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A single urban center experience with adult pedestrians struck by motor vehicles.
WMJ. 2013 Jun; 112(3):117-22; quiz 123.WMJ

Abstract

BACKGROUND

Pedestrian-vehicle crashes are a significant problem in public health. Understanding contributing factors within a specific community helps recognize and target key intervention points.

METHODS

Trauma registry analysis included all of the patients treated at a Level I trauma center following pedestrian-motor vehicle collisions from January 1, 2000 to December 31, 2010. Variables examined included patient demographics, timing of collision, abbreviated injury scale score, injury severity score (ISS), hospital and intensive care unit (ICU) length of stay (LOS), and emergency department and hospital disposition.

RESULTS

A total of 945 pedestrians were reviewed within the study period. Average age was 46.4+/-19.4 years. One hundred seventy-seven (18.7%) patients were elderly and of the elderly group, 69 (39%) were 80 years of age or greater. The median ISS score was 12, average hospital LOS was 10.8 days and average ICU length of stay was 6.0+/-7.5 days. More elderly patients required admission to the ICU than the nonelderly (61.6% vs 40.2%; P<0.001), and more elderly patients required admission to a skilled nursing facility than nonelderly (42.1% vs. 9%; P< 0.001). The mortality rate for elderly patients was more than double that of nonelderly patients (20.9% vs 9.1%; P<0.001). Pedestrian-motor vehicle collisions occurred disproportionately between the hours of 6 PM and midnight (P< 0.0001).

CONCLUSION

Elderly patients struck by a motor vehicle have a mortality rate twice that of the nonelderly and a higher rate of discharge to a skilled nursing facility, despite having a similar injury severity score on admission. This highlights the need for aggressive prevention efforts targeted at the elderly population.

Authors+Show Affiliations

Medical College of Wisconsin and Affiliated Hospitals, Division of Trauma and Critical Care, USA. lisa.mcelroy@northwestern.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23894809

Citation

McElroy, Lisa M., et al. "A Single Urban Center Experience With Adult Pedestrians Struck By Motor Vehicles." WMJ : Official Publication of the State Medical Society of Wisconsin, vol. 112, no. 3, 2013, pp. 117-22; quiz 123.
McElroy LM, Juern JJ, Bertleson A, et al. A single urban center experience with adult pedestrians struck by motor vehicles. WMJ. 2013;112(3):117-22; quiz 123.
McElroy, L. M., Juern, J. J., Bertleson, A., Xiang, Q., Szabo, A., & Weigelt, J. (2013). A single urban center experience with adult pedestrians struck by motor vehicles. WMJ : Official Publication of the State Medical Society of Wisconsin, 112(3), 117-22; quiz 123.
McElroy LM, et al. A Single Urban Center Experience With Adult Pedestrians Struck By Motor Vehicles. WMJ. 2013;112(3):117-22; quiz 123. PubMed PMID: 23894809.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A single urban center experience with adult pedestrians struck by motor vehicles. AU - McElroy,Lisa M, AU - Juern,Jeremy J, AU - Bertleson,Annette, AU - Xiang,Qun, AU - Szabo,Aniko, AU - Weigelt,John, PY - 2013/7/31/entrez PY - 2013/7/31/pubmed PY - 2013/8/28/medline SP - 117-22; quiz 123 JF - WMJ : official publication of the State Medical Society of Wisconsin JO - WMJ VL - 112 IS - 3 N2 - BACKGROUND: Pedestrian-vehicle crashes are a significant problem in public health. Understanding contributing factors within a specific community helps recognize and target key intervention points. METHODS: Trauma registry analysis included all of the patients treated at a Level I trauma center following pedestrian-motor vehicle collisions from January 1, 2000 to December 31, 2010. Variables examined included patient demographics, timing of collision, abbreviated injury scale score, injury severity score (ISS), hospital and intensive care unit (ICU) length of stay (LOS), and emergency department and hospital disposition. RESULTS: A total of 945 pedestrians were reviewed within the study period. Average age was 46.4+/-19.4 years. One hundred seventy-seven (18.7%) patients were elderly and of the elderly group, 69 (39%) were 80 years of age or greater. The median ISS score was 12, average hospital LOS was 10.8 days and average ICU length of stay was 6.0+/-7.5 days. More elderly patients required admission to the ICU than the nonelderly (61.6% vs 40.2%; P<0.001), and more elderly patients required admission to a skilled nursing facility than nonelderly (42.1% vs. 9%; P< 0.001). The mortality rate for elderly patients was more than double that of nonelderly patients (20.9% vs 9.1%; P<0.001). Pedestrian-motor vehicle collisions occurred disproportionately between the hours of 6 PM and midnight (P< 0.0001). CONCLUSION: Elderly patients struck by a motor vehicle have a mortality rate twice that of the nonelderly and a higher rate of discharge to a skilled nursing facility, despite having a similar injury severity score on admission. This highlights the need for aggressive prevention efforts targeted at the elderly population. SN - 1098-1861 UR - https://www.unboundmedicine.com/medline/citation/23894809/A_single_urban_center_experience_with_adult_pedestrians_struck_by_motor_vehicles_ L2 - https://wmjonline.org/wp-content/uploads/2013/112/3/117.pdf DB - PRIME DP - Unbound Medicine ER -