Abstract:
:Fatalities or injuries following motorized and non-motorized vehicle accidents (MNMVA) are reported by police or health care systems. However, limited data exist for spinal injuries. Using an epidemiological database of road accidents occurring in a defined geographic area, we measured the incidence of major spinal trauma (MST, Abbreviated Injury Scale [AIS] score 2 or more), spinal cord injury (SCI, AIS score 4 or more), and associated lesions over a 10-year period (1997-2006). Among the 97,341 victims included, 21,623 (22.2%) suffered spinal trauma, but only 1523 (1.6%) and 144 (0.2%) sustained an MST or SCI, respectively, and among those 10% and 43% died, respectively, before reaching hospital facilities. Men were more likely to have SCI and die. Cervical injuries were more frequently observed for SCI (58%) than for MST (39%; p < 0.001). Motorcyclists were overrepresented in SCI (33%) compared to MST (21%; p < 0.001), and were at significant risk for fatality. Non-restrained car occupants were at risk of MST and SCI, whereas motorcyclists wearing helmets were not. The chest was the most frequently-injured body region. Nearly half of MNMVA victims suffering SCI die quickly after the crash. Young age, male gender, a motorcyclist, and non-restrained car occupant were risk factors for serious injury. These groups should be targeted in specific programs to decrease fatalities, spinal trauma, and SCI after MNMVA.
journal_name
J Neurotraumajournal_title
Journal of neurotraumaauthors
Lieutaud T,Ndiaye A,Frost F,Chiron M,Registry Group.doi
10.1089/neu.2009.1197subject
Has Abstractpub_date
2010-06-01 00:00:00pages
1101-7issue
6eissn
0897-7151issn
1557-9042journal_volume
27pub_type
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journal_title:Journal of neurotrauma
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究
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更新日期:2015-04-01 00:00:00
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journal_title:Journal of neurotrauma
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journal_title:Journal of neurotrauma
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更新日期:2004-01-01 00:00:00
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journal_title:Journal of neurotrauma
pub_type: 杂志文章,评审
doi:
更新日期:1992-03-01 00:00:00
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journal_title:Journal of neurotrauma
pub_type: 杂志文章
doi:10.1089/neu.2008-0856
更新日期:2009-08-01 00:00:00
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journal_title:Journal of neurotrauma
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更新日期:2012-03-20 00:00:00
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journal_title:Journal of neurotrauma
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更新日期:2007-09-01 00:00:00
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更新日期:2013-06-01 00:00:00
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journal_title:Journal of neurotrauma
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