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Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA. | LitMetric

AI Article Synopsis

  • This study highlights a lack of comprehensive data on traumatic injuries from equestrian activities in the U.S. between 2007 and 2016.
  • The analysis of the National Trauma Data Bank showed that thoracic injuries were the most common, but head and neck injuries had the highest mortality rates, with certain indicators like Injury Severity Score (ISS) and low blood pressure being linked to worse outcomes.
  • It concludes that equestrian injuries pose a greater risk of hospitalization than injuries from other sports such as football and skiing, emphasizing the need for enhanced safety measures and protective gear for riders.

Article Abstract

Objective: There is a paucity of evidence about traumatic injuries and their sequelae sustained due to equestrian injuries nationally.

Methods: Retrospective study analyzing National Trauma Data Bank data from 2007 to 2016. Variables collected included age, sex, race, payer status, Injury Severity Score (ISS), hospital length of stay, Glasgow Coma Scale, systolic blood pressure (SBP) at presentation, discharge disposition, and mortality. Patient data were analyzed by anatomic region.

Results: The most frequent type of injury was in the thorax, but head and neck injuries produced the highest mortality. Increased ISS and an SBP of less than 90 mm Hg were also significant predictors of mortality.

Conclusions: The risk of hospital admission from equestrian injuries is higher than football, motor vehicle racing, and skiing. Preventive measures and campaigns should be instituted to highlight safety practices and the use of personal protective equipment while on horseback either for sports, leisure, or work.

Level Of Evidence: Level IV. Retrospective study.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8442081PMC
http://dx.doi.org/10.1136/tsaco-2021-000728DOI Listing

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