Sharma Bharti, Agcon Aubrey May B, Agriantonis George, Cheerasarn Sittha, Bhatia Navin D, Shafaee Zahra, Whittington Jennifer, Twelker Kate
Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA.
Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA.
Life (Basel). 2025 Jan 3;15(1):51. doi: 10.3390/life15010051.
Subway-related accidents have risen with advancements in the system. We aim to study the injury patterns from these incidents.
This is a retrospective study from a single center, covering patients from 1 January 2016 to 31 December 2023. Patients were identified using International Classification of Diseases (ICD) injury descriptions and Abbreviated Injury Scale (AIS) body regions.
Out of 360 patients (total), 23.5% presented with head injuries with an AIS score ≥ 3. Patients with blunt trauma (93.99%) were in higher numbers than penetrating (5.74%) and burn trauma (0.3%). Overall, the mean Injury Severity Score (ISS) was 10.69, suggesting a broad range of traumatic injuries. ISSs for severe injuries (17-24) comprised 9.2%, moderate injuries (10-16) comprised 17.5%, and minor injuries (1-9) comprised 60.8%. Falls had the highest percentage of traumatic brain injuries (TBI) (65.60%) and fractures (67.50%). Assaults showed a significant occurrence of traumatic thoracic injuries (28.90%). Suicide attempts demonstrated a high percentage of traumatic amputations (30.80%). In the emergency department (ED), most patients (69.4%) were admitted for further care, such as trauma, neurosurgery, or other care. Of these patients, 0.5% died in the ED, 0.5% died on arrival, and 1.04% died within 15 min of arrival. The mortality rate among serious fall patients was 17.20% compared to the suicide and train-struck groups at 37.90% each.
There were high occurrences of TBIs, and fractures, thoracic injuries, and amputations. Numbers of patients with blunt trauma were a lot higher than those with penetrating and burn trauma. The mortality rates observed in the suicide and train-struck groups were higher than those in patients with severe falls.
随着地铁系统的发展，与地铁相关的事故有所增加。我们旨在研究这些事故中的损伤模式。
这是一项来自单一中心的回顾性研究，涵盖了2016年1月1日至2023年12月31日期间的患者。使用国际疾病分类（ICD）损伤描述和简明损伤定级（AIS）身体部位来识别患者。
在360名患者（总计）中，23.5%的患者头部损伤且AIS评分≥3。钝器伤患者（93.99%）的数量高于穿透伤患者（5.74%）和烧伤患者（0.3%）。总体而言，平均损伤严重程度评分（ISS）为10.69，表明创伤损伤范围广泛。重伤（17 - 24）的ISS占9.2%，中度伤（10 - 16）占17.5%，轻伤（1 - 9）占60.8%。跌倒导致的创伤性脑损伤（TBI）（65.60%）和骨折（67.50%）比例最高。袭击导致创伤性胸部损伤的发生率显著（28.90%）。自杀未遂导致创伤性截肢的比例较高（30.80%）。在急诊科（ED），大多数患者（69.4%）被收治接受进一步治疗，如创伤、神经外科或其他治疗。在这些患者中，0.5%在急诊科死亡，0.5%在到达时死亡，1.04%在到达后15分钟内死亡。严重跌倒患者的死亡率为17.20%，而自杀和被火车撞击组各为37.90%。
创伤性脑损伤、骨折、胸部损伤和截肢的发生率较高。钝器伤患者的数量远高于穿透伤和烧伤患者。自杀和被火车撞击组的死亡率高于严重跌倒患者。
