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Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center

INTRODUCTION: Traumatic injuries are preventable and understanding determinants of injury, such as socio-economic and environmental factors, is vital. This study evaluated traumatic injuries and identified areas of high trauma incidence. METHODS: A retrospective review was conducted of all patients...

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Autores principales: Watson, David, Benton, Blair, Ablah, Elizabeth, Lightwine, Kelly, Lusk, Ronda, Okut, Hayrettin, Bui, Thuy, Haan, James M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of Kansas Medical Center 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833984/
https://www.ncbi.nlm.nih.gov/pubmed/33643521
http://dx.doi.org/10.17161/kjm.vol1413771
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author Watson, David
Benton, Blair
Ablah, Elizabeth
Lightwine, Kelly
Lusk, Ronda
Okut, Hayrettin
Bui, Thuy
Haan, James M.
author_facet Watson, David
Benton, Blair
Ablah, Elizabeth
Lightwine, Kelly
Lusk, Ronda
Okut, Hayrettin
Bui, Thuy
Haan, James M.
author_sort Watson, David
collection PubMed
description INTRODUCTION: Traumatic injuries are preventable and understanding determinants of injury, such as socio-economic and environmental factors, is vital. This study evaluated traumatic injuries and identified areas of high trauma incidence. METHODS: A retrospective review was conducted of all patients 14 years or older who were admitted with a traumatic injury to a Level I trauma center between 2016 and 2017. Descriptive analyses were presented and maps of high injury areas were generated. RESULTS: The most frequent mechanisms of injury were falls (58.3%), motor vehicle crashes (22.3%), and motorcycle crashes (5.7%). Fall patients were more likely to be female (59.6%) and were the oldest age group (72.1 ± 17.2) compared to motor vehicle and motorcycle crash patients. Severe head (22.1%, p = 0.007) and extremity (35.7%, p = 0.001) injuries were most frequent among fall patients, however, more motorcycle crash patients required mechanical ventilation (16.1%, p < 0.001) and experienced the longest intensive care unit length of stay (5.3 ± 6.8 days, p < 0.001) and mechanical ventilation days (6.6 ± 8.5, p < 0.036). Motorcycle crash patients also had the greatest number of deaths (7.5%, p < 0.001). The generated maps of all traumas suggested that most injuries occur near our hospital and are located in several of the most population-dense zip codes. CONCLUSION: Patient demographics, injury severity, and hospital outcomes varied by mechanisms of injury. Traumatic injuries occurred near our hospital and were located in several of the most populationdense zip codes. Injury prevention efforts should target high incident areas.
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spelling pubmed-78339842021-02-26 Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center Watson, David Benton, Blair Ablah, Elizabeth Lightwine, Kelly Lusk, Ronda Okut, Hayrettin Bui, Thuy Haan, James M. Kans J Med Original Research INTRODUCTION: Traumatic injuries are preventable and understanding determinants of injury, such as socio-economic and environmental factors, is vital. This study evaluated traumatic injuries and identified areas of high trauma incidence. METHODS: A retrospective review was conducted of all patients 14 years or older who were admitted with a traumatic injury to a Level I trauma center between 2016 and 2017. Descriptive analyses were presented and maps of high injury areas were generated. RESULTS: The most frequent mechanisms of injury were falls (58.3%), motor vehicle crashes (22.3%), and motorcycle crashes (5.7%). Fall patients were more likely to be female (59.6%) and were the oldest age group (72.1 ± 17.2) compared to motor vehicle and motorcycle crash patients. Severe head (22.1%, p = 0.007) and extremity (35.7%, p = 0.001) injuries were most frequent among fall patients, however, more motorcycle crash patients required mechanical ventilation (16.1%, p < 0.001) and experienced the longest intensive care unit length of stay (5.3 ± 6.8 days, p < 0.001) and mechanical ventilation days (6.6 ± 8.5, p < 0.036). Motorcycle crash patients also had the greatest number of deaths (7.5%, p < 0.001). The generated maps of all traumas suggested that most injuries occur near our hospital and are located in several of the most population-dense zip codes. CONCLUSION: Patient demographics, injury severity, and hospital outcomes varied by mechanisms of injury. Traumatic injuries occurred near our hospital and were located in several of the most populationdense zip codes. Injury prevention efforts should target high incident areas. University of Kansas Medical Center 2021-01-21 /pmc/articles/PMC7833984/ /pubmed/33643521 http://dx.doi.org/10.17161/kjm.vol1413771 Text en © 2021 The University of Kansas Medical Center This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Research
Watson, David
Benton, Blair
Ablah, Elizabeth
Lightwine, Kelly
Lusk, Ronda
Okut, Hayrettin
Bui, Thuy
Haan, James M.
Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center
title Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center
title_full Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center
title_fullStr Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center
title_full_unstemmed Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center
title_short Demographics and Incident Location of Traumatic Injuries at a Single Level I Trauma Center
title_sort demographics and incident location of traumatic injuries at a single level i trauma center
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7833984/
https://www.ncbi.nlm.nih.gov/pubmed/33643521
http://dx.doi.org/10.17161/kjm.vol1413771
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