Abdulkarim A, Juhdi A, Coffey P, Edelson Lily
Department of Trauma and Orthopaedic Surgery, Midland Regional Hospital, Tullamore, Ireland.
Royal College of Surgeons, Dublin, Ireland.
Emerg Med Int. 2018 Jun 3;2018:7394390. doi: 10.1155/2018/7394390. eCollection 2018.
The Irish Equestrian industry provides over 12,500 full time job equivalents contributing in excess of €454 million to the Irish economy annually. For such an important industry there is a paucity of information relating to equestrian injuries.
The aim of this study was to determine the demographics, characteristics, and outcomes of equestrian related injuries presenting to the emergency department of a regional trauma centre in Ireland over the course of one year.
Retrospective analysis of all 30,700 presentations to the emergency department (ED) of the Midland Regional Hospital (MRH) Tullamore in 2013 was performed to identify equestrian related presentations. Patient demographics, mechanism of injury, radiology results, management, and follow-up data were collected and analysed using Microsoft Excel software.
A total of 149 equestrian related presentations were identified during the study period. There were significantly more females involved in equestrian injuries than males (58% versus 42%). Falling from a horse contributed to significantly more presentations and admissions than any other cause. 36% of presentations were associated with a radiological abnormality. Types of injuries identified included skeletal fractures (27.5%), joint dislocation/subluxation (5%), concussion (12.5%), and splenic laceration/intraperitoneal haemorrhage (1%). Admission or transfer to tertiary care was required for 18% of equestrian injuries. Only 43% of presentations were discharged back to primary care from the emergency department.
This study identifies a high incidence of morbidities associated with equestrian presentations. In addition we recognised populations at risk of specific injuries and described high-risk mechanisms of injury.
爱尔兰马术产业提供了超过12500个全职等效岗位，每年为爱尔兰经济贡献超过4.54亿欧元。对于这样一个重要的产业，有关马术损伤的信息却很匮乏。
本研究的目的是确定在一年时间里，爱尔兰一家地区创伤中心急诊科收治的与马术相关损伤的人口统计学特征、损伤特点及治疗结果。
对2013年米德兰地区医院（MRH）图拉莫尔急诊科的所有30700例就诊病例进行回顾性分析，以确定与马术相关的就诊病例。使用微软Excel软件收集并分析患者的人口统计学信息、损伤机制、放射学检查结果、治疗及随访数据。
在研究期间共确定了149例与马术相关的就诊病例。马术损伤中女性患者明显多于男性（58%对42%）。从马背上跌落导致的就诊和入院病例比其他任何原因都多得多。36%的就诊病例伴有放射学异常。确定的损伤类型包括骨骼骨折（27.5%）、关节脱位/半脱位（5%）、脑震荡（12.5%）以及脾破裂/腹腔内出血（1%）。18%的马术损伤患者需要入院或转至三级医疗机构治疗。只有43%的就诊患者从急诊科出院后返回初级医疗保健机构。
本研究发现与马术就诊相关的发病率较高。此外，我们识别出了有特定损伤风险的人群，并描述了高风险损伤机制。
