Department of Surgery, Division of Trauma, Critical Care and General Surgery, Mayo Clinic, Rochester Minnesota, USA.
Scand J Trauma Resusc Emerg Med. 2010 Aug 17;18:46. doi: 10.1186/1757-7241-18-46.
Our American College of Surgeons Level 1 Trauma Center serves a rural population. As a result, there is a unique set of accidents that are not present in an urban environment such as deer related motor vehicle crashes (dMVC). We characterized injury patterns between motorcycle/all-terrain vehicles (MCC) and automobile (MVC) crashes related to dMVC (deer motor vehicle crash) with the hypotheses that MCC will present with higher Injury Severity Score (ISS) and that it would be related to whether the driver struck the deer or swerved.
The records of 157 consecutive patients evaluated at our institution for injury related to dMVC from January 1st, 1997 to December 31st, 2006 were reviewed from our prospectively collected trauma database. Demographic, clinical, and crash specific parameters were abstracted. Injury severity was analyzed by the Abbreviated Injury Scale score for each body region as well as the overall Injury Severity Score (ISS).
Motorcycle crashes presented with a higher median ISS than MVCs (14 vs 5, p < 0.001). Median Abbreviated Injury Score (AIS) of the spine for MCC riders was higher (3 vs 0, p < 0.001) if they swerved rather than collided. Seventy-seven percent of riders were not wearing a helmet which did not result in a statistically significant increase in median ISS (16 vs 10), head AIS (2 vs 0) or spine AIS (0 vs 0).Within the MVC group, there was no difference between swerving and hitting the deer in any AIS group. Forty-seven percent of drivers were not wearing seat belts which resulted in similar median ISS (6 vs 5) and AIS of all body regions.
Motorcycle operators suffered higher ISS. There were no significant differences in median ISS if a driver involved in a deer-related motor vehicle crash swerved rather than collided, was helmeted, or restrained.
我们的美国外科医师学会一级创伤中心服务于农村人口。因此，与城市环境相比，存在着一组独特的事故，如与鹿有关的机动车事故（dMVC）。我们对与 dMVC（鹿机动车事故）相关的摩托车/全地形车（MCC）和汽车（MVC）事故的损伤模式进行了特征描述，假设 MCC 会表现出更高的损伤严重度评分（ISS），并且与驾驶员撞击鹿或转向有关。
从 1997 年 1 月 1 日至 2006 年 12 月 31 日，对我院连续收治的 157 例与 dMVC 相关的损伤患者的记录进行了回顾性分析，这些患者是从我们前瞻性收集的创伤数据库中筛选出来的。提取了人口统计学、临床和碰撞特定参数。使用每个身体区域的简明损伤量表评分以及整体损伤严重度评分（ISS）分析损伤严重程度。
摩托车碰撞的中位数 ISS 高于 MVC（14 比 5，p < 0.001）。如果 MCC 骑手转向而不是碰撞，其脊柱的中位数简明损伤量表评分（AIS）更高（3 比 0，p < 0.001）。77%的骑手没有戴头盔，但这并没有导致中位数 ISS（16 比 10）、头部 AIS（2 比 0）或脊柱 AIS（0 比 0）显著增加。在 MVC 组中，转向与撞击鹿在任何 AIS 组中均无差异。47%的驾驶员没有系安全带，导致中位数 ISS（6 比 5）和所有身体部位的 AIS 相似。
摩托车驾驶员的 ISS 较高。如果涉及与鹿有关的机动车事故的驾驶员转向而不是碰撞、戴头盔或系安全带，则中位 ISS 无显著差异。
