TY - JOUR T1 - Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2021-000728 VL - 6 IS - 1 SP - e000728 AU - Kevin Mutore AU - Jiyun Lim AU - Demba Fofana AU - Annelyn Torres-Reveron AU - Jeffrey J Skubic Y1 - 2021/09/01 UR - http://tsaco.bmj.com/content/6/1/e000728.abstract N2 - Objective There is a paucity of evidence about traumatic injuries and their sequelae sustained due to equestrian injuries nationally.Methods Retrospective study analyzing National Trauma Data Bank data from 2007 to 2016. Variables collected included age, sex, race, payer status, Injury Severity Score (ISS), hospital length of stay, Glasgow Coma Scale, systolic blood pressure (SBP) at presentation, discharge disposition, and mortality. Patient data were analyzed by anatomic region.Results The most frequent type of injury was in the thorax, but head and neck injuries produced the highest mortality. Increased ISS and an SBP of less than 90 mm Hg were also significant predictors of mortality.Conclusions The risk of hospital admission from equestrian injuries is higher than football, motor vehicle racing, and skiing. Preventive measures and campaigns should be instituted to highlight safety practices and the use of personal protective equipment while on horseback either for sports, leisure, or work.Level of evidence Level IV. Retrospective study.Data may be obtained from a third party and are not publicly available. The data were derived from the National Trauma Data Bank from the American College of Surgeons. The data sets used herein can be obtained by written request to the corresponding author. ER -