RESUMO
OBJECTIVE: Non-fatal injuries sustained from animal-vehicle collisions are a globally under-recognised road safety issue, with limited data on these crash types. The present study aimed to quantify the number and causes of major trauma events resulting from animal-vehicle collisions. METHODS: The study was a retrospective analysis of major trauma cases occurring in Victoria, Australia, between 2007 and 2016, using data from the population-based Victorian State Trauma Registry. To identify animal-vehicle collisions, Victorian State Trauma Registry injury codes were combined with text-mining of the text description of the injury event. RESULTS: Over the 10 year period, there were 152 major trauma patients who were admitted to Victorian trauma-receiving hospitals due to vehicle collisions with animals. The crude population-based incidence rate for animal-vehicle collisions increased by 6.7% per year (incidence rate ratio 1.07; 95% confidence interval 1.01-1.13; P = 0.02). CONCLUSION: Development of systematic recording methods of animal-vehicle collisions will improve reporting of these crash types to assist future studies in implementing effective countermeasures.
Assuntos
Acidentes de Trânsito/classificação , Ferimentos e Lesões/etiologia , Acidentes de Trânsito/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Criança , Pré-Escolar , Cães/lesões , Feminino , Humanos , Macropodidae/lesões , Masculino , Pessoa de Meia-Idade , Distribuição de Poisson , Sistema de Registros/estatística & dados numéricos , Estudos Retrospectivos , Vitória/epidemiologia , Ferimentos e Lesões/epidemiologiaAssuntos
Anestesia Geral/veterinária , Macropodidae/lesões , Fraturas do Rádio/veterinária , Fraturas da Ulna/veterinária , Anestésicos Intravenosos/administração & dosagem , Animais , Fixação de Fratura/veterinária , Macropodidae/fisiologia , Macropodidae/cirurgia , Masculino , Metadona/administração & dosagem , Midazolam/administração & dosagem , Fraturas do Rádio/complicações , Fraturas do Rádio/cirurgia , Fraturas da Ulna/complicações , Fraturas da Ulna/cirurgiaRESUMO
OBJECTIVE: To determine the feasibility, complications, and clinical outcome of consecutive free trapezius flap transfers in 20 dogs and a wallaby. STUDY DESIGN: Case series. ANIMALS: Dogs (n = 20) and 1 wallaby METHODS: Medical records of 20 dogs and 1 wallaby that had free trapezius flap transfers were evaluated retrospectively for indications, date of transfer, site of flap relocation, flap composition (myocutaneous, muscular, myoosseus), recipient artery and veins, flap ischemia times, surgery time, antithrombotic strategies used, intra- and postoperative complications related to the flap, hospitalization, in hospital duration after flap transfer, and outcome. RESULTS: Free flap transfers (16 muscle, 4 myocutaneous, 1 myoosseus) were used to treat traumatic soft tissue loss (13), neoplasm excision (2), osteomyelitis (4), and soft palate reconstruction (2); all flaps survived. Anti-thrombotic therapy was used in all cases although strategies varied. Postoperative complications were infrequent, generally of low severity, and primarily included donor site seroma formation and infection. CONCLUSIONS: Free trapezius flap was successfully used in 21 consecutive cases for a wide variety of reconstructive techniques with good, functional long-term outcome.