Investigation of pulmonary contusion extent and its correlation to crash, occupant, and injury characteristics in motor vehicle crashes

Accident; Analysis and Prevention
Ashley A WeaverJoel D Stitzel

Abstract

Pulmonary contusion (PC) is a leading injury in blunt chest trauma and is most commonly caused by motor vehicle crashes (MVC). To improve understanding of the relationship between insult and outcome, this study relates PC severity to crash, occupant, and injury parameters in MVCs. Twenty-nine subjects with PC were selected from the Crash Injury Research and Engineering Network (CIREN) database, which contains detailed crash and medical information on MVC occupants. Computed tomography scans of these subjects were segmented using a semi-automated protocol to quantify the volumetric percentage of injured tissue in each lung. Techniques were used to quantify the geometry and location of PC, as well as the location of rib fractures. Injury extent including percent PC volume and the number of rib fractures was analyzed and its relation to crash and occupant characteristics was explored. Frontal and near-side crashes composed 72% of the dataset and the near-side door was the component most often associated with PC causation. The number of rib fractures increased with age and fracture patterns varied with crash type. In near-side crashes, occupant weight and BMI were positively correlated with percent PC volume and the number of rib f...Continue Reading

References

Jan 11, 1992·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G GalanV Tarrazona
Apr 1, 1988·Radiology·R B WagnerP P Schimpf
May 2, 2000·JAMA : the Journal of the American Medical Association·A B NathensR V Maier
Nov 24, 2001·American Journal of Respiratory and Critical Care Medicine·L GattinoniL R Goodman
Jun 18, 2002·Accident; Analysis and Prevention·David E Clark, Brad M Cushing
Oct 26, 2005·Anesthesia and Analgesia·Krishnan RaghavendranPaul R Knight
Jul 13, 2006·The Journal of Trauma·J Jason HothR Mark Payne
Apr 4, 2008·Journal of Biomechanics·Francis S GayzikJoel D Stitzel
Jan 24, 2009·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Scott M SasserUNKNOWN National Expert Panel on Field Triage, Centers for Disease Control and Prevention (CDC)
Mar 12, 2009·The Journal of Trauma·F Scott GayzikJoel D Stitzel
Apr 11, 2009·The Journal of Trauma·James V O'ConnorThomas M Scalea
Jul 11, 2009·The Journal of Trauma·J Jason HothCharles E McCall
Aug 26, 2010·Biomechanics and Modeling in Mechanobiology·F Scott GayzikJoel D Stitzel
Jun 11, 2011·Traffic Injury Prevention·Lawrence W SchneiderRolf Eppinger
Jul 26, 2011·Annals of Biomedical Engineering·Kerry A DanelsonJoel D Stitzel

❮ Previous
Next ❯

Citations

Nov 5, 2011·Medical Engineering & Physics·Jason J HallmanFrank A Pintar
May 24, 2014·The Journal of Trauma and Acute Care Surgery·Rong Chen, Hampton C Gabler
May 7, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Shaimaa A Fadl, Claire K Sandstrom
Jul 14, 2021·The Journal of Surgical Research·Adel ElkbuliMark McKenney

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomechanics

Biomechanics examines the generation of internal forces within the body and investigates the effects and control of forces that act on or are produced on tissues. Here are the latest discoveries.

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.