Proportion Of Injuries Research Articles

The Rapid Escalation of Fractures and Hospital Admissions from Electric Bicycle Injuries in the United States: An Analysis of National Injury Data from 2019 to 2023.

To examine the characteristics, trends, and attributes of fractures sustained by electric bicycle riders and assess the recent healthcare burden in terms of hospital admissions. Design: Retrospective review. National sample of 100 emergency departments (EDs) in the United States (US). The National Electronic Injury Surveillance System (NEISS) was queried for ED presentations with fractures related to e-bicycles between January 1st 2019 and December 31st 2023. The clinical narrative associated with each case was reviewed to exclude cases unrelated to fractures sustained by e-bicycle riders. NEISS data is a probability sample of US hospitals; each observed sample has an associated weight enabling a population estimate for each individual sample. Sample weights were determined by NEISS using factors that influence likelihood of selection such as hospital size and geographic locations. US population projections (weighted cases) of fractures and admissions were obtained by summing the weights of raw, unweighted NEISS sampled injuries. Pearson's chi-squared tests were applied to determine differences in injury characteristics among subjects who were admitted to the hospital and those who were not admitted. A total of 22,432 e-bicycle fractures occurred in the US from 2019 to 2023, which was a weighted population estimate from 520 raw, unweighted NEISS samples. The number of fractures and admissions increased by 2,371% and 3,146% in 2023, respectively, compared to 2019. Collision with a motor vehicle occurred in nearly one-fourth of fractures, and motor vehicle involvement was significantly associated with hospital admission (36.4% v. 25.1%; p=0.01). Overall, 27.7% of e-bicycle fractures were admitted to the hospital. Upper leg fractures had the highest association with admission (90.7% admission rate) but only consisted of 2.7% of all fractures. The most common fracture location in riders aged <18 was the wrist, while the 35-55 age group and >55 age group were most likely to possess upper trunk fractures (cervical spine, thoracic spine, ribs, sternum). The 18-34 age group and 35-55 age group most commonly sustained fractures involving motor vehicles (29.7% and 28.7%, respectively), but the 18-34 age group possessed a significantly higher rate of overall admission among all age groups (p=0.04). There has been a substantial increase in fractures and resource utilization as a result of hospital admissions from e-bicycle riding from 2019-2023. The majority of fractures occurred above the waist, although lower extremity injuries more commonly resulted in admission, and riders aged 35-55 sustained the largest proportion of injuries. Prognostic Level III.

The severely injured older patient: identifying patients at high risk for mortality using the Dutch National Trauma Registry

PurposeThe incidence of severely injured older trauma patients is increasing globally, portraying high mortality rates. Exploring the demographics and clinical outcomes of this subgroup is essential to further improve specialised care at the right place. This study was performed to identify severely injured older patients at high risk for mortality by examining their characteristics and identifying prognostic factors contributing to mortality.MethodsA retrospective cohort study was conducted using data from the Dutch National Trauma Registry to identify all trauma patients aged 70 years and older from 2016 to 2022. Subgroup analyses for characteristics and outcomes were performed based on Injury Severity Score (ISS) 16–24 and ISS ≥ 25, as well as age groups of 70–79, 80–89 and ≥ 90 years. A logistic, backwards regression analysis was performed to identify predictors for mortality within each ISS groups.ResultsIn total, 10,901 patients were included. The mean age was comparable between the ISS groups (80.48 ± 6.8 vs. 80.54 ± 6.6 years). The main trauma mechanisms in both the ISS 16–24 and ISS ≥ 25 were low energy falls and bicycle accidents. The head and thorax were the most frequently injured body regions, with a significantly higher proportion of severe head injuries in the ISS ≥ 25 group (32.6% vs. 73.4%). Mortality rates increased significantly with higher injury severity (13.9% vs. 48.9%) and advancing age (22.6% vs. 32.4% vs. 35.8%). The most significant predictors of mortality in the ISS 16–24 group were an increase in ASA score and a GCS 3–8 at arrival (OR for GCS: 7.2 (95% CI 5.7–9.1), AUC 0.76). Similarly, in the ISS ≥ 25 group, an increased ASA score and a GCS 3–8 at arrival were the most significant predictors of mortality as well (OR for GCS: 10.8 (9.1–12.9), AUC 0.79). Although increasing age was also associated with a higher risk of mortality in both ISS groups, its impact was less significant than the aforementioned variables.ConclusionSevere injuries in older patients are predominantly caused by low energy falls and bicycle accidents, leading to high mortality rates. A low GCS at arrival and high ASA scores are most strongly associated with an increased risk for mortality. Notably, despite the prevalence of severe injuries among the oldest patients, the proportion of intensive care unit admissions decreases markedly with age. This raises the question what feasible care for these often frail patients should comprise of and where this care should be provided, especially for those with severe pre-existent comorbidities.Level of evidence and study typeLevel III, prognostic/epidemiological.

Concussion in high school sports: findings from injury surveillance.

We aimed to examine the epidemiology of concussions within high school (HS) boys' and girls' sports, and to assess the incidence of concussion within HS sports during the timespan inclusive of the COVID-19 pandemic. We analyzed data captured within High School Reporting Information Online (HS RIO) during 2018/19-2022/23. Injury counts, rates (enumerated per 10,000 athlete-exposures (AEs)), and proportions were used to describe injury characteristics by sport, event type, injury mechanism, and injury history. Injury rate ratios (IRR) and accompanying 95% Confidence Intervals (CIs) were used to evaluate differential injury incidence across event types and sports. A total of 4663 concussions were reported during the study period (Rate = 3.50 per 10,000 AEs). Overall rates were highest in boys' football (8.22 per 10,000 AEs) and girls' soccer (6.11 per 10,000 AEs). Among sex-comparable sports, overall concussion rates were higher in girls' sports as compared with boys' sports (IRR = 2.15; 95%CI = [1.94, 2.37]). Concussion rates fluctuated across the study period and were lower during the COVID-19-impacted seasons, as compared with neighboring years. Our findings underscore the necessity for continuous surveillance of concussions in HS sports and suggest that concussion incidence in girls' sports warrants targeted attention. Sport-related concussions are a significant concern, particularly in youth athletics, with changes to concussion management and the impact of the COVID-19 pandemic necessitating a re-evaluation of concussion incidence and management in high school sports. In this surveillance study (2018/19-2022/23), boys' football and girls' soccer had the highest concussion rates, with a decrease in incidence observed during the COVID-19 pandemic as compared with surrounding years. The incidence of concussions in girls' sports requires increased scrutiny, especially due to an overall increase in incidence density observed after an initial decrease during the COVID-19 pandemic.

Eye injuries and defective vision in school and club sports - Arguments for DIN-approved glasses suitable for school sports

Visual deficits/ametropia are particularly significant obstacles in sports because the visual system controls/corrects all of an athlete's movements. However, athletes are at increased risk for eye injuries caused by high-velocity objects e.g. balls or physical contact with opponents. This article presents the current (German) figures on eye injuries in club and school sports and evaluates the risk of eye injuries in various sports.2392 eye injuries, selected from the 221273 club sports injuries recorded in the Ruhr University Bochum and ARAG Sports Insurance database for the period 1987-2017 were evaluated. The school sports eye injuries recorded by the German Social Accident Insurance for 2019 were also analyzed.Of all the club sports injuries recorded, 1.08% were eye injuries; of these, 19.7% had to be treated in hospital, 13.9% required surgery, and 56.9% prevented the injured athletes from working. Blunt trauma was the most common cause of injury, comprising more than 50% of cases. Eye injuries were strongly overrepresented in club sports injuries sustained during water polo, squash, badminton, and tennis (injury proportion ratio [IPR] = 5.1-8.8). In school sports, eye injuries comprised 1.83% of the reported cases.Eye injuries in sports are relatively rare, but often serious. Based on the increased IPR found for some sports, further studies must analyze the risk of eye injury in more detail. Eye protection in the form of sport-appropriate glasses should be used.In addition, the article addresses the problem of "defective vision in sport" and its adequate correction and shows the requirements for spectacles suitable for (school) sport using the example of DIN 58184 "Spectacles suitable for school sports - Requirements and test methods".

ANALYSIS OF EYE TRAUMA OVER THE 5 YEARS BASED ON THE DATABASE OF THE NATIONAL OPHTHALMOLOGY CENTRE NAMED AFTER ACADEMICIAN ZARIFA ALIYEVA

Purpose – to analyze the frequency of occurrence, the structure and dynamics of ophthalmic injuries based on patients referrals to the National Ophthalmology Centre named after Academician Zarifa Aliyeva (NOC). Material and methods Based on NOC reporting forms according to outpatient (form №25) and inpatient cards (form f-003/u) for 2019-2023. The dynamics of the incidence of injuries to the organ of vision and the indicator of the structure of ophthalmic injuries, gender and age characteristics of appealability were studied. According statistical reporting, the age of the patients was standardized into two categories: “0-18 years” and “over 18 years”. Statistical data processing was carried out using the MSO Excel software package. Results According to statistics, over the years there has been a decrease in the number of patient visits and hospitalizations with eye injuries. On average, 72.9±5.8% of all applied patients were men. In 2022-2023, there is a growing trend in the proportion of women with eye injuries. The proportion of household injuries is statistically significantly higher among the age category “0-18 years” compared to older patients. An increase in the proportion of eye injuries indicates the need to take effective measures to work with the population in order to reduce ophthalmic injuries in general. Conclusion The material obtained in this work dictates the need for a more detailed study of not only the causes of injuries to the organ of vision among patients who applied, but also the timeliness of treatment, the structure and type of the injury, its possible complications due to the development of a secondary infection, etc. Key words: ophthalmic injuries, structure of ophthalmic traumatism, National Ophthalmology Centre named after Academician Zarifa Aliyeva

Obstetric Outcomes by Hospital Volume of Operative Vaginal Delivery

Characterizing hospital-level factors associated with adverse outcomes following operative vaginal delivery (OVD) is crucial for optimizing obstetric care. To assess the association between hospital OVD volume and adverse outcomes. This was a retrospective cohort study of OVDs in California between 2008 and 2020. OVD was determined using birth certificate and International Classification of Diseases, Ninth Revision, Clinical Modification or International Statistical Classification of Diseases, Tenth Revision, Clinical Modification codes. This study used linked vital statistics and hospital discharge data from California. The study included singleton, nonanomalous, full-term deliveries with vertex presentation. Data analysis was performed between June 10 and October 23, 2024. Hospital OVD volume was categorized by the proportion of OVDs performed among all deliveries, grouped into low (<5.2%), medium (5.2%-7.4%), and high (≥7.4%) volume. Adverse outcomes for birthing individuals included obstetric anal sphincter injuries, cervical lacerations, and postpartum hemorrhage. Neonatal outcomes included shoulder dystocia, subgaleal hemorrhage, intracranial hemorrhage, facial nerve injury, and brachial plexus injury (BPI). χ2 and multivariable Poisson regression analyses were used to assess the association between hospital OVD volume and outcomes. Among 306 818 OVDs (mean [SD] birthing parent's age, 28.5 [6.2] years; 155 157 patients with public insurance [50.6%]), hospitals with low OVD volume had an increased proportion of obstetric anal sphincter injury compared with hospitals with medium and high volumes (12.16% [7444 patients] vs 11.07% [10 709 patients] vs 9.45% [14 064 patients]). Hospitals with low volume also had a higher proportion of adverse neonatal outcomes, including shoulder dystocia (3.84% [2351 patients] vs 3.50% [3386 patients] vs 2.80% [4160 patients]), subgaleal hemorrhage (0.27% [165 patients] vs 0.18% [172 patients] vs 0.10% [144 patients]), and BPI (0.41% [251 patients] vs 0.30% [291 patients] vs 0.20% [301 patients]) compared with hospitals with medium and high volume. In multivariable analyses, low OVD volume remained associated with increased risk of obstetric anal sphincter injury (adjusted risk ratio [aRR], 1.36; 95% CI, 1.14-1.62), shoulder dystocia (aRR, 1.30; 95% CI, 1.10-1.52), subgaleal hemorrhage (aRR, 2.57; 95% CI, 1.55-4.24), and BPI (aRR, 1.73; 95% CI, 1.30-2.2.29) compared with hospitals with high OVD volume. After multivariable analysis, medium OVD volume remained associated with increased risk of subgaleal hemorrhage (aRR, 1.72; 95% CI, 1.04-2.86) and BPI (aRR, 1.35; 95% CI, 1.02-1.79) compared with high OVD volume. This study found that undergoing OVD at hospitals with low OVD volume was associated with adverse perinatal outcomes compared with hospitals with medium and high OVD volumes. Further exploration of the reasons for these differences and prevention of these differences is needed to improve obstetric outcomes.

Impact of the COVID-19 pandemic on epidemiological and clinical characteristics of inpatients with burns in a Northwest China burn centre: a retrospective study

ObjectiveThis study aimed to assess the impact of the COVID-19 pandemic on the characteristics and outcomes of patients with burns in a burn centre situated in Northwest China.DesignA retrospective descriptive...

Evaluation of the Impact of Helmet Use on the Severity of Traumatic Brain Injury

Introduction: Traumatic brain injuries are a leading cause of morbidity and mortality among motorcyclists, especially in Nepal, where two-wheeler vehicles are highly prevalent. This study investigates the association between helmet use and the severity of traumatic brain injuries in motorcyclists presenting to a tertiary care hospital. Aims: To evaluate the impact of helmet use on the severity of traumatic brain injuries and associated clinical outcomes. Methods: A prospective cohort study was conducted on 150 motorcyclists admitted to Kathmandu Medical College Teaching Hospital between July and September 2023. Data on demographic and clinical characteristics, including age, gender, mechanism of injury, alcohol or drug use, and injury severity, were collected. The Glasgow Coma Scale scores and imaging findings were analyzed to assess traumatic brain injury severity. Statistical tests, including chi-square and logistic regression, were employed to evaluate the association between helmet use and injury outcomes. Results: Among 150 participants, 87 (58%) were helmeted, and 63 (42%) were non-helmeted. The mean age was 32.8 years (SD = 11.2). Helmeted patients had significantly higher Glasgow Coma Scale scores (13.2 vs. 8.4, p &lt; 0.001) and were more likely to experience mild or moderate traumatic brain injuries (90%) compared to non-helmeted patients, who had a higher proportion of severe injuries (60%). Imaging revealed that helmeted patients had a lower incidence of intracranial hemorrhage (25% vs. 75%) and contusions (15% vs. 60%) (p &lt; 0.001). Conclusion: Helmet use significantly reduces the severity of traumatic brain injuries, as evidenced by higher Glasgow Coma Scale scores, lower intracranial hemorrhage rates and reduced likelihood of severe injuries. These findings emphasize the need to promote helmet use to mitigate the burden of traumatic brain injuries in Nepal.

Health problems and injury management in adolescent handball: the Safeplay one-season cohort study of 679 players

ObjectivesTo assess (1) the 1-year prevalence of previous shoulder, knee and ankle injuries; (2) the in-season prevalence proportion (prevalence) of injuries and illnesses, injury incidence rate (ir) and injury burden...

Using Self-Reported Training Characteristics to Better Understand Who Is More Likely to Sustain Running-Related Injuries Than Others: The Garmin-RUNSAFE Running Health Study.

Running is a popular form of physical activity, yet it comes with risks, including running-related injuries (RRIs). This cohort study aimed to use self-reported baseline data on running experience, weekly running frequency, greatest running distance in 1 week, and running program to investigate if certain adult runners were more likely to sustain RRI than others. Runners, aged ≥ 18 years, familiar with the English language and using a Garmin watch to track their running were included. Running data and injury status were collected prospectively through the Garmin Connect application and weekly questionnaires over 18 months. Exposure variables were self-reported running experience (years), weekly running frequency and distance, and use of structured running program (last 3 months before inclusion). The outcome was RRI. Time to event statistics was used to calculate cumulative risk differences (cRD) within groups of each exposure. Data were analyzed at 1000 km (km). A total of 7391 runners were included. The cumulative injury proportion was 57.8% [95% CI: 56.4%; 59.2%] after 1000 km. Those running > 105 km (cRD = -31.6, 95% CI -23.1; -40.1), 7 times per week (cRD = -47.1, 95% CI -35.9; -58.3) and followed a structured running program (cRD = 4.4; 95% CI 0.9; 7.8) had the fewest new RRIs. For running experience, those with few (< 1 years) or many years (> 40 years) of experience had the most RRIs. Runners were more prone to sustain an RRI if they had few (< 1) or many (> 40) years of running experience, lower total weekly running frequency (< 2 times/week), shorter weekly running distance (< 25 km), or did not use a structured running program.

Effect of SARS-CoV-2 infection on liver function in patients with hepatitis B

ObjectiveTo investigate the impact of SARS-CoV-2 infection on liver function and prognosis in patients with HBV infection.MethodsA total of 154 HBV-positive patients (HBV ( +) group) and 154 HBV-negative patients (HBV (-) group) diagnosed with COVID-19 at Taizhou Hospital between December 10, 2022, and January 31, 2023, were included in this study. Clinical characteristics, treatment, and laboratory findings were collected from patients at three time points: before (T1), during (T2), and at the time of discharge (T3) from SARS-CoV-2 infection.ResultsCompared to the HBV (-) group, the HBV ( +) group had a longer hospital stay (15 (9–22) days vs. 9 (5–16) days). Longitudinal comparisons of laboratory indicators from T1 to T3 showed a continuous decline in TP and ALB levels and a continuous increase in PT and TT levels in the HBV ( +) group. BUN levels increased during T2 and decreased thereafter. These differences were considered statistically significant (P < 0.05). Notably, the HBV ( +) group had a higher proportion of indicators elevated > 3 ULN from T1 to T2, including ALT (1.95%/5.19%), AST (3.25%/12.99%), ALP (1.95%/3.25%), GGT (4.55%/9.09%), TBIL (6.49%/9.09%), and DBIL (18.18%/22.73%). In the HBV (-) group, the elevations were mainly concentrated within 1–2 ULN, including AST (12.99%/22.08%), DBIL (10.39%/21.43%), BUN (12.99%/22.08%), CREA (20.13%/29.22%), and PLT (7.79%/14.94%). Furthermore, the incidence of liver injury from T1 to T3 was higher in the HBV ( +) group compared to the HBV (-) group (15.7% (20/127) vs. 7.2% (11/152), P < 0.05). Multivariate analysis showed that liver cirrhosis (HR = 4.847, 95% CI: 1.224–19.20, P = 0.025) and liver cancer (HR = 8.333, 95% CI: 2.156–32.209, P = 0.002) were independent risk factors for liver injury in the presence of SARS-CoV-2 infection.ConclusionSARS-CoV-2 infection has a higher proportion of liver injury in HBV-infected patients, affecting hepatic protein synthesis function. Those with cirrhosis and hepatocellular carcinoma are at higher risk of severe liver injury.

Epidemiology of Musculoskeletal Injuries in Professional Ballet Dancers at the Opéra de Paris.

To describe the incidence, location, and type of musculoskeletal injuries in ballet dancers at the Opéra de Paris from 2018 to 2023 and to evaluate the effect of COVID-19 on injury incidence. Descriptive Retrospective Study. Primary. Professional ballet dancers registered at the Opéra de Paris across 5 seasons (September 1, 2018-June 30, 2023). Demographics (age, body mass index, sex, rank). Injury data (duration, mechanism, location, and type). The incidence proportion of musculoskeletal injuries ranged from 47.1% to 72.6% per season between 2018 and 2023. Dancers most commonly sustained foot (49.3%) and ankle (45.1%) injuries, with 75.6% of dancers sustaining a lower limb injury. Compared with the 2018 to 2019 season, the risk of a dancer sustaining an injury was significantly lower in the COVID-19 season (2019-2020) (OR, 0.34; 95% CI, 0.21-0.53; P < 0.001), while the risk of an injury resulting in time loss was significantly lower in the 2022 to 2023 season (OR, 0.42; 95% CI, 0.27-0.64; P < 0.001). The incidence of musculoskeletal injuries in professional ballet dancers was as high as 72.6% per season between 2018 and 2023, with the most common injury location being the foot and ankle. Compared with that in the 2018 to 2019 season, the risk of a dancer sustaining an injury was significantly lower in the COVID-19 season (2019-2020). These findings can help anticipate musculoskeletal injuries in professional ballet dancers and improve injury prevention programs, by developing targeted training schemes.

INTERACTIVE TRAINING OF PERSONNEL ON ELECTRICAL SAFETY ISSUES FOR AN OIL PUMPING COMPANY

The article is devoted to electrical safety issues in the oil industry, where a significant proportion of injuries are associated with personnel errors in the performance of their work functions. In order to reduce personnel errors and, consequently, reduce the level of injuries and accidents associated with the action of the human factor, a simulator has been developed for training employees of an oil pumping enterprise in the safe handling of electrical equipment. The article analyzes modern approaches to training, including traditional methods and the use of simulators that simulate both current work and emergency situations. Practical application of such solutions will improve the competence of workers in electrical safety issues by practicing the skills of performing work in conditions close to real ones, which emphasizes the relevance of developing simulators for the oil industry. The simulator includes the creation of an intuitive interface and integration with training management systems, consisting of two modules covering safety procedures, working with electrical equipment and filling out work permits. In conclusion, areas for further research are outlined, including the development of new modules to improve work efficiency.

The Impact of Medications on Traffic Safety: Attitudes and Knowledge of Young Traffic Participants

Every year, road traffic accidents claim the lives of 1.2 million people worldwide, while 20 to 50 million individuals sustain injuries, with young road users representing the largest proportion of fatalities and injuries. Poor psychophysical condition of drivers, including driving under the influence of alcohol and/or medications that impair psychophysical abilities, ranks third among the causes of fatal traffic accidents, accounting for 8.8%. The aim of this study was to examine the attitudes and knowledge levels of young road users regarding the recognition of warning symbols on medicine packaging. The results showed that the majority of drivers and other road users are insufficiently familiar with the meaning of these symbols, highlighting a critical need for additional education and public awareness campaigns. Raising awareness about the impact of medications on psychophysical abilities is essential for improving road safety and reducing the number of traffic accidents.

Determining the Reliability of Software Electronic Engineering Tools in the Control of Vestibular Disorders in Inclusive Physical Education of Students

Background. Due to the increase in the proportion of mine-blast injuries sustained during the Russian-Ukrainian war, the number of students in higher education institutions after blast TBI has risen. Objectives. The study aimed to determine the reliability of the tool for test control of gait parameters, created based on software electronic engineering for students after blast TBI in inclusive physical education. Materials and methods. The theoretical stage of the research was realized by analyzing the literature on the studied problem, evaluating and synthesizing information from scientific sources. For the empirical part of the experiment, the Dynamic Gait Index test was used to assess gait parameters, dynamic balance, and fall risk. The test results were processed using the methods of statistical mathematical analysis. The experiment involved 30 students (men) after sustaining an explosive traumatic brain injury. Results. The study presents the developed tool for testing gait parameters using the Dynamic Gait Index, which is based on the integration of various types of software electronic engineering services. The development uses motion, speed, pressure, and touch sensors. The information about the test exercise, recorded by the sensors, is sequentially transmitted by wireless communication means to the controller (Arduino Leonardo based on the ATmega32u4 microcontroller platform) and then to a PC, where the results are displayed on the monitor in digital and graphical form. The development uses a neural network and the Microsoft OneDrive cloud service to process information, which provides processing and storage of large amounts of test control data. The results of the empirical establishment of the Dynamic Gait Index quality measure, the characteristics of reliability and validity that were recorded by the teacher, are significantly inferior in numerical values to the correlation coefficient obtained by the results of the Dynamic Gait Index when the outcomes were recorded using the developed tool. Conclusions. The introduction of modern software engineering services into inclusive physical education of students represents a significant step forward in implementing an impartial control mechanisms for restoring damaged gait and balance functions, which have been recognized as a leading factor in disability caused by blast TBI, and contributes to ensuring the effectiveness of this process.

Epidemiology of injuries in UK based golfers: a retrospective study

ABSTRACT Objectives Golf participation numbers have increased in recent years within the UK and globally. A recent systematic review and meta-analysis of injuries in amateur and professional golfers showed over half of golfers sustain an injury during their lifetime. This review recommended that future research should utilize the recent international consensus on reporting of injury in golf. The aim of this study was to determine the frequency and severity of injuries sustained by UK-based golfers in the previous year. Methods A retrospective cross-sectional online survey consisting of 35 questions was disseminated to UK-based golfers. Non-overlapping 95% confidence intervals (CI) were utilized to indicate significant differences. Results There were 303 participants included for analysis. The overall injury incidence was 41.26 injuries per 1000 hours (CI 35.96–47.33). Consistent with the wider literature, the lower back at 9.94 injuries per 1000 hours (CI 7.48–13.22) is the most frequent injury site. The lower back had a mean time loss of 54 ± 89 days before full recovery. Repetitive movement injuries were noted to have a higher incidence (22.00 per 1000 hours, CI 18.19–26.61) in comparison to acute injuries (10.79 per 1000 hours, CI 8.21 to 14.18). Conclusion Anatomically, the proportion of injuries observed was comparable to previous epidemiology studies, with the lower back and elbow having the highest incidences in this largely amateur group of golfers. Most injuries were identified to be a muscle strain, joint sprain, or tendinopathy; however, no single identifiable mechanism of injury was identified.

Retrospective analysis of animal-related injuries in 1 266 patients based on the emergency department electronic medical record system

To analyze the characteristics of animal-related injuries and summarize the epidemiological features of the affected population using the hospital's emergency department electronic medical record system. A retrospective cross-sectional study was conducted, collecting data on animal-related injuries (dogs, cats, rodents, or other animals) as recorded in the outpatient registration system of the emergency department at Tongde Hospital of Zhejiang Province from October 8, 2022, to October 30, 2023. The study variables encompassed patient demographic characteristics (gender, age, occupation, residence, etc.), and injury characteristics (date and location of injury, type of animal inflicting the injury, level of exposure, wound site, number of wounds, vaccination history, etc.). Descriptive statistics and univariate analysis were performed on the collected data. From October 8, 2022, to October 30, 2023, a total of 1 266 cases of animal bites were attended to in our hospital's emergency department. A distinct seasonal pattern was observed in the monthly distribution of animal bite patients, with a consistent presence throughout the year and notable fluctuations. There was a higher incidence during the summer and autumn (July to October), and a lower incidence during the winter and spring (December to the following March), marking a relatively quiescent period. The study included 680 female cases (53.7%) and 586 male cases (46.3%), with a median age of 27 years (range 11 months to 88 years). The majority of patients were clerks or workers (50.2%), followed by students (21.6%), laborers (8.5%), and retirees (3.6%). The majority of patients were local residents (90.6%), and the majority had no history of rabies vaccination (76.9%), with only 3 cases (0.2%) having pre-exposure immunization. Among the four types of animal bites, cat bites predominated (64.5%), followed by dog bites (28.7%), rodent bites (4.9%), and bites from other animals (1.9%). The time from injury to consultation was 0 (0-40) days. Most patients experienced a level III exposure (76.3%), with level II exposure being less common (23.2%), and level I exposure being the least frequent (0.5%). The upper limbs were the most common site of injury (72.1%), followed by the lower limbs (21.2%), and the trunk was the least affected (2.6%). The majority of patients had a single wound (75.8%), and the majority of injuries occurred at home (90.2%). The number of patients who self-cleaned their wounds was comparable to those who sought outpatient treatment. When stratified by age and gender, the age of 18 to 39 years group was identified as the high-incidence demographic for all four types of animal bites. In this age group, except for injuries caused by mice, injuries caused by other animals were more common in females than males. The proportion of injuries caused by cats in animal-related incidents in the emergency department of Hangzhou, Zhejiang Province, is significantly high. The majority of patients lack a history of rabies vaccination and pre-exposure immunization. There is a higher incidence of cases during the summer and autumn months, with a prolonged high-incidence period. The utilization of emergency department data on animal injuries provides a convenient and sustainable method for monitoring animal bites, representing a novel approach to comprehensive surveillance data and serving as a valuable supplement to the existing disease control surveillance system.

Pediatric neck injuries associated with trampoline use.

Trampolines are popular among children, but trampoline injuries constitute a large number of emergency department visits. The purpose of this study was to determine how often neck injuries occur among children with trampoline-related injuries and to identify the mechanism of injury. We analyzed the National Electronic Injury Surveillance System (NEISS) database to characterize patient demographics, injury types, injury subsite, and emergency department disposition status associated with trampoline related neck injuries between 2012 and 2021 in the United States. We utilized NEISS code 89 (neck) and code 1233 (trampoline) for our query along and identified patients between 0 and 19years. Of the 33,929 trampoline injuries, 1436 injuries involved the neck (4.2%). The overall mean age was 8.0±4.1years and there were 17,728 (52%) males and 16,201 (48%) females in the group. Mean age of children with neck injuries was higher (9.2±3.6years) compared to children with other injuries (8.0±4.1years, P<.001). Males had a higher proportion of neck injuries compared to all injuries 800 (56%) versus females 636 (44%, P=.007). The most common neck injury was neck strain/sprain with 993 (69% of neck injuries). The next most common diagnoses included neck contusions at 34 (2%) and fractures at 20 (1%). Children with neck injuries were more likely to be discharged prior to admission compared to other trampoline-related injuries (96% versus 93%, P<.001). Neck strains/sprains are the most common type of pediatric trampoline-related neck injuries. Older children and males are more likely to have neck injuries while using the trampoline.

Trends in Intentional and Unintentional Firearm Injuries in Pediatric Trauma Patients: An 11-Year Retrospective Study

IntroductionIn 2020, firearm injuries became the leading cause of death in children and adolescents and have continued to increase despite injury prevention strategies. The information obtained about these injuries is often limited to the demographic and clinical data required for trauma registries, which often lack granularity regarding the circumstances leading to the use of a firearm. The purpose of this study is to analyze admissions for firearm injuries according to intention and social vulnerability to enable the creation of targeted prevention strategies. MethodsThis is a retrospective cohort study using trauma registry data from a single institution from 2012 to 2022. Patients were stratified by a mechanism into unintentional, intentional, and self-inflicted firearm injuries based on chart review. Demographics were compared between groups and the overall trauma population. Social Vulnerability Index data were obtained from the Centers for Disease Control and Prevention registry. ResultsOf the 13,197 trauma patients admitted from January 2012 to December 2022, 153 were related to firearm injuries (1.2%). Relative to the overall trauma population, patients with firearm injuries were predominantly older (9.7 versus 7.4 y, P < 0.001), male (74% versus 61%, P < 0.001), Black (43% versus 17%, P < 0.001), and insured via Medicaid or another government subsidized program (62% versus 48%, P < 0.001). Injuries were classified as intentional (53%), unintentional (44%), and self-harm (1%). Unintentional injuries more frequently resulted in death (17.6% versus 8.6%), although this difference was not enough to reach the statistical significance. The proportion of intentional injuries increased significantly in the 2020-2022 period relative to previous years (P = 0.032). ConclusionsVulnerable populations have experienced a disproportionate increase in firearm violence starting in 2020. Unintentional injuries are a significant source of mortality in the pediatric population and represent a vital target for future injury prevention strategies.

Risk factors for psychiatric disorders following traumatic brain injury: a multivariate logistic regression analysis.

This study aimed to investigate the incidence and risk factors of psychiatric disorders following traumatic brain injury (TBI). A total of 232 patients with closed TBI admitted to our hospital from January 2021 to January 2023 were included. Basic demographic data, injury circumstances, and psychiatric conditions during hospitalization were collected. Patients were followed up at 9 months post-injury, and based on clinical interviews, symptoms, and questionnaires, they were categorized into those with post-TBI psychiatric disorders and those without. The study aimed to explore the predictive factors for psychiatric disorders after TBI. Among the 232 patients, 104 developed psychiatric disorders by the end of the 9-month follow-up, resulting in an incidence rate of 44.83%. The employment rate was significantly lower in the psychiatric disorder group compared to the non-psychiatric disorder group. Additionally, the GCS scores upon admission were significantly higher in the psychiatric disorder group, along with a greater proportion of limb injuries, post-traumatic coma, intracranial hematomas, and frontal lobe injuries. The results of the multivariate logistic regression analysis indicated that unemployment (caused by poor recovery from TBI), lower GCS scores at admission, limb injuries, post-traumatic coma, frontal lobe injuries, and the presence of psychiatric symptoms during hospitalization were independent predictors of psychiatric disorders following TBI. Unemployment, lower GCS score on admission, limb injury, post-traumatic coma, frontal lobe injury, onset of psychiatric symptoms during hospitalization was identified as independent predictors of post-traumatic psychiatric disorders. Routine mental health screenings for conditions such as depression and anxiety should be integrated into the care of TBI patients.