一项关于严重马术创伤中头盔使用与头部损伤的回顾性研究。
A retrospective study of helmet use and head injury in severe equestrian trauma.
作者信息
Carter Benjamin T, Richardson M Dustin
机构信息
Collaborative Science and Innovation, Billings Clinic, Montana, United States.
Department of Neurosurgery, Billings Clinic, Montana, United States.
出版信息
J Neurosci Rural Pract. 2023 Jan-Mar;14(1):161-164. doi: 10.25259/JNRP-2022-3-14. Epub 2022 Dec 2.
OBJECTIVES
The aim of the study was to examine helmet use, incidence of injury, and patient outcomes in a rural cohort of equestrian accidents.
MATERIAL AND METHODS
EHR records of patients admitted to a Level II ACS trauma center in the North-west United States were reviewed for helmet use. Injuries were categorized according to International Classification of Diseases-9/10 code.
RESULTS
Of 53 identified cases, helmets only reduced superficial injury (χ (1) = 4.837, = 0.028). Intracranial injury rates were not different between those with and without helmets ( > 0.05).
CONCLUSION
In equine related injury, helmets protect against superficial injury but not intracranial injury in Western riders. More investigation is needed to assess why this is the case and determine ways to decrease intracranial injury.
目的
本研究旨在调查美国西北部一个农村地区马术事故队列中的头盔使用情况、损伤发生率及患者预后。
材料与方法
回顾了美国西北部一家二级急性冠脉综合征创伤中心收治患者的电子健康记录，以了解头盔使用情况。损伤根据国际疾病分类第9/10版编码进行分类。
结果
在53例确诊病例中，头盔仅能减少浅表损伤（χ(1)=4.837，P=0.028）。戴头盔和未戴头盔者的颅内损伤率无差异（P>0.05）。
结论
在与马相关的损伤中，头盔可防止西方骑手发生浅表损伤，但不能预防颅内损伤。需要更多研究来评估为何会出现这种情况，并确定降低颅内损伤的方法。
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