scholarly journals Comparison of Injury Patterns between Electric Bicycle, Bicycle and Motorcycle Accidents

2021 ◽  
Vol 10 (15) ◽  
pp. 3359
Author(s):  
Emilian Spörri ◽  
Sascha Halvachizadeh ◽  
Jamison G. Gamble ◽  
Till Berk ◽  
Florin Allemann ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Brain Injuries ◽  
Injury Severity ◽  
Craniocerebral Trauma ◽  
Injury Pattern ◽  
Injury Patterns ◽  
Electric Bicycle ◽  
Extremity Injuries ◽  
The Individual ◽  
Motorcycle Accidents

Background: Electric bicycles (E-bikes) are an increasingly popular means of transport, and have been designed for a higher speed comparable to that of small motorcycles. Accident statistics show that E-bikes are increasingly involved in traffic accidents. To test the hypothesis of whether accidents involving E-bikes bear more resemblance to motorcycle accidents than conventional bicyclists, this study evaluates the injury pattern and severity of E-bike injuries in direct comparison to injuries involving motorcycle and bicycle accidents. Methods: In this retrospective cohort study, the data of 1796 patients who were treated at a Level I Trauma Center between 2009 and 2018 due to traffic accident, involving bicycles, E-bikes or motorcycles, were evaluated and compared with regard to injury patterns and injury severity. Accident victims treated as inpatients at least 16 years of age or older were included in this study. Pillion passengers and outpatients were excluded. Results: The following distribution was found in the individual groups: 67 E-bike, 1141 bicycle and 588 motorcycle accidents. The injury pattern of E-bikers resembled that of bicyclists much more than that of motorcyclists. The patients with E-bike accidents were almost 14 years older and had a higher incidence of moderate traumatic brain injuries than patients with bicycle accidents, in spite of the fact that E-bike riders were nearly twice as likely to wear a helmet as compared to bicycle riders. The rate of pelvic injuries in E-bike accidents was twice as high compared with bicycle accidents, whereas the rate of upper extremity injuries was higher following bicycle accidents. Conclusion: The overall E-bike injury pattern is similar to that of cyclists. The differences in the injury pattern to motorcycle accidents could be due to the higher speeds at the time of the accident, the different protection and vehicle architecture. What is striking, however, is the higher age and the increased craniocerebral trauma of the E-bikers involved in accidents compared to the cyclists. We speculate that older and untrained people who have a slower reaction time and less control over the E-bike could benefit from head protection or practical courses similar to motorcyclists.

scholarly journals Comparison of injury patterns between electric bicycle, bicycle and motorcycle accidents

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
E Spörri ◽  
H -C Pape ◽  
T Rauer
Keyword(s):  
Traffic Accidents ◽  
Brain Injuries ◽  
Injury Severity ◽  
Craniocerebral Trauma ◽  
Injury Pattern ◽  
Injury Patterns ◽  
Head Protection ◽  
Electric Bicycle ◽  
The Individual ◽  
Motorcycle Accidents

Abstract Objective Electric bicycles (E-bikes) are an increasingly popular means of transport, especially in the current Covid-19 pandemic situation. Accident statistics show that E-bikes are growingly involved in traffic accidents. This study evaluates the injury pattern and severity of E-bike injuries in direct comparison to injuries in motorcycle and bicycle accidents. Methods In a retrospective cohort study, the data of 1796 patients who were treated at a Level I Trauma Center between 2009 and 2018 due to traffic accident, involving bicycles, E-bikes or motorcycles, were evaluated and compared with regard to injury patterns and injury severity. Accident victims treated as inpatients with at least 16 years of age were included in this study. Pillion passengers and outpatients were excluded. Results The following distribution was found in the individual groups: 67 E-bike, 1141 bicycle and 588 motorcycle accidents. The injury pattern of E-bikers resembled that of bicyclists much more than that of motorcyclists. The patients with E-bike accidents were almost 14 years older and had a higher incidence of moderate traumatic brain injuries than patients with bicycle accidents. Considering the E-bike riders wore nearly twice as often a helmet as bicycle riders. In comparison, the motorcyclists involved in an accident had fewer facial injuries, but more frequent and more serious injuries to the spine, abdomen and lower extremities. Conclusion The overall E-bike injury pattern is similar to that of cyclists. The differences in the injury pattern to motorcycle accidents could be due to the higher speeds at the time of the accident, the different protection and vehicle architecture. What is striking, however, is the higher age and the increased craniocerebral trauma of the E-bikers involved in accidents compared to the cyclists. Older and untrained people who have a slower reaction time and less control over the E-bike could benefit from head protection or practical courses similar to motorcyclists.

scholarly journals Boarding Injuries: The Long and the Short of It

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Leslie A. Fabian ◽  
Steven M. Thygerson ◽  
Ray M. Merrill
Keyword(s):  
Brain Injuries ◽  
Injury Severity ◽  
Treatment Options ◽  
Head Injuries ◽  
Patient Treatment ◽  
Injury Patterns ◽  
Population Demographics ◽  
Icu Length Of Stay ◽  
Level Ii ◽  
Prospective Investigation

As the popularity of longboarding increases, trauma centers are treating an increased number of high severity injuries. Current literature lacks descriptions of the types of injuries experienced by longboarders, a distinct subset of the skateboarding culture. A retrospective review of longboarding and skateboarding injury cases was conducted at a level II trauma center from January 1, 2006, through December 31, 2011. Specific injuries in addition to high injury severity factors (hospital and intensive care unit (ICU) length of stay (LOS), Injury Severity Score (ISS), patient treatment options, disposition, and outcome) were calculated to compare longboarder to skateboarder injuries. A total of 824 patients met the inclusion criteria. Skull fractures, traumatic brain injuries (TBI), and intracranial hemorrhage (ICH) were significantly more common among longboard patients than skateboarders (P<0.0001). All patients with an ISS above 15 were longboarders. Hospital and ICU LOS in days was also significantly greater for longboarders compared with skateboarders (P<0.0001). Of the three patients that died, each was a longboarder and each experienced a head injury. Longboard injuries account for a higher incidence rate of severe head injuries compared to skateboard injuries. Our data show that further, prospective investigation into the longboarding population demographics and injury patterns is necessary to contribute to effective injury prevention in this population.

Non-accidental Trauma Injury Patterns and Outcomes: A Single Institutional Experience

2015 ◽  
Vol 81 (9) ◽  
pp. 835-838 ◽  
Author(s):  
Austin Ward ◽  
Joseph A. Iocono ◽  
Samuel Brown ◽  
Phillip Ashley ◽  
John M. Draus
Keyword(s):  
Brain Injuries ◽  
Injury Severity ◽  
Hot Spot ◽  
Demographic Data ◽  
Pediatric Trauma ◽  
Pediatric Intensive Care ◽  
Injury Patterns ◽  
Accidental Trauma ◽  
Trauma Population ◽  
Non Accidental Trauma

Non-accidental trauma (NAT) victims account for a significant percentage of our pediatric trauma population. We sought to better understand the injury patterns and outcomes of NAT victims who were treated at our level I pediatric trauma center. Trauma registry data were used to identify NAT victims between January 2008 and December 2012. Demographic data, injury severity, hospital course, and outcomes were evaluated. One hundred and eighty-eight cases of suspected NAT were identified. Children were mostly male and white. The median age was 1.1 years; the median Injury Severity Score was 9. Traumatic brain injuries, lower extremity fractures, and skull fractures were the most common injuries. Twenty-seven per cent required medical procedures; most were performed by orthopedic surgery. Twenty-four per cent required admission to the pediatric intensive care unit. The median length of stay was two days. The mortality rate was 9.6 per cent. We generated a hot spot map of our catchment area and identified areas of our state where NAT occurs at increased rates. NAT victims sustain significant morbidity and mortality. Due to the severity of injuries, pediatric trauma surgeons should be involved in the evaluation and management of these children. Much work is needed to prevent the death and disability incurred by victims of child abuse.

Trampoline Injuries in a Statewide Trauma System

2021 ◽  
pp. 000313482110488
Author(s):  
Megan C. Sullivan ◽  
Madison E. Morgan ◽  
Eric Bradburn ◽  
Lindsey L. Perea
Keyword(s):  
Injury Severity ◽  
Trauma System ◽  
Injury Patterns ◽  
Lower Extremity Injuries ◽  
Patient Demographics ◽  
Body Regions ◽  
Severity Scores ◽  
Icd 10 ◽  
Trauma Outcome ◽  
Extremity Injuries

Introduction It is well known that trampolines can be a particular source of danger, especially in children. We sought to examine the profile of those patients with trampoline injuries. We hypothesized there would be certain injury patterns predicative of trampoline injuries. Methods All patients submitted to Pennsylvania Trauma Outcome Study database from 2016 to 2018 were analyzed. Trampoline injury was determined by ICD-10 activity code. Injury patterns in the form of abbreviated injury scale body regions were examined. Patient demographics and clinical variables were compared between those with trampoline injury vs those without. Results There were 107 patients with a trampoline injury. All of these patients were discharged alive and had a blunt mechanism of injury. The most common injury type was injury to the extremities (n=90,[84.1%]) with 54(50.5%) upper extremity injuries and 36(33.6%) lower extremity injuries. Ten (9.35%) patients had injury to the spine and five (4.67%) had head injury. Those with trampoline injuries were significantly younger (13y vs. 48.6y) and more likely to be white or of Hispanic ethnicity. Almost half of the patients injured (49.5%) were under 10 years. Patients with trampoline injuries had significantly lower Injury Severity Scores and significantly higher shock index. Discussion The majority of patients with trampoline injuries had injury to an extremity. These results help better understand the demographic, physiologic, and anatomic patterns surrounding trampoline injuries. Current government standards recommend that no child under age six should use a full-sized trampoline; however, based of this study, we advise that this age be increased to ten.

scholarly journals Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Pilakimwe Egbohou ◽  
Tabana Mouzou ◽  
Pikabalo Tchetike ◽  
Hamza Doles Sama ◽  
Sarakawabalo Assenouwe ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
Injury Severity ◽  
Road Traffic ◽  
Skull Fracture ◽  
University Hospital ◽  
Pediatric Traumatic Brain Injury ◽  
The Mean

Introduction. Severe pediatric traumatic brain injury (pTBI) is a leading cause of disability and death in children worldwide. Children victims of pTBI are admitted to the Sylvanus Olympio University Hospital (SOUH) at the multipurpose Intensive Care Unit (ICU). We aimed in this study to describe the epidemiologic characteristics and outcomes of pTBI patients admitted in this ICU. Patients and Methods. This study was conducted at the ICU of SOUH of Lome. It was a retrospective study based on patients’ records from 0 to 15 years old admitted during the period from 1 January 2012 to 30 June 2018 (5 years and 6 months). Results. We recorded 91 pTBI included in the study. The mean age was 7.7 ± 4.3 years. The male predominated with 67.0%. Road traffic accidents were the most common cause (79.1%), followed by falls (19.8%). The average pediatric Glasgow Coma Scale (pGCS) was 6.6 ± 1.4, with a mean Injury Severity Score (ISS) of 23.1 ± 8.4. The most common brain injuries found in the CT scan were brain edema (72.9%), skull fracture (69.5%), and brain contusion (55.9%). The average duration under mechanical ventilation was 2.1 ± 2.9 days, and the mean ICU stay was 4.9 ± 4.4 days. Overall mortality was 31.9% (29 cases). Factors significantly associated (p<0.05) with death were hypotension (51.7%), anemia (43.1%), hyperthermia (46.7%), GCS < 6 (64%), and ISS > 20 (48.9%). Conclusion. pTBI mortality remains high in SOUH ICU. Factors associated with mortality were secondary systemic insults, worse GCS < 6, and ISS > 20.

scholarly journals Influência dos acidentes e dos procedimentos intra-hospitalares no óbito

2020 ◽  
Vol 10 (32) ◽  
pp. 183-193
Author(s):  
Gisele Andrade Menolli ◽  
Eleine Aparecida Penha Martins
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Cross Sectional ◽  
Trauma Severity ◽  
Care Protocol ◽  
Revised Trauma Score ◽  
Motorcycle Accidents ◽  
Trauma Score

Identificar a influência da gravidade do trauma e do atendimento intra-hospitalar no óbito, em vítimas de acidentes motociclísticos. Estudo transversal, quantitativo com 31 vítimas encaminhadas para o Hospital no norte do Paraná, entre dezembro de 2016 e março de 2017. 80,6% das vítimas eram homens, 48,4% das ocorrências aconteceram durante o dia. As escalas de trauma, Injury Severity Score (TRISS), Revised Trauma Score (RTS) e Injury Severity Score (ISS) evidenciaram escores leves com baixo risco de morte.  Houve associação entre gravidade do trauma e óbito, chegaram ao hospital com imobilizações corporais 61,3%; o protocolo de atendimento ao trauma foi utilizado em 45,2% dos casos; a cirurgia ortopédica compreendeu 43,4%; houve associação das cirurgias com o desfecho óbito; 90,3% das vítimas não tiveram infecção. A gravidade do trauma e cirurgias tiveram associação com o desfecho óbito, todas as vítimas de trauma devem ser atendidas conforme protocolo.Descritores: Serviço Hospitalar de Admissão de Paciente, Acidentes de Trânsito, Índices de Gravidade do Trauma, Motocicletas. Influence of accidents and in-hospital procedures on deathAbstract: Identification of the influence of trauma severity and the in-hospital care at death, in victims of motorcycle accidents. Cross-sectional, quantitative study, considering 31 victims referred to the Hospital in northern Paraná, between December 2016 and March 2017. 80.6% of the victims were men and 48.4% of the occurrences took place during the daytime. The trauma scales, Injury Severity Score (TRISS), Revised Trauma Score (RTS) and Injury Severity Score (ISS) presented soft scores of low risks of death. There was evidence of association between trauma severity and death, 61.3% of the patients arrived at the hospital with bodily immobilizations; the trauma care protocol was used in 45.2% of cases; surgery comprised 43.4% of cases; there was an association of surgeries with the outcome of death and 90.3% of the victims had no infection. The severity of trauma and surgeries were associated with the outcome of death; all trauma victims should be treated according to the protocol.Descriptors: Hospital Service for patient Admission, Traffic-Accidents, Trauma Severity Indices, Motorcycles. Influencia de los accidentes y procedimientos intrahospitales en la muerteResumen: Identificar la influencia de la gravedad del trauma y del atendimiento intrahospitalario en la muerte, en víctimas de accidentes motociclísticos. Estudio transversal, cuantitativo con 31 víctimas encaminadas para el Hospital en el Norte del Paraná, entre diciembre de 2016 y marzo de 2017. El 80.6% de las víctimas eran hombres, un 48.4% de los casos ocurrieron durante el día. La puntuación de los traumas, Injury Severity Score (TRISS), RevisedTrauma Score (RTS) y Injury Severity Score (ISS) evidenciaron scores leves con bajo riesgo de muerte. Hubo asociación entre la gravedad del trauma y la muerte, llegaron al hospital con inmovilizaciones corporales el 61.3%; el protocolo de atendimiento al trauma fué utilizado el 45.2% de los casos; la cirugía ortopédica comprendió 43.4%; hubo asociación de las cirugías con la muerte; el 90.3% de las víctimas no tuvieron infección. La gravedad del trauma y cirugías tuvieron asociación con la muerte, todas las víctimas de trauma deben ser atendidas según el protocolo.Descriptores: Servicio Hospitalar de Admisión de Paciente, Accidentes de Transito, Indices de Gravedad del Trauma, Motocicletas.

scholarly journals CEDERA AKIBAT KECELAKAAN LALU LINTAS DI KOTA MANADO

2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Erwin Kristanto ◽  
Johannis Mallo ◽  
Aria Yudhistira
Keyword(s):  
Retrospective Study ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Organ Damage ◽  
Injury Pattern ◽  
Injury Patterns ◽  
External Examination ◽  
Chest Injuries ◽  
Keywords Injury

Abstract: Nowadays, the incidence of traffic accidents increases annually. Injuries caused by traffic accidents show specific patterns, which differ from that of injuries due to other causes. Information of injury patterns due to accidents can be very useful in the management of treatment. The aim of this retrospective study is to describe the kinds of injuries in autopsied victims due to traffic accidents, which were autopsied, and in some cases handled in Prof.dr.R.D.Kandou Manado General Hospital from 2004 until 2008.  The results showed that 77.7% of deaths were due to traffic accident head injuries, and 22.2% to chest injuries. We observed that they had obvious internal organ damage, especially in the abdomen, which observation could not have been predicted just from external examination.  Therefore, it can be concluded that not only deaths by traffic accidents, but all fatalities should undergo autopsy to verify the exact cause of death. Keywords: injury pattern, retrospective study, forensic autopsy     Abstrak: Angka kecelakaan lalu lintas tiap tahun meningkat. Cedera yang ditimbulkan memiliki pola tertentu yang berbeda dengan cedera akibat kekerasan lain. Informasi mengenai pola cedera pada kecelakaan lalu lintas dapat digunakan dalam pengobatan. Studi retrospektif ini mendeskripsi-kan cedera yang ditemukan pada autopsi korban kecelakaan lalu lintas di rumah sakit umum Prof.dr.R.D Kandou di Manado, periode tahun  2004 – 2008. Hasil survei menemukan bahwa 77,7% kasus kematian akibat kecelakaan lalu lintas disebabkan oleh cedera kepala, dan 22,2 % akibat cedera pada dada. Dari pengamatan penulis tampak dengan jelas kerusakan organ dalam, terutama pada perut tidak dapat diperkirakan hanya dengan pemeriksaan luar mayat. Perlu dipikirkan bersama agar dapat diciptakan kondisi di mana korban meninggal pada kasus kecelakaan lalu lintas maupun untuk kasus yang lain dapat menerima pelayanan autopsi forensik. Kata kunci: Pola cedera, studi retrospektif, autopsi forensik

Injury Patterns After the Landslide Disaster in Oshima, Tokyo, Japan on October 16, 2013

2016 ◽  
Vol 10 (2) ◽  
pp. 248-252 ◽  
Author(s):  
Yasuhiro Homma ◽  
Taiji Watari ◽  
Tomonori Baba ◽  
Misako Suzuki ◽  
Tadanori Shimizu ◽  
...  
Keyword(s):  
Injury Severity ◽  
Injury Pattern ◽  
Pelvic Injury ◽  
Average Score ◽  
Injury Patterns ◽  
Medical Support ◽  
Traumatic Asphyxia ◽  
High Injury Severity Score ◽  
Potential Damage ◽  
Landslide Disaster

AbstractIntroductionLandslides represent a frequent and threatening natural disaster. The aim of this study was to investigate the injury patterns observed after a landslide and to discuss how to minimize the damage caused by a landslide disaster.MethodsA landslide occurred on Oshima Island, Japan, on October 16, 2013. A total of 49 victims with landslide-related injuries were identified and analyzed.ResultsThe patients ranged in age from 5 to 89 years with an average age of 61.0±19.3 years. Of all patients, 69.4% were triaged as black. Of 15 patients who were treated in the nearest hospital (the only hospital on the island), 8 were triaged as red and yellow with severe chest or pelvic injury and a high Injury Severity Score (average score, 25.6; range, 4–45). Of these, 75% had chest injury and 75% had pelvic injury. The percentage of chest and/or pelvic injury was 100% in patients triaged as red or yellow. Traumatic asphyxia was diagnosed in 62.5% of these patients.ConclusionsCompression of the trunk was the main injury in patients triaged as red or yellow after this landslide disaster. Evacuation in advance, the rapid launch of emergency medical support, and knowledge of this specific injury pattern are essential to minimize the potential damage resulting from landslide disasters. (Disaster Med Public Health Preparedness. 2016;10:248–252)

scholarly journals Analysis of Severe Injuries in Crashes Involving Large Trucks Using K-Prototypes Clustering-Based GBDT Model

Safety ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 32
Author(s):  
Syed As-Sadeq Tahfim ◽  
Chen Yan
Keyword(s):  
Injury Severity ◽  
Unobserved Heterogeneity ◽  
The United States ◽  
Clustering Methods ◽  
Severe Injuries ◽  
Traffic Crash ◽  
Crash Data ◽  
Boosted Decision Trees ◽  
The Individual ◽  
Crash Characteristics

The unobserved heterogeneity in traffic crash data hides certain relationships between the contributory factors and injury severity. The literature has been limited in exploring different types of clustering methods for the analysis of the injury severity in crashes involving large trucks. Additionally, the variability of data type in traffic crash data has rarely been addressed. This study explored the application of the k-prototypes clustering method to countermeasure the unobserved heterogeneity in large truck-involved crashes that had occurred in the United States between the period of 2016 to 2019. The study segmented the entire dataset (EDS) into three homogeneous clusters. Four gradient boosted decision trees (GBDT) models were developed on the EDS and individual clusters to predict the injury severity in crashes involving large trucks. The list of input features included crash characteristics, truck characteristics, roadway attributes, time and location of the crash, and environmental factors. Each cluster-based GBDT model was compared with the EDS-based model. Two of the three cluster-based models showed significant improvement in their predicting performances. Additionally, feature analysis using the SHAP (Shapley additive explanations) method identified few new important features in each cluster and showed that some features have a different degree of effects on severe injuries in the individual clusters. The current study concluded that the k-prototypes clustering-based GBDT model is a promising approach to reveal hidden insights, which can be used to improve safety measures, roadway conditions and policies for the prevention of severe injuries in crashes involving large trucks.

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