机动车碰撞事故中下肢受伤后改变生活的后果。
Life-altering outcomes after lower extremity injury sustained in motor vehicle crashes.
作者信息
Read Kathleen M, Kufera Joseph A, Dischinger Patricia C, Kerns Timothy J, Ho Shiu M, Burgess Andrew R, Burch Cynthia A
机构信息
The Charles McC. Mathias, Jr., National Study Center for Trauma and Emergency Medical Systems, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
出版信息
J Trauma. 2004 Oct;57(4):815-23. doi: 10.1097/01.ta.0000136289.15303.44.
BACKGROUND
Lower extremity injuries (LEIs) sustained in vehicular crashes result in physical problems and unexpected psychosocial consequences. Their significance is diminished by low Abbreviated Injury Scale scores.
METHODS
Drivers who sustained LEIs were identified as part of the Crash Injury Research and Engineering Network (CIREN) and interviewed during hospitalization, at 6 months, and at 1 year. All were occupants of newer vehicles with seatbelts and airbags.
RESULTS
Sixty-five patients were followed for 1 year. Injuries included mild brain injury (43%), ankle/foot fractures (55%), and bilateral injuries (37%). One year post-injury, 46% reported limitations in walking and 22% with ankle/foot fractures were unable to return to work. Depression (39%), cognitive problems (32%), and post-traumatic stress disorder (18%) were significant in the mild brain injury group.
CONCLUSIONS
Long-lasting physical and psychological burdens may impede recovery and alter the lifestyle of patients with LEI. These issues need to be addressed by trauma center personnel.
背景
机动车碰撞中遭受的下肢损伤（LEIs）会导致身体问题以及意想不到的心理社会后果。其严重程度因简略损伤量表得分较低而被低估。
方法
作为碰撞损伤研究与工程网络（CIREN）的一部分，识别出遭受下肢损伤的驾驶员，并在住院期间、6个月时和1年时对其进行访谈。所有患者均为乘坐配备安全带和安全气囊的较新车辆的驾乘人员。
结果
65名患者被随访1年。损伤包括轻度脑损伤（43%）、踝/足部骨折（55%）和双侧损伤（37%）。受伤1年后，46%的患者报告行走受限，22%的踝/足部骨折患者无法重返工作岗位。轻度脑损伤组中，抑郁（39%）、认知问题（32%）和创伤后应激障碍（18%）较为显著。
结论
长期的身体和心理负担可能会阻碍下肢损伤患者的康复并改变其生活方式。创伤中心人员需要解决这些问题。
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