Society of Black Academic SurgeonsEquine-related injury: a retrospective analysis of outcomes over a 10-year period
Section snippets
Methods
The study design was reviewed and approved by the University of Cincinnati Institutional Review Board. Patients with equine-related injuries were identified by the University Hospital Regional Trauma Center Trauma Registry Data Base. A retrospective review of the medical records of these patients from July 1993 to July 2004 was performed. Demographic data collected and analyzed included age, gender, injury severity score (ISS), Glasgow Coma Score, hospital length of stay, surgical
Results
During the 10-year study period, 80 adult patients with equine-related injuries were evaluated by the trauma service at the University of Cincinnati trauma center. Four patients (5%) were discharged home directly from the emergency department. The remaining 76 patients were admitted to the hospital and form the basis of this study. Their demographics are displayed in Table 1. There were an equal number of male and female patients, and the mean age at presentation was 42 ± 1 years (range, 15–81
Comments
The results from this 10-year retrospective review indicate that although mortality from equine-related injury is low, more than half of the injured patients required rehabilitation after discharge from the acute-care facility. Moreover, except for gender predilection, mortality and injury patterns were similar to nationally reported data over the same time period [5]. Importantly, the 3 body regions identified to be most at risk for injury after equine-related activities were the
Summary
Equine-related trauma is associated with high morbidity secondary to the prevalence of musculoskeletal fractures and closed head injuries. As a direct result of the injuries sustained, patients presenting with equine-related trauma are likely to require rehabilitation after discharge from the acute-care facility. Further investigation is necessary to identify high-risk individuals and implement preventative strategies that may minimize annual health care expenditures incurred from
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2020, Legal MedicineCitation Excerpt :Older males have also been found to be at higher risk of injuries in horse-drawn carriage accidents [12]. While the mortality rate of horse-related injures is low (<10%) compared to other types of blunt force trauma, the morbidity may be significant due to severe head and skeletal trauma [9]. The type of injury varies to some extent on the nature of the activity with one US study showing that unmounted equestrians sustained more facial and abdominal trauma, compared to those who were mounted who tended to suffer chest and lower extremity injuries [21].
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2015, Journal of Emergency MedicineCitation Excerpt :Thirty-three percent of our patients required surgery, which is consistent with current literature where surgical rates ranged from 18% to 50% (2,7,9,10,12,13,18,19). Recent literature has emphasized the high rate of extremity orthopedic and spinal procedures (7,9,13,18,21). In contrast, our data revealed the majority of surgical procedures were for pelvic injuries, with 14 procedures in 7 patients.
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