Swezey Elizabeth, Szydziak Elisa, Angus L D George, Mehta Vishes, Cardozo-Stolberg Sara
Department of Surgery, Nassau University Medical Center, East Meadow, USA.
Cureus. 2025 Apr 2;17(4):e81609. doi: 10.7759/cureus.81609. eCollection 2025 Apr.
Equestrian trauma is recognized as a high-risk injury mechanism with the potential for significant morbidity and mortality. Although horse-related injuries are more frequently seen in a rural environment, they can also occur in urban settings. Urban physicians should be mindful of these potential cases.
A retrospective review was performed on all patients treated at Nassau University Medical Center, East Meadow, New York, for equestrian-related trauma from January 1, 2000, to December 31, 2024.
Twenty-nine equestrian trauma patients ages 10-70 were included, with injuries observed in all six Abbreviated Injury Scale (AIS) body regions. Admission was required in 93% of patients. Intensive care unit (ICU) admission was required in 41% of the cases. Head and extremity injuries were the most common reasons for admission. Polytrauma patients were seen both in patients who fell from a horse and those who were kicked by a horse. The mean Injury Severity Score (ISS) was 6.9 and 11.8, respectively.
Both falling from a horse and being kicked by a horse have been shown to have a high risk of serious morbidity. Equestrian trauma can occur in urban environments. Urban physicians should be aware of injury patterns in equestrian trauma and maintain a high index of suspicion for serious injuries, as most patients will require admission and intervention.
马术创伤被认为是一种高风险的损伤机制，具有较高的发病率和死亡率。虽然与马匹相关的损伤在农村环境中更为常见，但在城市环境中也可能发生。城市医生应留意这些潜在病例。
对2000年1月1日至2024年12月31日在纽约州东梅多的拿骚大学医学中心接受治疗的所有与马术相关创伤的患者进行回顾性研究。
纳入了29名年龄在10至70岁之间的马术创伤患者，在所有六个简略损伤量表（AIS）身体区域均观察到损伤。93%的患者需要住院治疗。41%的病例需要入住重症监护病房（ICU）。头部和四肢损伤是入院的最常见原因。从马背上摔落的患者和被马踢伤的患者中均出现了多发伤患者。平均损伤严重程度评分（ISS）分别为6.9和11.8。
从马背上摔落和被马踢伤均显示出严重发病的高风险。马术创伤可发生在城市环境中。城市医生应了解马术创伤的损伤模式，并对严重损伤保持高度怀疑指数，因为大多数患者需要住院治疗和干预。
