Escalator-related injuries in one of the deepest subway stations in Europe.
Accidental Falls
/ statistics & numerical data
Adolescent
Adult
Aged
Body Mass Index
Elevators and Escalators
/ statistics & numerical data
Emergency Service, Hospital
/ statistics & numerical data
Europe
/ epidemiology
Female
Humans
Male
Middle Aged
Overweight
/ complications
Railroads
Retrospective Studies
Turkey
/ epidemiology
Wounds and Injuries
/ epidemiology
Young Adult
Journal
Annals of Saudi medicine
ISSN: 0975-4466
Titre abrégé: Ann Saudi Med
Pays: Saudi Arabia
ID NLM: 8507355
Informations de publication
Date de publication:
Historique:
entrez:
8
4
2019
pubmed:
8
4
2019
medline:
7
1
2020
Statut:
ppublish
Résumé
Escalator-related injuries (ERI) have emerged as a new injury type due to the frequent use of escalators in Metro stations. Investigate ERI in the stations on the Marmaray metro line. Retrospective, observational study. Patients admitted to the emergency department of a training and research hospital. All patients with ERI were included in the study. We analyzed demographic characteristics, injury type and anatomical location of injury, Glasgow coma score, and body mass index (BMI). Patients were grouped by BMI: underweight (BMI less than 18.5 kg/m2), normal weight (BMI=18.5-24.9 kg/m2), overweight (BMI=25-29.9 kg/ m2) and obese (BMI greater than or equal 30kg/m2). Injury characteristics and BMI values of patients with ERI. 82 patients. The mean age was 45.1 (15.5) years (range:14-77 years). Forty-two were women (52.5%). The mean BMI was 26.7 (2.2) kg/m2 (range: 22.1-33.3 kg/m2)]. Most of the patients who were injured due to escalators were older than 50 years (n=39, 47.6%) and 77.5% (n=62) of all patients were overweight. There was a significant relationship between increased BMI and serious ERI (P=.010, OR: 1.85, 95% C.I: 1.132.65). The most frequent mechanism of injuries was a fall (97.6%). The majority of injuries were the head (42%) and extremity injuries (33%). The major type of ERI was soft tissue injuries (41.3%), followed by lacerations (20.7%), closed head injuries (18.5%), fractures (15.2%) and serious injuries (4.4%). Serious injuries were more prevalent in patients aged older than 50 years (P less than .05), and in overweight and obese individuals (P less than .001) CONCLUSION: Novel protective measures against ERI should be developed for crowded subway stations. The small sample size and retrospective nature. None.
Sections du résumé
BACKGROUND
BACKGROUND
Escalator-related injuries (ERI) have emerged as a new injury type due to the frequent use of escalators in Metro stations.
OBJECTIVES
OBJECTIVE
Investigate ERI in the stations on the Marmaray metro line.
DESIGN
METHODS
Retrospective, observational study.
SETTING
METHODS
Patients admitted to the emergency department of a training and research hospital.
PATIENTS AND METHODS
METHODS
All patients with ERI were included in the study. We analyzed demographic characteristics, injury type and anatomical location of injury, Glasgow coma score, and body mass index (BMI). Patients were grouped by BMI: underweight (BMI less than 18.5 kg/m2), normal weight (BMI=18.5-24.9 kg/m2), overweight (BMI=25-29.9 kg/ m2) and obese (BMI greater than or equal 30kg/m2).
MAIN OUTCOME MEASURES
METHODS
Injury characteristics and BMI values of patients with ERI.
SAMPLE SIZE
METHODS
82 patients.
RESULTS
RESULTS
The mean age was 45.1 (15.5) years (range:14-77 years). Forty-two were women (52.5%). The mean BMI was 26.7 (2.2) kg/m2 (range: 22.1-33.3 kg/m2)]. Most of the patients who were injured due to escalators were older than 50 years (n=39, 47.6%) and 77.5% (n=62) of all patients were overweight. There was a significant relationship between increased BMI and serious ERI (P=.010, OR: 1.85, 95% C.I: 1.132.65). The most frequent mechanism of injuries was a fall (97.6%). The majority of injuries were the head (42%) and extremity injuries (33%). The major type of ERI was soft tissue injuries (41.3%), followed by lacerations (20.7%), closed head injuries (18.5%), fractures (15.2%) and serious injuries (4.4%). Serious injuries were more prevalent in patients aged older than 50 years (P less than .05), and in overweight and obese individuals (P less than .001) CONCLUSION: Novel protective measures against ERI should be developed for crowded subway stations.
LIMITATIONS
CONCLUSIONS
The small sample size and retrospective nature.
CONFLICT OF INTEREST
BACKGROUND
None.
Identifiants
pubmed: 30955019
doi: 10.5144/0256-4947.2019.112
pmc: PMC6464668
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
112-117Références
Am J Prev Med. 2005 Jul;29(1):41-5
pubmed: 15958250
Accid Anal Prev. 2006 Jul;38(4):662-70
pubmed: 16434013
Pediatrics. 2006 Aug;118(2):e279-85
pubmed: 16882773
J Trauma. 2008 Feb;64(2):406-11
pubmed: 18301206
Accid Anal Prev. 2008 Mar;40(2):527-33
pubmed: 18329403
J Trauma. 2009 Jan;66(1):226-31
pubmed: 19131831
J Orthop Trauma. 2009 Oct;23(9):634-9
pubmed: 19897984
J Pediatr Orthop. 2010 Jul-Aug;30(5):414-9
pubmed: 20574255
J Safety Res. 2012 Apr;43(2):133-6
pubmed: 22709999
West J Emerg Med. 2013 Mar;14(2):141-5
pubmed: 23599850
Ulus Travma Acil Cerrahi Derg. 2016 Sep;22(5):457-465
pubmed: 27849322
Accid Anal Prev. 2019 Jan;122:332-341
pubmed: 29078983
Bull Emerg Trauma. 2018 Jan;6(1):64-70
pubmed: 29379812
J Gerontol A Biol Sci Med Sci. 1997 Mar;52(2):M80-7
pubmed: 9060974
Pediatrics. 1997 Aug;100(2):E2
pubmed: 9233973