澳大利亚某地区急诊科十二年来马匹相关创伤登记报告回顾。

IF 1.5 4区 医学 Q3 SURGERY ANZ Journal of Surgery Pub Date : 2024-11-16 DOI:10.1111/ans.19304
Emily K Neville, Christine C Neville, Henry Hicks
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引用次数: 0

摘要

背景:马匹的体型、力量和不可预测性使得任何互动都有可能造成轻微到严重的伤害。尽管如此,马在工作和娱乐活动中仍然很受欢迎。最近有五篇澳大利亚出版物对与马有关的创伤的各个方面进行了研究,但没有一篇是在新南威尔士州(NSW)地区进行的。本研究旨在报告澳大利亚新南威尔士州一家地区医院急诊科就诊者中符合创伤伤害管理研究所(ITIM)创伤登记标准的马匹相关创伤模式:对 2012 年至 2023 年期间从瓦加瓦加基地医院创伤登记处提取的与马有关的创伤进行了分析。对所有患者(n = 85)的人口统计学和临床变量进行了报告和统计评估:队列中位年龄为 46 岁(2-78 岁不等)。男性占 51.8%。最常见的受伤原因是骑马时摔倒(84.7%),其次是未骑马时踢伤(11.7%)。头部(45.9%)和胸部(32.9%)是最常见的受伤部位,头部(45.9%)和骨折(44.7%)是最常见的受伤类型。11.8%的人需要住进重症监护室:结论:与马有关的创伤,无论是骑马还是不骑马,都会造成轻至重伤,并可能需要住院治疗。与马有关的创伤有可能严重影响发病率,导致死亡,因此不可低估。制定马匹相关创伤的诊疗规范,提高人们对这种机制造成的伤害模式的认识,有可能改善诊断并降低发病率。
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Twelve-year review of horse-related trauma registry presentations to a regional Australian Emergency Department.

Background: The size, strength, and unpredictability of horses, makes any interaction a potential situation for minor to severe injury. Despite this, horses continue to be popular for work and recreational activities. There have been five recent Australian publications that have examined various aspects of horse-related trauma, but none have been conducted in regional New South Wales (NSW). This study aims to report on the pattern of horse-related trauma that met the Institute of Trauma Injury Management's (ITIM) Trauma Registry criteria for people who presented to the emergency department at a regional NSW hospital, Australia.

Methods: An analysis of horse-related trauma extracted from the Wagga Wagga Base Hospital's Trauma Registry from 2012 to 2023 was undertaken. Demographic and clinical variables were reported on all people (n = 85) and statistically evaluated.

Results: The cohort median age was 46 years (range 2-78). Males represented 51.8%. Fall from mounted position was the most common mechanism of injury (84.7%) followed by kick while unmounted (11.7%). The head (45.9%) and chest (32.9%) were the most common regions of injury with head (45.9%) and fractures (44.7%) the most common types of injury. 11.8% of people required ICU admission.

Conclusion: Horse-related trauma, whether a person is mounted or unmounted, causes mild to severe injuries and can require hospitalization. Horse-related trauma has the potential to significantly impact morbidity, result in death and must not be underestimated. Establishing a protocol for horse-related trauma presentations and increasing awareness of injury patterns sustained from this mechanism has the potential to improve diagnosis and reduce morbidity.

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来源期刊
ANZ Journal of Surgery
ANZ Journal of Surgery 医学-外科
CiteScore
2.50
自引率
11.80%
发文量
720
审稿时长
2 months
期刊介绍: ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
期刊最新文献
Meconium peritonitis with lanugo due to antenatal colon perforation. Breast cancer related lymphoedema: a review of contemporary preventive strategies. Twelve-year review of horse-related trauma registry presentations to a regional Australian Emergency Department. The abdominal black dread: a rare finding in metastatic malignant melanoma. Transforming Surgical Waiting Lists into Preparation Opportunities: Leveraging Multimodal Prehabilitation to Optimise Surgical Outcomes.
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