Lower extremity injuries in motor vehicle collisions: a survey of NASS 1997-1999

2003 ◽  
Vol 32 (1/2) ◽  
pp. 173 ◽  
Author(s):  
Theresa Atkinson ◽  
Patrick Atkinson
2019 ◽  
Vol 58 (11-12) ◽  
pp. 1255-1261
Author(s):  
Sriram Ramgopal ◽  
Natan Cramer ◽  
Barbara A. Gaines ◽  
Kavitha A. Conti

We compared risk factors and outcomes of children injured from all-terrain vehicle (ATV) injuries to those injured from motor vehicle collisions (MVC). We reviewed records of patients ≤18 years of age admitted to a trauma center with ATV- or MVC-related injuries between January 1, 2000, and December 31, 2015. Demographics were compared using logistic regression. Rates of injuries were compared using χ2 tests. Of 6293 patients, 1140 (18%) ATV and 5153 (82%) MVC events were identified. In multivariable analysis (adjusted odds ratio [aOR], 95% confidence interval [CI]), patients with ATV-related injuries occurred more at older age (≥12 years; aOR = 4.29, 95% CI = 3.20-5.77), in rural counties (aOR = 3.72, 95% CI = 2.62-5.28), in regions with lower median household income (aOR = 1.37, 95% CI = 1.03-1.83), and in the spring (aOR = 2.44, 95% CI = 1.87-3.18), and summer (aOR = 2.50, 95% CI = 1.93-3.25) compared with winter. ATV-related injuries occurred less frequently among females (aOR = 0.76, 95% CI = 0.65-0.89). Upper extremity injuries were associated with ATV-related injuries ( P ≤ .001). Findings may facilitate identification of at-risk groups for targeted interventions.


1995 ◽  
Vol 27 (4) ◽  
pp. 601-606 ◽  
Author(s):  
Patricia C. Dischinger ◽  
Timothy J. Kerns ◽  
Joseph A. Kufera

2004 ◽  
Vol 57 (2) ◽  
pp. 323-328 ◽  
Author(s):  
Lance S. Estrada ◽  
Jorge E. Alonso ◽  
Gerald McGwin ◽  
Jesse Metzger ◽  
Loring W. Rue

2000 ◽  
Vol 44 (5) ◽  
pp. 481-485 ◽  
Author(s):  
Meghan K. McGovern ◽  
Robert X. Murphy ◽  
Walter J. Okunski ◽  
Thomas E. Wasser

2003 ◽  
Vol 54 (2) ◽  
pp. 261-265 ◽  
Author(s):  
Stephan G. Moran ◽  
Gerald McGwin ◽  
Jesse S. Metzger ◽  
Jorge E. Alonso ◽  
Loring W. Rue

2007 ◽  
Vol 12 (3) ◽  
pp. 4-7
Author(s):  
Charles N. Brooks ◽  
Christopher R. Brigham

Abstract Multiple factors determine the likelihood, type, and severity of bodily injury following a motor vehicle collision and, in turn, influence the need for treatment, extent of disability, and likelihood of permanent impairment. Among the most important factors is the change in velocity due to an impact (Δv). Other factors include the individual's strength and elasticity, body position at the time of impact, awareness of the impending impact (ie, opportunity to brace, guard, or contract muscles before an impact), and effects of braking. Because Δv is the area under the acceleration vs time curve, it combines force and duration and is a useful way to quantify impact severity. The article includes a table showing the results of a literature review that concluded, “the consensus of human subject research conducted to date is that a single exposure to a rear-end impact with a Δv of 5 mph or less is unlikely to result in injury” in most healthy, restrained occupants. Because velocity incorporates direction as well as speed, a vehicular occupant is less likely to be injured in a rear impact than when struck from the side. Evaluators must consider multiple factors, including the occupant's pre-existing physical and psychosocial status, the mechanism and magnitude of the collision, and a variety of biomechanical variables. Recommendations based solely on patient history and physical findings (and, perhaps, imaging studies) may be ill-informed.


2007 ◽  
Vol 177 (4S) ◽  
pp. 37-37
Author(s):  
James K. Kuan ◽  
Robert Kaufman ◽  
Jonathan L. Wright ◽  
Charles Mock ◽  
Avery B. Nathens ◽  
...  

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