Incidence of Orthopedic Surgery Intervention in a Level I Urban Trauma Center With Motorcycle Trauma

Amin, Nirav H.; Jakoi, Andre; Katsman, Anna; Harding, Susan P.; Tom, James A.; Cerynik, Douglas L.

doi:10.1097/ta.0b013e31821e601d

Cited by 18 publications

(17 citation statements)

References 21 publications

(42 reference statements)

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“…In some reports, all the patients going to a medical center were studied, while, some other studies, including the present study, examined the hospitalized patients with severe traumas (Urquhart et al, 2006). Moreover, the location of a specific medical center, different seasons of the year, racial differences, the level of welfare in different populations and countries influence the number of traumatic patients (Menon et al, 2008;Amin et al, 2011;Donaldson et al, 1990;Koo et al, 2013). …”

Section: Discussionmentioning

confidence: 88%

“…Moreover, the epidemiology of such injuries differs from one society to another, and cannot be generalized (Scholes et al, 2014). The relevant statistics are not identical even in urban and rural areas of a certain country (Amin et al, 2011). Obviously, knowing the prevalence and epidemiology of these injuries and how such injuries occur in each country can well help the healthcare planners to design preventive and therapeutic measures.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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Introduction: Orthopedic injuries are the most common types of traumatic injuries and present as fractures of the limbs, pelvis, and vertebrae or lesions in soft tissues, muscles, ligaments, and tendons. The upper limb fractures occur in distal radius and ulna, metacarpals, fingers, scapula, and carpal bones, Proximal, diaphysis, distal humerus, clavicle, proximal ulna and radio and distal humero and humero, radio, ulna, and metacarpo. The objective of this project was to accurately describe the occurrence of injuries of the upper extremity and the mechanisms of such injuries in a representative sample of Iranian population.Method: This prospective case series was performed on the patients admitted to Shafa Yahyaian Hospital through the emergency ward within 6 months. Patients' demographic features, the information about the mechanism of injury in soft tissues, bones and joints which obtained using clinical examination and imaging techniques, also the findings during the surgery were recorded in the information form. All analyses were performed using SPSS software, version 21. The independent t test or Mann-Whitney test and the Chi-square test or Fisher's exact test was used to compare the data. The results were significant at P<0.05. Results:This study was performed on 1287 patients with upper limb fracture. The male and female patients respectively comprised of 998 (77.5%) and 289 (22.5%) subjects. About 113 patients suffered injuries at shoulder joint or its surrounding bones. The most common traumatic mechanisms in this group included falls from the standing position (49.2%), direct hit (19.5%), and then falling down (12.58%). Humerus fractures were observed in 68 patients. There was a significant correlation between humerus fractures and the mechanisms (P=0.000). The patients with traumas around the elbow comprised of 182 individuals. Sex distribution of fractures around the elbow shows a significant correlation between sex and elbow fractures. Forearm fractures were observed in 233 patients, and there was a significant correlation between age groups and forearm fractures. Fractures around the wrist were observed in 333 patients. There was a significant correlation between patients with fractures around the wrist (36.88±23.81 years) and patients without fractures (30.84±18.99 years) around the wrist in terms of the mean age. Hand fractures were observed in 358 patients. There was a significant correlation between hand fractures and sex. Conclusion:The result of the current study which shows the epidemiology of these injuries and how such injuries occur in this area can well help the healthcare planners to design preventive and therapeutic measures.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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show abstract

“…Consistent with these findings, the presence of fractures in different body parts has been reported in other studies (Sirathranont & Kasantikul, 2003;Crandon et al, 2009;Oluwadiyaa et al, 2009;Talving et al, 2010). Due to the bone involvement, victims of fractures require longer hospital stays, as they need intervention procedures that require longer follow-up and recovery time (Amin et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Motorcycle accidents: morbidity and associated factors in a city of northeast of Brazil

Cavalcanti

Lucena

Rodrigues

et al. 2014

Tanzania J Hlth Res

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Motorcycle accidents are becoming a public health problem in developing world. The objective of this paper was to assess the factors related to morbidity and mortality among victims of motorcycle accidents in a trauma center. An analysis of 9,734 medical records of patients hospitalized for external causes at the Regional Emergency and Trauma Hospital of Campina Grande, Paraiba, Brazil, from January to December 2009 was done. The cases of accidents with motorcycles accounted for 20.8% of all hospital care, mostly affecting men (85.8%) aged 21-29 years old (33.9%). Legs and feet (55.2%) and arms and hands (26.9%) were the most affected parts of the body. The association between the occurrence of motorcycle accident affecting the face (p=0.001), the chest (p<0.001), arms and hands (p=0.004) and legs and feet (p<0.001) was observed. Multiple lesions were present in 40.4% of the cases; and the majority (80.6%) involved fractures. Amputation and functional impairment were observed in 15.3% and 4.3% of the victims, respectively. Vascular lesions in the lower limbs had a 3.5 times higher chance of occurrence among injured motorcyclists. Fatal accidents accounted for 1.3% of the injured victims. In conclusion, motorcycle accidents affect men, predominantly, most of them being young, causing fractures and multiple lesions, mainly in the lower limbs. There is need for greater incentive to actions concerning traffic safety education focusing on motorcyclists, as well as greater control by competent authorities as regards to the use of motorcycles in the country. _________________________________________________________________________________________

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“…[45] Polytrauma often involves young, productive individuals and represents a substantial burden to the society, from both financial and human perspectives. [6] The presence of multiple simultaneous injuries can lead to significant disability with decreased probability of return to productive work and thus significant economic costs. [6]…”

Section: Introductionmentioning

confidence: 99%

“…[6] The presence of multiple simultaneous injuries can lead to significant disability with decreased probability of return to productive work and thus significant economic costs. [6]…”

Section: Introductionmentioning

confidence: 99%

The right team at the right time – Multidisciplinary approach to multi-trauma patient with orthopedic injuries

Bach

Leskovan

Scharschmidt

et al. 2017

Int J Crit Illn Inj Sci

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Integrated, multidisciplinary team approach to the multiply injured patient can help optimize care, minimize morbidity, and reduce mortality. It also provides a framework for accelerated postinjury rehabilitation course. The characteristics and potential benefits of this approach, including team dynamics and interactions, are discussed in this brief review. Emphasis is placed on synergies provided by specialty teams working together in the framework of care coordination, timing of surgical and nonsurgical interventions, and injury/physiologic considerations.Republished with permission from:Bach JA, Leskovan JJ, Scharschmidt T, Boulger C, Papadimos TJ, Russell S, Bahner DP, Stawicki SPA. Multidisciplinary approach to multi-trauma patient with orthopedic injuries: the right team at the right time. OPUS 12 Scientist 2012;6(1):6-10.

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Incidence of Orthopedic Surgery Intervention in a Level I Urban Trauma Center With Motorcycle Trauma

Abstract: Motorcycle collisions frequently involve patients in their working prime, thus placing substantial burden on the individual and society. Although these patients must continue to receive Level I trauma care, strengthened prevention and improved education efforts are warranted.

Cited by 18 publications

References 21 publications

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Motorcycle accidents: morbidity and associated factors in a city of northeast of Brazil

The right team at the right time – Multidisciplinary approach to multi-trauma patient with orthopedic injuries

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