This study was carried out to evaluate and quantify risk factors, mechanisms, and cost of traumatic injuries in Hawaii's elderly and to identify potential preventive strategies. A retrospective review of a prospective database of patients admitted to the only Trauma Center in the Pacific Basin, between January 2000 and December 2001, was conducted. Of 2634 trauma admissions, 11% were >or=65 years of age. Mechanisms of injury included falls, motor vehicle crashes (MVCs), pedestrians hit by automobiles, and miscellaneous causes. The incidence of elderly pedestrians hit by automobiles in Hawaii is higher than previously reported. Hospital mortality rate was highest for the pedestrian hit group, followed by falls, and then MVCs. The pedestrian hit group consumed the largest quantity of resources and MVCs the least. Given the high mortality rate and associated resource consumption in the pedestrian hit group, it would be appropriate to give priority to this group while developing preventive measures for this age group.
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http://dx.doi.org/10.1177/1010539508322539 | DOI Listing |
Accid Anal Prev
December 2024
Department of Civil and Environmental Engineering, University of Tennessee Knoxville, Knoxville, TN, 37996, United States. Electronic address:
The Vision Zero-Safe Systems Approach prioritizes fast access to Emergency Medical Services (EMS) to improve the survivability of road users in transportation crashes, especially concerning the recent increase in pedestrian-involved crashes. Pedestrian crashes resulting in immediate or early death are considerably more severe than those taking longer. The time gap between injury and fatality is known as survival time, and it heavily relies on EMS response time.
View Article and Find Full Text PDFInjury
January 2025
Department of Trauma and Acute Care Surgery, Hurley Medical Center, MI, USA; Michigan State University College of Human Medicine, East Lansing, MI, USA. Electronic address:
J Orthop Case Rep
September 2024
Department of Orthopaedics, Seth G.S Medical Collage and K.E.M Hospital, Mumbai, Maharashtra, India.
Introduction: There have been very few cases of intramedullary (IM) nailing for tibia shaft fracture using a humerus nail. We present to you a unique case of humerus nail used in tibia shaft fracture in a short-stature patient.
Case Report: A 26-year-old female, was brought to our emergency room, she sustained trauma to her left leg while she was walking on the road hit by an automobile (pedestrian injury) with complaints of pain and swelling in her left leg.
J Clin Med
August 2024
Department of Surgery, Zaandam Medical Center, Koningin Julianaplein 58, 1502 DV Zaandam, The Netherlands.
Neglected anterior glenohumeral dislocations provide a challenging problem for physicians. For many patients with these injuries, reverse shoulder arthroplasty has been the treatment of choice, although the preservation of the patient's own humeral head might have significant advantages. We present a case of a 66-year-old male with a neglected anterior glenohumeral dislocation that he sustained 6 weeks prior when he was hit by a car as a pedestrian.
View Article and Find Full Text PDFTraffic Inj Prev
August 2024
Centre for Automotive Safety Research, University of Adelaide, Adelaide, Australia.
Objectives: With the population of Australians aged 85 or older expected to double by 2042 and the association of increased age with the greater likelihood of having medical conditions, the potential for an increase in the number crashes caused by medical conditions is of concern. This study aims to understand the prevalence of medical conditions contributing to road crashes and the characteristics of these crashes, in order to guide development of strategies to mitigate the risks and harms involved.
Method: The sample consisted of 1,934 active road users (drivers, motorcyclists, cyclists, pedestrians) injured in crashes on South Australian roads who were admitted to the Royal Adelaide Hospital over the period 2014 to 2017.
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