Cargando…
A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants
(1) Background: Surgical blunt bowel and/or mesenteric injuries (BBMIs) are rare but challenging for trauma surgeons. Surgical BBMI is associated with specific injury mechanisms, such as direct compression by the handlebar in motorcycle accidents or rapid acceleration and deceleration of the impact...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323956/ https://www.ncbi.nlm.nih.gov/pubmed/35885849 http://dx.doi.org/10.3390/healthcare10071323 |
_version_ | 1784756687948742656 |
---|---|
author | Hsieh, Ting-Min Chuang, Po-Chun Liu, Chun-Ting Wu, Bei-Yu Hsieh, Ching-Hua |
author_facet | Hsieh, Ting-Min Chuang, Po-Chun Liu, Chun-Ting Wu, Bei-Yu Hsieh, Ching-Hua |
author_sort | Hsieh, Ting-Min |
collection | PubMed |
description | (1) Background: Surgical blunt bowel and/or mesenteric injuries (BBMIs) are rare but challenging for trauma surgeons. Surgical BBMI is associated with specific injury mechanisms, such as direct compression by the handlebar in motorcycle accidents or rapid acceleration and deceleration of the impact forces associated with seatbelt injuries in motor vehicle collisions. However, the discussions on the implications of BBMI and the mechanisms of road traffic accidents remain scarce. This retrospective study assessed the clinical and injury characteristics of surgically proven BBMI among motorcyclists and car occupants based on trauma-registered data obtained from a level I trauma center in Taiwan. (2) Methods: Medical data of 72 motorcyclists and 38 car occupants who had surgical BBMI between January 2009 and December 2020 were reviewed. Patient characteristics, injuries, and outcomes in both groups were compared and analyzed. (3) Results: Motorcyclists with surgical BBMI had a significantly higher Injury Severity Score (median [Q1–Q3], 18 (9–27) vs. 16 (9–18), p = 0.044) and lower Glasgow Coma Scale score (15 (11–15) vs. 15 (15–15), p = 0.034]) than car occupants. Motorcyclists with surgical BBMI had a higher incidence of pelvic fractures (18.1% vs. 2.6%, p = 0.032) and upper limb fractures (23.6% vs. 7.9%, p = 0.042) and a significantly higher rate of chest tube insertion than car occupants (29.2% vs. 10.5%, p = 0.027). However, there were no significant differences in the outcomes of morbidity and mortality between motorcyclists and car occupants with surgical BBMI. (4) Conclusions: This study demonstrated there were no significant differences in outcomes between motorcyclists and car occupants with surgical BBMI. However, motorcyclists with surgical BBMI were injured more severely, along with injuries to the head/neck and extremities, than car occupants. |
format | Online Article Text |
id | pubmed-9323956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93239562022-07-27 A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants Hsieh, Ting-Min Chuang, Po-Chun Liu, Chun-Ting Wu, Bei-Yu Hsieh, Ching-Hua Healthcare (Basel) Article (1) Background: Surgical blunt bowel and/or mesenteric injuries (BBMIs) are rare but challenging for trauma surgeons. Surgical BBMI is associated with specific injury mechanisms, such as direct compression by the handlebar in motorcycle accidents or rapid acceleration and deceleration of the impact forces associated with seatbelt injuries in motor vehicle collisions. However, the discussions on the implications of BBMI and the mechanisms of road traffic accidents remain scarce. This retrospective study assessed the clinical and injury characteristics of surgically proven BBMI among motorcyclists and car occupants based on trauma-registered data obtained from a level I trauma center in Taiwan. (2) Methods: Medical data of 72 motorcyclists and 38 car occupants who had surgical BBMI between January 2009 and December 2020 were reviewed. Patient characteristics, injuries, and outcomes in both groups were compared and analyzed. (3) Results: Motorcyclists with surgical BBMI had a significantly higher Injury Severity Score (median [Q1–Q3], 18 (9–27) vs. 16 (9–18), p = 0.044) and lower Glasgow Coma Scale score (15 (11–15) vs. 15 (15–15), p = 0.034]) than car occupants. Motorcyclists with surgical BBMI had a higher incidence of pelvic fractures (18.1% vs. 2.6%, p = 0.032) and upper limb fractures (23.6% vs. 7.9%, p = 0.042) and a significantly higher rate of chest tube insertion than car occupants (29.2% vs. 10.5%, p = 0.027). However, there were no significant differences in the outcomes of morbidity and mortality between motorcyclists and car occupants with surgical BBMI. (4) Conclusions: This study demonstrated there were no significant differences in outcomes between motorcyclists and car occupants with surgical BBMI. However, motorcyclists with surgical BBMI were injured more severely, along with injuries to the head/neck and extremities, than car occupants. MDPI 2022-07-16 /pmc/articles/PMC9323956/ /pubmed/35885849 http://dx.doi.org/10.3390/healthcare10071323 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hsieh, Ting-Min Chuang, Po-Chun Liu, Chun-Ting Wu, Bei-Yu Hsieh, Ching-Hua A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants |
title | A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants |
title_full | A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants |
title_fullStr | A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants |
title_full_unstemmed | A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants |
title_short | A Retrospective Cohort Study on the Clinical Characteristics of Patients with Surgical Blunt Bowel and/or Mesenteric Injuries among Motorcyclists and Car Occupants |
title_sort | retrospective cohort study on the clinical characteristics of patients with surgical blunt bowel and/or mesenteric injuries among motorcyclists and car occupants |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323956/ https://www.ncbi.nlm.nih.gov/pubmed/35885849 http://dx.doi.org/10.3390/healthcare10071323 |
work_keys_str_mv | AT hsiehtingmin aretrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT chuangpochun aretrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT liuchunting aretrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT wubeiyu aretrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT hsiehchinghua aretrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT hsiehtingmin retrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT chuangpochun retrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT liuchunting retrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT wubeiyu retrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants AT hsiehchinghua retrospectivecohortstudyontheclinicalcharacteristicsofpatientswithsurgicalbluntbowelandormesentericinjuriesamongmotorcyclistsandcaroccupants |