Hernández-Tejedor Alberto, Mohedano-Gómez Alberto, Díez-Sainz Borja, García-Fuentes Carlos, Alted-López Emilio
Servicio de Medicina Intensiva. Sección de Politrauma y Emergencias. Hospital Universitario 12 de Octubre. Madrid. España.
Cir Esp. 2008 Jun;83(6):320-4. doi: 10.1016/s0009-739x(08)70584-0.
To define the epidemiological and injury profile of patients severely injured due to all-terrain vehicle accidents admitted to the Trauma ICU of a tertiary hospital.
Descriptive observational study including all patients admitted to our ICU who suffered an all-terrain vehicle accident in the last three years, included prospectively in our data base. We recorded demographic variables, clinical condition at admission, outcome, injury pattern, severity scores and survival probability by TRISS.
Between 2004 and 2006 twelve patients who suffered an all-terrain vehicle accident were admitted. All of them were male and had a median age of 28.5 years (18-37.75). The median ISS was 25 points (17-27). Cranium and brain (AIS region 1) were present in 75% of the patients, face (AIS 2) in 41.6%, upper limbs (AIS 7) in 33%, thorax (AIS 4) in 25%, spine (AIS 6) and lower limbs (AIS 8) in 16.7% and there were no injures in AIS region 3 (neck) and 5 (abdomen-pelvis). Mortality at ICU and at day 28 was 16.7% and hospital mortality was 25%. Median ICU stay was 8 days (1.75-17) and median hospital stay was 21.5 days (8.25-27). ICU stay was shorter in patients without traumatic brain injury (1 [1-1.5] vs 12 [5-23]; p < 0.05).
All-terrain vehicle use is a growing source of high morbidity and mortality accidents. Injury patterns associated to these accidents are described. Traumatic brain injuries are common and have a poorer prognosis. New epidemiological and clinical studies are needed for a better knowledge of the problem.
明确在一家三级医院创伤重症监护病房（ICU）收治的因全地形车事故导致严重受伤患者的流行病学特征及损伤情况。
进行描述性观察研究，纳入过去三年内在我院ICU因全地形车事故入院的所有患者，前瞻性纳入我们的数据库。我们记录了人口统计学变量、入院时的临床状况、结局、损伤类型、严重程度评分以及通过TRISS法得出的生存概率。
2004年至2006年期间，有12名因全地形车事故受伤的患者入院。他们均为男性，中位年龄为28.5岁（18 - 37.75岁）。损伤严重程度评分（ISS）中位数为25分（17 - 27分）。75%的患者存在颅骨和脑部损伤（简明损伤定级标准[AIS]第1区），41.6%的患者有面部损伤（AIS 2），33%的患者有上肢损伤（AIS 7），25%的患者有胸部损伤（AIS 4），16.7%的患者有脊柱损伤（AIS 6）和下肢损伤（AIS 8），且AIS第3区（颈部）和第5区（腹部 - 骨盆）无损伤。ICU死亡率和28天死亡率为16.7%，医院死亡率为25%。ICU中位住院时间为8天（1.75 - 17天），医院中位住院时间为21.5天（8.25 - 27天）。无创伤性脑损伤患者的ICU住院时间较短（1[1 - 1.5]天对12[5 - 23]天；p < 0.05）。
全地形车的使用是高发病率和高死亡率事故不断增加的一个源头。描述了与这些事故相关的损伤类型。创伤性脑损伤很常见且预后较差。需要开展新的流行病学和临床研究以更好地了解这一问题。
