Literature DB >> 28180986

What are the differences in injury patterns of young and elderly traffic accident fatalities considering death on scene and death in hospital?

Daniela Heinrich1, Christopher Holzmann2, Anja Wagner3, Anja Fischer3, Roman Pfeifer2, Matthias Graw4, Sylvia Schick3.   

Abstract

Older traffic participants have higher risks of injury than the population up to 65 years in case of comparable road traffic accidents and further, higher mortality rates at comparable injury severities. Rib fractures as risk factors are currently discussed. However, death on scene is associated with hardly survivable injuries and might not be a matter of neither rib fractures nor age. As 60% of traffic accident fatalities are estimated to die on scene, they are not captured in hospital-based trauma registries and injury patterns remain unknown. Our database comprises 309 road traffic fatalities, autopsied at the Institute of Legal Medicine Munich in 2004 and 2005. Injuries are coded according to Abbreviated Injury Scale, AIS
© 2005 update 2008 [1]. Data used for this analysis are age, sex, site of death, site of accident, traffic participation mode, measures of injury severity, and rib fractures. The injury patterns of elderly, aged 65+ years, are compared to the younger ones divided by their site of death. Elderly with death on scene more often show serious thorax injuries and pelvic fractures than the younger. Some hints point towards older fatalities showing less frequently serious abdominal injuries. In hospital, elderly fatalities show lower Injury Severity Scores (ISSs) compared to the younger. The number of rib fractures is significantly higher for the elderly but is not the reason for death. Results show that young and old fatalities have different injury patterns and reveal first hints towards the need to analyze death on scene more in-depth.

Entities:  

Keywords:  Abbreviated Injury Scale; Elderly; Injury pattern; Prehospital mortality; Rib fracture; Traffic fatalities

Mesh:

Year:  2017        PMID: 28180986     DOI: 10.1007/s00414-017-1531-8

Source DB:  PubMed          Journal:  Int J Legal Med        ISSN: 0937-9827            Impact factor:   2.686


  77 in total

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2.  Impact of advanced age on outcomes following damage control interventions for trauma.

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3.  Pelvic fractures as a marker of injury severity in trauma patients.

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4.  An ageing trauma population: The Auckland experience.

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Review 5.  Trauma in the geriatric population.

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8.  Virtopsy -- noninvasive detection of occult bone lesions in postmortem MRI: additional information for traffic accident reconstruction.

Authors:  Ursula Buck; Andreas Christe; Silvio Naether; Steffen Ross; Michael J Thali
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Review 9.  Mortality Patterns in Patients with Multiple Trauma: A Systematic Review of Autopsy Studies.

Authors:  Roman Pfeifer; Michel Teuben; Hagen Andruszkow; Bilal M Barkatali; Hans-Christoph Pape
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  6 in total

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Journal:  World J Surg       Date:  2017-12       Impact factor: 3.352

2.  Secondary sclerosing cholangitis in critically ill patients after a traffic accident-a new entity that should be considered in death classification.

Authors:  Fred Zack; Horst Nizze; Verena Blaas; Anne Port; Andreas Büttner
Journal:  Int J Legal Med       Date:  2018-02-27       Impact factor: 2.686

3.  Injury Pattern and Injury Severity of In-Hospital Deceased Road Traffic Accident Victims in The Netherlands: Dutch Road Traffic Accidents Fatalities.

Authors:  Henry A Leijdesdorff; Stijn Gillissen; Inger B Schipper; Pieta Krijnen
Journal:  World J Surg       Date:  2020-05       Impact factor: 3.352

4.  Fatal Motor Vehicle-Pedestrian Collision Injury Patterns-A Systematic Literature Review.

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Journal:  Acad Forensic Pathol       Date:  2021-03-17

5.  A decade of road traffic fatalities among the elderly in north-West Iran.

Authors:  Homayoun Sadeghi-Bazargani; Bahram Samadirad; Farnaz Moslemi
Journal:  BMC Public Health       Date:  2018-01-08       Impact factor: 3.295

Review 6.  Challenges in the PREHOSPITAL emergency management of geriatric trauma patients - a scoping review.

Authors:  Michael Eichinger; Henry Douglas Pow Robb; Cosmo Scurr; Harriet Tucker; Stefan Heschl; George Peck
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2021-07-23       Impact factor: 2.953

  6 in total

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