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Significant injury in cruise ship passengers a case series.
Am J Prev Med. 2007 Sep; 33(3):219-21.AJ

Abstract

BACKGROUND

The attention placed on cruise ship infectious epidemics has helped create important preventive strategies in improving food handling, sanitation, and overall cruise ship medical care. However, the incidence of serious injury in cruise ship passengers has never been fully described. In 2006, there was an increase in the number of cruise ship passengers receiving medical care at a Level I trauma center. This report provides a case series analysis of eight patients identified as suffering from significant cruise ship-related injuries.

METHODS

A retrospective, descriptive study design was used. Data on trauma patients transported directly from cruise ships and admitted to a university Level I trauma center in 2003-2006 were reviewed.

RESULTS

A total of 2,132 patients were admitted as major trauma resuscitations in 2006. Eight were identified as being injured on a major cruise ship compared to an average of 1.7 patients/year in the preceding 3 years. All but one patient was female. Three patients had significant medical comorbidities. All eight patients suffered injuries from falls, five of which were in stairwells. Concussions were the most common injury. Five patients were discharged to home, two to extended rehabilitation facilities, and one died.

CONCLUSIONS

In this case series, falls were the sole cause of major injury among cruise ship passengers. Improved surveillance and characterization of injuries among cruise ship passengers is needed to inform safety policies and develop programs to prevent passenger injury.

Authors+Show Affiliations

University of California San Diego, Department of Surgery, Division of Trauma, Burns and Critical Care, San Diego, California 92103, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17826583

Citation

Bansal, Vishal, et al. "Significant Injury in Cruise Ship Passengers a Case Series." American Journal of Preventive Medicine, vol. 33, no. 3, 2007, pp. 219-21.
Bansal V, Fortlage D, Lee JG, et al. Significant injury in cruise ship passengers a case series. Am J Prev Med. 2007;33(3):219-21.
Bansal, V., Fortlage, D., Lee, J. G., Hill, L. L., Potenza, B., & Coimbra, R. (2007). Significant injury in cruise ship passengers a case series. American Journal of Preventive Medicine, 33(3), 219-21.
Bansal V, et al. Significant Injury in Cruise Ship Passengers a Case Series. Am J Prev Med. 2007;33(3):219-21. PubMed PMID: 17826583.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Significant injury in cruise ship passengers a case series. AU - Bansal,Vishal, AU - Fortlage,Dale, AU - Lee,Jeanne G, AU - Hill,Linda L, AU - Potenza,Bruce, AU - Coimbra,Raul, PY - 2007/02/05/received PY - 2007/04/25/revised PY - 2007/05/25/accepted PY - 2007/9/11/pubmed PY - 2007/12/6/medline PY - 2007/9/11/entrez SP - 219 EP - 21 JF - American journal of preventive medicine JO - Am J Prev Med VL - 33 IS - 3 N2 - BACKGROUND: The attention placed on cruise ship infectious epidemics has helped create important preventive strategies in improving food handling, sanitation, and overall cruise ship medical care. However, the incidence of serious injury in cruise ship passengers has never been fully described. In 2006, there was an increase in the number of cruise ship passengers receiving medical care at a Level I trauma center. This report provides a case series analysis of eight patients identified as suffering from significant cruise ship-related injuries. METHODS: A retrospective, descriptive study design was used. Data on trauma patients transported directly from cruise ships and admitted to a university Level I trauma center in 2003-2006 were reviewed. RESULTS: A total of 2,132 patients were admitted as major trauma resuscitations in 2006. Eight were identified as being injured on a major cruise ship compared to an average of 1.7 patients/year in the preceding 3 years. All but one patient was female. Three patients had significant medical comorbidities. All eight patients suffered injuries from falls, five of which were in stairwells. Concussions were the most common injury. Five patients were discharged to home, two to extended rehabilitation facilities, and one died. CONCLUSIONS: In this case series, falls were the sole cause of major injury among cruise ship passengers. Improved surveillance and characterization of injuries among cruise ship passengers is needed to inform safety policies and develop programs to prevent passenger injury. SN - 0749-3797 UR - https://www.unboundmedicine.com/medline/citation/17826583/Significant_injury_in_cruise_ship_passengers_a_case_series_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(07)00344-3 DB - PRIME DP - Unbound Medicine ER -