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At least 757 records · Page 42Linked to original sources
PubMed1990

Road traffic accidents in a Swedish municipality.

A continuous all embracing registration of acute, in-patient and out-patient visits at hospitals and primary health care centres, was conducted in Skaraborg County in western Sweden. A special focus was directed at accident cases which account for 20% of the total number of acute visits. The accidents were divided up by environment: home, work, traffic and other. Cases of road traffic accidents have been mapped out in more detail with the help of standardised and structured surveys via telephone interviews, information from hospital records, and death certificates. This study aimed at achieving an increased understanding and knowledge about the accident pattern in the traffic environment in a municipality. Road traffic accidents accounted for 6.5% of all accidents. Cyclists, car drivers, car passengers and pedestrians were the most common victims. Children showed a high frequency of bicycle accidents. There was an increased risk of injury for young car-drivers. Thirty-six per cent were single-accidents. Cars and bicycles dominated among injury-inducing vehicles. Head, arm and knee injuries were most common. Twenty-six per cent of the victims were hospitalized. Safety devices were not used in 10% of cases where they should have been used according to legislation. A comparison of our registration system for road traffic accidents with the official statistics of Sweden reveals a substantial under-reporting of road traffic accidents in the latter. Consequently, a need exists for the surveillance of injuries by the public health services as a basis of injury control.

Accidents, Traffic↗
PubMed2001

Ten years of ice hockey-related-injuries in the German Ice Hockey Federation - A Ten Year Prospective Study/523 International Games -.

Since January 1986 all injuries in players of the German national hockey teams (juniors A/B and seniors A/B), which have occurred during international competitions, have been registrated and evaluated by using a strict definition of injury, standardized reporting strategies and diagnosis by the team physician. Patterns of injury have been identified and correlations between position, zone and cause of injury could be analysed and, as a consequence, measures were taken to prevent them. A total of 147 injuries forcing a consecutive absence from the game during 523 international games of the German national teams were reported. During the 10 year period there was a marked decrease of the total number and incidence of injuries. In addition, injury rate and average absence from game time improved. There were more frequent concussions of the brain but the total number of facial injuries dropped after the introduction of a visor and the full face mask especially in junior hockey. The forward was the position most at risk to be injured and most injuries were caused by players contact.

Arm Injuries↗
PubMed1987

Aspects of traumatology in ice hockey.

Ice hockey is the fastest team game played and is also considered to be one of the roughest of all sports, with a high injury incidence. Injuries and their causes were recorded by the questioning of players in the first league of the Federal Republic of Germany. Eighty-eight out of a total of 207 first league players were included in this study. Head injuries were found to occur most frequently: however, lesions of the shoulders and of the upper and lower extremities had a more detrimental effect. The links between causes and mechanisms of the different kinds of injuries make it clear that a marked tightening of the rules and an improvement in protective clothing would serve to reduce the incidence of injuries in ice hockey.

Arm Injuries↗
PubMed1993

Double disruptions of the superior shoulder suspensory complex.

The superior shoulder suspensory complex (S.S.S.C.), a bony/soft tissue structure, is important both for its role as an intact unit and for the individual components that make up this unit. Traumatic "double disruptions" of the S.S.S.C. frequently create an unstable anatomic situation with adverse long-term healing and functional consequences. This "double disruption" principle underlies, unites, and allows one to understand several well-described but difficult-to-treat shoulder injuries that have previously been described in isolation. Injuries to the S.S.S.C. require careful radiologic evaluation for the possible presence of a "double disruption." If displacement is unacceptable, surgical reduction and stabilization of one or more of the injury sites is necessary.

Adult↗
PubMed1971

Electrical injury.

Explore the source record for details and available documents.

Acute Kidney Injury↗
PubMed1975

Injury patterns in motorcycle collisions.

This report describes the incidence, nature, and severity of trauma for injuried and medically treated motorcyclists in Sacramento County, California in 1970. Using official police reports, hospital admission, and emergency-room medical records, 1,273 persons with a confirmed medically treated motorcycle injury were identified. Since less than 39% of all injured motorcyclists were identified in this study by use of official police reports only, statistics which rely solely on these reports greatly underestimate the frequency of motorcycle collision injuries in the community. The annual injury incidence was 2.0 per 1,000 population, with peak incidence injury rate for male drivers 18 years of age. Slightly more than 4% of all registered motorcycles were involved in an injury-producing collision in a single year. Almost 45% of injured motorcyclists suffered a serious injury, with injuries to the musculoskeletal system in the form of fractures being the most common. The average length of hospital stay was 12 days, and three-fourths of those injured indicated one or more days of disability. Physicians should be alert to the fact that persons injured in motorcycle collisions commonly sustain multiple fractures and other serious injuries.

Abdominal Injuries↗
PubMed1985

Necrotizing fasciitis in contused areas.

Four patients are presented who sustained blunt trauma and later developed necrotizing fasciitis in the areas of contusion, associated with the distant locus of sepsis. Three of the cases developed acute renal failure and later died. Early recognition of this condition allows prompt debridement beyond the margins of involved necrotic fascia, followed by wound inspection 8-hourly, and treatment with antibiotics, most recently third-generation cephalosporins, piperacillin, amikacin, and vancomycin.

Acute Kidney Injury↗
PubMed2005

The association between restraint system and upper extremity injury after motor vehicle collisions.

OBJECTIVES: This study was designed to investigate the relationship between upper extremity (UE) injuries and occupant restraint systems among front seat occupants who were involved in frontal motor vehicle collisions (MVCs). DESIGN: Case-control. SETTING: The 1995 through 2002 National Automotive Sampling System (NASS) Crashworthiness Data System (CDS). PARTICIPANTS: Subjects were identified from the NASS-CDS. All cases sustained an UE injury with a > or = 2 Abbreviated Injury Scale Score. OUTCOMES: Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated comparing risk of UE in 3 mutually exclusive restraint system groups (seatbelt-only, airbag-only, seatbelt-airbag-combined) to the unrestrained group. Data analysis was adjusted for significant occupant, vehicle, and collision characteristics. RESULTS: Seatbelt-only occupants had a reduced UE injury risk (OR, 0.41; 95% CI, 0.22-0.76). Near null associations were found for airbag-only (OR, 1.1; 95% CI, 0.68-1.76) and seatbelt-airbag-combined (OR, 0.97; 95% CI, 0.56-1.69). CONCLUSION: The results of this study suggest that UE injuries may become more common as a result of MVCs as the proportion of airbags in motor vehicles increases.

Abbreviated Injury Scale↗
PubMed1994

Hospital inpatient costs resulting from road crashes in Western Australia.

The purpose of this study was to estimate the inpatient costs of road crashes in Western Australia, and to investigate factors relating to casualties and their injuries that affect the hospital costs resulting from road crashes. All road crash casualties who were injured severely enough to be hospitalised in Western Australia in 1988 were included. A casemix classification system was used to classify patients into diagnostic related groups. Hospital costs were assigned to individual patients on the basis of their diagnostic related group and length of hospital stay. The annual cost of hospital treatment for road crash casualties was estimated as $13.9 million, and 33 per cent of this was incurred by those with lower extremity injuries and 27 per cent by those with head injuries. Hospital costs per casualty ranged from an average of $1388 for those sustaining minor (Abbreviated Injury Scale severity score of 1 or 2) spinal injuries to $16,580 and $33,424, respectively, for those sustaining severe (Abbreviated Injury Scale severity score of 4 or 5) head and spinal injuries. A multivariate analysis of variance revealed the following factors as having a significant independent effect on the hospital inpatient costs of road crash casualties: type of hospital (teaching or nonteaching), body region of injury, injury severity level and road user group. There were also significant interaction effects between different factors. Since hospital inpatient costs vary considerably across factors, using average cost data in the specific economic evaluation of road safety interventions for groups of road users is inappropriate.

Abbreviated Injury Scale↗
PubMed1980

Injuries presenting from rugby union football.

During the 1979 rugby union season, 221 club and representative matches were played at Ballymore in Brisbane. From these matches, 271 players presented with injury to the medical officer on duty. The rate of injury was 0.032 injuries per player-hour (that is, 1.23 injuries per game, or 0.041 injuries per player appearance). Facial lacerations accounted for one-third of all injuries and one-half of all injuries were to the head and neck. Both lower and upper limbs were sites for around 20% of injuries. Two thirds of injuries were of a minor nature. There were no deaths and no permanently incapacitating injuries. One player required emergency reduction of a dislocated hip, eight patients had semi-elective surgery and one had elective surgery. There was a significant trend of increasing grades of play. The site, nature and severity of injury is presented and related to the position and grade of the player. A system for classifying the severity of injury is suggested.

Adolescent↗
PubMed1975

[Fatal traffic accidents in pedestrians].

The author analyzed a group of 156 pedestrians (70 men and 86 women) above 50 years (Me = 72 years in men and 72.5 years in women) who died in 1967-1972 as a result of traffic accidents in the catchment area of the University Hospital in Prague 10. Head injuries were recorded in 73%, injuries of the chest in 62%, of the abdomen in 30%, of the spine in 26%, of the pelvis in 52%, of the upper extremities in 26% and of the lower extremities in 51% of the injured. In 20 (12.8%) a single injury was involved, in 136 (97.2%) multiple injuries, most frequently injuries of three parts of the body were observed - in 43 (27.5%) of the injured. The curve illustrating the number of surviving subjects in relation to the time which had elapsed since the injury displayed two definite and two indicated inflexions suggesting increased lethality. The first definite inflexion was between the second and third hour after injury and in those who died during this period fractures of the spine, bones of the lower extremities and pelvic bones with retroperitoneal bleeding were more frequent. The second definite inflexion was 36-48 hours after injury and in the patients pulmonary complications (atelectases, incipient inflammations) were more frequent. The indicated inflexion which was on the 9th day after injury was due to bronchopneumonias which were often observed at that time. Due to the small number of observations the authors were unable to interpret the infexions found on the 7th and 11th day after injury.

Abdominal Injuries↗