess system stability. The models were then compared to identify the optimum model that could be used with the proposed framework. The proposed framework provided a suitable solution for the use case and out of the models developed the simplified finite element model was identified as the best option for the use case.

show abstract

Grouping of body areas affected in traffic accidents. A cohort study

Cited by 8 publications

References 15 publications

Prevalência e fatores associados aos acidentes por motocicleta segundo zona de ocorrência

Prevalência e fatores associados aos acidentes por motocicleta segundo zona de ocorrência

Trajectory of the Victims of Overland Transport Accidents: From Prehospital to Hospital Care

Biomechanical Evaluation Method to Optimize External Fixator Configuration in Long Bone Fractures—Conceptual Model and Experimental Validation Using Pilot Study

Contact Info

Product

Resources

About