Orthopaedic injuries from snowmobile accidents: a multi-centre analysis of demographics, injury patterns, and outcomes.
Adolescent
Adult
Craniocerebral Trauma
/ epidemiology
Female
Femoral Fractures
/ epidemiology
Fractures, Bone
/ epidemiology
Fractures, Open
/ epidemiology
Humans
Injury Severity Score
Length of Stay
/ statistics & numerical data
Lower Extremity
/ injuries
Male
Middle Aged
Off-Road Motor Vehicles
/ statistics & numerical data
Pelvic Bones
/ injuries
Registries
Retrospective Studies
Rib Fractures
/ epidemiology
Snow Sports
/ injuries
Spinal Fractures
/ epidemiology
Upper Extremity
/ injuries
Wisconsin
/ epidemiology
Young Adult
Extremity injury
Fracture
Orthopaedic trauma
Snowmobile
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
30
04
2019
accepted:
22
07
2019
pubmed:
31
7
2019
medline:
22
4
2020
entrez:
31
7
2019
Statut:
ppublish
Résumé
More than 2 million people in North America use snowmobiles, resulting in an estimated 200 fatalities and 14,000 injuries annually. The purpose of this study is to document the demographics, orthopaedic injury patterns, and short-term outcomes of patients with snowmobile-related injuries. A retrospective review was performed at two regional trauma centres in a region where snowmobile use is prevalent. Patients who sustained snowmobile-related injuries over a 12-year period were identified from the hospitals' trauma registries using E-codes (E820-E820.9). Patient demographics were recorded, as were injury characteristics including rates of substance use, open fractures, Injury Severity Score (ISS), Abbreviated Injury Score (AIS) for the extremities, and mortality. Rates of inpatient surgery, as well as hospital and ICU length of stay (LOS), were also recorded. We identified 528 patients with snowmobile-related injuries. Average age was 37 years, and 418 patients (79%) were male. Eighty-eight per cent of all patients with snowmobile injuries were admitted to the hospital with an average LOS of 5.7 days. Among those admitted to the hospital, average ISS was 12.3, and 28% of these patients had ISS > 15. A total of 261 patients (56%) suffered extremity injuries (including 163 upper and 173 lower extremity fractures) with an average extremity AIS of 2.4. There were 700 total fractures (1.5 per patient), and 9% of all fractures were open. A total of 208 patients (45%) suffered head injuries, and 132 patients (28%) sustained vertebral column fractures. A total of 201 patients (43%) required inpatient surgery, and eight patients (1.7%) sustained fatal injuries. We present a detailed multi-centre analysis of orthopaedic injury patterns and outcomes resulting from snowmobile-related injuries. Patients injured while snowmobiling share similar injury patterns with patients injured in motorcycle and other high-energy motor vehicle accidents.
Identifiants
pubmed: 31359179
doi: 10.1007/s00590-019-02514-3
pii: 10.1007/s00590-019-02514-3
pmc: PMC8048394
mid: NIHMS1686726
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1617-1621Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR002373
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1TR002373
Pays : United States
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