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Early Predictors of Severe Injury in Motorcycle Crashes
Journal of the Korean Society of Emergency Medicine ; : 327-333, 2017.
Article Dans Coréen | WPRIM | ID: wpr-56989
ABSTRACT

PURPOSE:

The severity and mortality of motorcycle accidents are higher than those of other traffic accidents. The majority of risk factors for injury severity identified in previous studies are difficult to apply. This study attempted to identify the clinically useful risk factors for predicting severely injured patients presenting to the emergency department after a motorcycle accident.

METHODS:

Motorcycle accident patients who visited a Level I trauma center from October 2015 to March 2017 were analyzed. The patients were classified as the severely injured group (Injury Severity Score, ISS≥16) and non-severely injured group (ISS<16).

RESULTS:

A total of 271 patients were analyzed; 135 (49.8%) patients were included in the severely injured group. Multiple logistic regression analysis was performed with the statistically significant factors between the two groups, including age, systolic blood pressure, heart rate, Glasgow coma scale, alcohol ingestion, and site of injury. The final risk factors predicting severely injured patients were as follows age (adjusted odds ratio [aOR], 1.023; 95% confidence interval [CI], 1.005– 1.041; p=0.011), systolic blood pressure (aOR, 0.981; 95% CI, 0.970–0.993; p=0.002) and site of injury including abdomen (aOR, 5.785; 95% CI, 2.513–13.316; p<0.001), chest (aOR, 4.567; 95% CI, 2.274–9.173; p<0.001), head and neck (aOR, 5.762; 95% CI, 2.656–12.504; p<0.001), and face (aOR, 2.465; 95% CI, 1.229–4.943; p=0.011).

CONCLUSION:

Motorcycle accident patients should be assessed promptly for injury to the chest or abdomen by a careful physical examination and focused assessment with sonography for trauma.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Examen physique / Thorax / Centres de traumatologie / Pression sanguine / Motocyclettes / Accidents de la route / Échelle de coma de Glasgow / Score de gravité des lésions traumatiques / Modèles logistiques / Odds ratio Type d'étude: Etude d'étiologie / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Coréen Texte intégral: Journal of the Korean Society of Emergency Medicine Année: 2017 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Examen physique / Thorax / Centres de traumatologie / Pression sanguine / Motocyclettes / Accidents de la route / Échelle de coma de Glasgow / Score de gravité des lésions traumatiques / Modèles logistiques / Odds ratio Type d'étude: Etude d'étiologie / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Coréen Texte intégral: Journal of the Korean Society of Emergency Medicine Année: 2017 Type: Article