PMID: 8601848Mar 1, 1996Paper

A population-based study of outcome after injury to car occupants and to pedestrians

The Journal of Trauma
D A HillJ Duflou

Abstract

The literature indicates that trauma center pedestrian mortality rates approximate twice that of injured car occupants. This study was performed to test the hypothesis that outcomes will be similar given similar degrees of injury severity if analyzed from an epidemiologic perspective. Differences are expected in the cause and place of death because of different injury profiles. Prospective population-based study. The study group consisted of all adult car occupants and pedestrians sustaining major injury -- Injury Severity Score (ISS) of >15 -- in a defined area of central Sydney from mid-1991 to mid-1994. The study included 65 car occupants (median ISS,32) and 101 pedestrians (median ISS,34). Major abdominal injury (p = 0.003) and thoracic aortic disruption (p = 0.06) were more common in car occupants, but major injury to the brains (p = 0.004), lower extremity long bone fractures (p = 0.0005), and thoracolumbar fractures (p = 0.01) occurred more frequently in pedestrians. The overall car occupant mortality was 38% compared with 46% in the pedestrians (p = 0.37). Seventy-two percent of car occupant fatalities occurred in the field, most commonly from ruptured thoracic aorta, whereas 63% of pedestrian deaths occurred in hospita...Continue Reading

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Citations

Feb 23, 2002·The Journal of Emergency Medicine·Evelyn WongTzee Cheng Chao
Sep 22, 2001·Journal of Neurotrauma·C GorrieP M Waite
Dec 24, 2005·Emergency Medicine Journal : EMJ·H MarkogiannakisD Tsiftsis
Feb 18, 2010·Journal of Trauma Management & Outcomes·Uli SchmuckerJulia Seifert
Dec 22, 2012·Case Reports in Orthopedics·Jason Samona, Robert Colen
May 8, 1998·The Australian and New Zealand Journal of Surgery·R DasGuptaD Hill
May 24, 2001·The Journal of Trauma·A C Marson, J C Thomson
Oct 21, 1999·The Journal of Trauma·C M CalkinsJ B Haenel
Jul 25, 2003·Revista da Escola de Enfermagem da U S P·Marisa Amaro Malvestio, Regina Márcia Cardoso de Sousa

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