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Use of a Structural Deformity Index as a Predictor of Severity among Trauma Victims in Motor Vehicle Crashes

  • Diego Reyero Díez, MD

      Affiliations

    • Prehospital Emergency, Navarra Health Services, Pamplona, Spain
    • Corresponding Author InformationReprint Address: Diego Reyero Díez, MD, Prehospital Emergency, Navarra Health Services, c/Urbasa 83, Sarriguren, Navarra 31621, Spain
  • ,
  • Tomás Belzunegui Otano, MD

      Affiliations

    • Department of Emergency Medicine, Hospital of Navarra, Pamplona, Spain
  • ,
  • Begoña Bermejo Fraile, MD

      Affiliations

    • Médico Department of Formation and Investigation, Navarra Health Services, Pamplona, Spain
  • ,
  • Clint Jean Louis, MD

      Affiliations

    • Department of Emergency Medicine, Hospital of Navarra, Pamplona, Spain
  • ,
  • Jose Roldán Ramírez, MD

      Affiliations

    • Intensive Care Unit, Hospital of Navarra, Pamplona, Spain
  • ,
  • Alfredo Echarri Sucunza, MD

      Affiliations

    • Prehospital Emergency, Navarra Health Services, Pamplona, Spain

Received 6 May 2009 ,Revised 18 September 2009 ,Accepted 4 January 2010. Published online 08 March 2010 Corrected Proof

References 

  1. Sasser SM, Hunt RC, Sullivent EE, et al. ; National Expert Panel on Field Triage, Centers for Disease Control (Guidelines for field triage of injured patients). MMWR Recomm Rep. 2009;58(RR-1):1–35
  2. Richter M, Krettek C, Otte D, et al. Correlation between crash severity, injury severity, and clinical course in car occupants with thoracic trauma: a technical and medical study. J Trauma. 2001;51:10–16
  3. Stefanopoulos N, Vagianos C, Stavropoulos M, Panagiotopoulos E, Androulakis J. Deformations and intrusions of the passenger compartment as indicators of injury severity and triage in head-on collisions of non-airbag-carrying vehicles. Injury. 2003;34:487–492
  4. Gómez de Segura Nieva JL, Boncompte MM, Sucunza AE, Louis CL, Seguí-Gómez M, Otano TB. Comparison of mortality due to severe multiple trauma in two comprehensive models of emergency care: Atlantic Pyrenees (France) and Navarra (Spain). J Emerg Med. 2009;37:189–200
  5. Roldán J, Guergué J, Iturralde J, Osés I, Villanueva N, Ansotegui A Grupo ETNA [Spanish]. Registro del politraumatismo en Navarra (Datos preliminares). Med Intensiva. 2003;27:340–344
  6. Singleton M, Qin H, Luan J. Factors associated with higher levels of injury severity in occupants of motor vehicles that were severily damaged in traffic crashes in Kentucky; 2000;–2001. Traffic Inj Prev 2004;5:144–50
  7. Ruiz Ramos M, Ocaña-Riola R, Hermosín Bono T. Evolución de la mortalidad por accidentes de tráfico en Andalucía desde 1975 hasta 2001 y predicción para el año 2004 [Spanish]. Aten Primaria. 2004;33:297–304
  8. Massie DL, Green PE, Campbell KL. Crash involvement rates by driver gender and the role of average annual mileage. Accid Anal Prev. 1997;29:675–685
  9. Turner C, McClure R, Pirozzo S. Injury and risk-taking behavior—a systematic review. Accid Anal Prev. 2004;36:93–101
  10. In:  Arregui Dalmases C,  Luzón Narro J,  Seguí-Gómez M editor. Fundamentos de biomecánica en las lesiones por accidente de tráfico [Spanish]. Madrid: Dirección General de Tráfico; 2007;
  11. Huelke DF, Compton CP. The effects of seat belts on injury severity of front and rear seat occupants in the same frontal crash. Accid Anal Prev. 1995;27:835–838
  12. Smith KM, Cummings P. Passenger seating position and the risk of passenger death in traffic crashes: a matched cohort study. Inj Prev. 2006;12:83–86
  13. Newgard CD, Lewis RJ, Kraus JF, McConnell KJ. Seat position and the risk of serious thoracoabdominal injury in lateral motor vehicle crashes. Accid Anal Prev. 2005;37:668–674
  14. Bradbury A, Robertson C. Prospective audit of the pattern, severity and circumstances of injury sustained by vehicle occupants as a result of road traffic accidents. Arch Emerg Med. 1993;10:15–23
  15. Rivara FP, Koepsell TD, Grossman DC, Mock C. Effectiveness of automatic shoulder belt system in motor vehicle crashes. JAMA. 2000;283:2826–2828
  16. Swierzewski MJ, Feliciano DV, Lillis RP, Illig KA, States JD. Deaths from motor vehicle crashes: patterns of injury in restrained and unrestrained victims. J Trauma. 1994;37:404–407
  17. Mayrose J, Jehle D, Hayes M, Tinnesz D, Piazza G, Wilding GE. Influence of the unbelted rear-seat passenger on driver mortality: “the backseat bullet”. Acad Emerg Med. 2005;12:130–134
  18. MacLennan PA, McGwin G, Metzger J, Moran SG, Rue LW3rd. Risk of injury for occupants of motor vehicle collisions from unbelted occupants. Inj Prev. 2004;10:363–367
  19. Kumaresan S, Sances A, Carlin F, Frieder R, Friedman K, Renfroe D. Biomechanics of side impact injuries: evaluation of seat belt restraint system, occupant kinematics and injury potential. Conf Proc IEEE Eng Med Biol Soc. 2006;1:87–90
  20. Augenstein J, Digges K, Bahouth G, Dalmotas D, Perdeck E, Stratton J. Investigation of the performance of safety systems for protection of the elderly. Annu Proc Assoc Adv Automot Med. 2005;49:361–369
  21. Malliaris A, Digges K, De Blois J. Relationships between crash casualties and crash attributes [Document #970393]. Warrendale, PA: SAE; 1997;
  22. Augenstein J, Digges K, Ortega S, Perdeck E, Stratton J. Development and validation of the urgency algorithm to predict compelling injuries. Proceedings of the Seventeenth Enhanced Safety of Vehicles (ESV) Conference; June 2001;
  23. Augenstein J, Perdeck E, Stratton J, Digges K, Steps J, Bahouth G. Validation of the urgency algorithm for near-side crashes. Annu Proc Assoc Adv Automot Med. 2002;46:305–314
  24. Newgard CD, Lewis RJ, Kraus JF. Steering wheel deformity and serious thoracic or abdominal injury among drivers and passengers involved in motor vehicle crashes. Ann Emerg Med. 2005;45:43–50
  25. Weninger P, Hertz H. Factors influencing the injury pattern and injury severity after high speed motor vehicle accident—a retrospective study. Resuscitation. 2007;75:35–41
  26. Clark DE, Cushing BM. Predicted effect of automatic crash notification on traffic mortality. Accid Anal Prev. 2002;34:507–513
  27. Hunt RC. Emerging communication technologies in emergency medical services. Prehospital Emerg Care. 2002;6:131–136
  28. Lahausse JA, Fildes BN, Page Y, Fitzharris MP. The potential for automatic crash notification systems to reduce road fatalities. Annu Proc Assoc Adv Automot Med. 2008;52:85–92
  29. Hill JR, Mackay GM, Morris AP. Chest and abdominal injuries caused by seat belt loading. Accid Anal Prev. 1994;26:11–26
  30. Girelli G, Di Natale R, Manocchi MC, Lutman M. Seat belt syndrome [Italian]. Radiol Med (Torino). 1993;86:444–452
  31. Hayes CW, Conway WF, Walsh JW, Coppage L, Gervin AS. Seat belt injuries: radiologic findings and clinical correlation. Radiographics. 1991;11:23–36
  32. Evans PD, Mackie IG. Fracture of the body of the stenum associated with the use of static seat belts. Injury. 1985;16:485–486
  33. Coel M, Sato G. Sternal fractures in motor vehicle accident victims restrained by lap-shoulder safety belts: can bone scintigraphy distinguish passenger from driver?. Clin Nucl Med. 2000;25:140–141
  34. Mayberry JC, Brown CV, Mullins RJ, Velamos GC. Blunt carotid artery injury: the futility of aggressive screening and diagnosis. Arch Surg. 2004;139:609–612
  35. DiPerna CA, Rowe VL, Terramani TT, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68:441–445
  36. De Lorenzo RA, Mayer D, Gardner GM. Bilateral vocal cord hematomas associated with shoulder harness use. Am J Emerg Med. 1991;9:158–160
  37. Grant RJ, Gregor MA, Beck PW, Maio RF. A comparison of data sources for motor vehicle crash characteristic accuracy. Acad Emerg Med. 2000;7:892–897

PII: S0736-4679(10)00078-8

doi: 10.1016/j.jemermed.2010.01.017

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