Smith R W, Nelson D R
Emergency Medicine and Trauma Center, Methodist Hospital of Indiana, Indianapolis, USA.
Am J Emerg Med. 1998 Jan;16(1):52-5. doi: 10.1016/s0735-6757(98)90065-1.
This is a retrospective review of all patients seen at an urban emergency department for 9 days after an ice storm because of a fall on ice. Date of presentation, age, sex, and anatomic location and type of injury were tabulated. Risk factors for fractures were identified. A total of 327 injuries were identified in 259 patients. Back injury was most common (19.3%). Ninety-one patients sustained 93 fractures. Ankle fractures were most common (24.7%), followed by fractures of wrist (19.4%) and hip (14.0%). Ankle fractures were more common than other studies of falls after a snow storm. Fracture was significantly related to age (P = .0001). There was a trend for women to sustain fractures (P = .07). Unlike other mass casualty events, fractures and injuries peaked on the 5th and 6th day after the storm, allowing adequate time for mobilizing resources to care for the injured.
这是一项对城市急诊科在冰暴后9天内因在冰上摔倒而就诊的所有患者的回顾性研究。记录了就诊日期、年龄、性别、损伤的解剖部位和类型。确定了骨折的危险因素。在259名患者中总共发现了327处损伤。背部损伤最为常见(19.3%)。91名患者发生了93处骨折。踝关节骨折最为常见(24.7%),其次是腕部骨折(19.4%)和髋部骨折(14.0%)。踝关节骨折比其他关于暴风雪后跌倒的研究更为常见。骨折与年龄显著相关(P = .0001)。女性发生骨折有一定趋势(P = .07)。与其他大规模伤亡事件不同,骨折和损伤在暴风雪后的第5天和第6天达到高峰,这为调动资源照顾伤者留出了足够的时间。