A three-year follow-up on injuries sustained by cruise ship passengers and crew treated at the Orthopaedic and Traumatology Department at Dubrovnik County Hospital

Bekić, Marijo; Mikolaučić, Michele; Golubovic, Marko; Kojic, Niksa; Lenz, Rikard; Lojpur, Jakisa; Bekic, Marijana

doi:10.1016/j.injury.2015.10.039

Cited by 2 publications

(4 citation statements)

References 38 publications

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“…The rarity of serious traumatic brain injury is somewhat surprising in an era with so many elderly patients on anticoagulants, but this finding may be somewhat reassuring because these are the injuries with the most serious adverse consequences and those who need the most rapid transport to a trauma centre. These findings are similar to other series in which the range of serious traumatic brain injury was 1-12% of all serious injuries sustained on the cruise ship [8,10,11].…”

Section: Discussionsupporting

confidence: 91%

“…do occur, the most common mechanism of injury by a significant margin is a ground-level fall (79%). Bekics et al [11] likewise found this to be the most common mechanism requiring hospitalisation (49%). The second most common mechanism in both series was fall down stairs, occurring slightly more often (14% vs. 9%) in their series compared to this series [11].…”

Section: Discussionmentioning

confidence: 86%

“…Bekics et al [11] likewise found this to be the most common mechanism requiring hospitalisation (49%). The second most common mechanism in both series was fall down stairs, occurring slightly more often (14% vs. 9%) in their series compared to this series [11]. The Bansal et al [8] series had a majority of their hospitalised patients (63%) suffering from a fall down stairs.…”

Section: Discussionmentioning

confidence: 86%

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Patterns of injury amongst cruise ship passengers requiring hospitalisation

Isom

Accilien

Chery

et al. 2018

International Maritime Health

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Background: The number of commercial cruise ship passengers continues to rise and is projected to reach 27.2 million passengers worldwide in 2018. Accidental injury aboard these ships can result in serious morbidity and mortality. This study examines the injury mechanisms, patterns, demographics, and outcomes of these injuries which are serious enough to require hospitalisation in order to facilitate administrative, financial, and medical decision making to aid in injury prevention and treatment. Materials and methods: This is a cross-sectional, retrospective, registry-based study of adult patients sustaining injury while on a cruise ship admitted to a Level I Trauma Centre in the United States over a 2-year period. Data on demographics, injury type and severity, surgical management, hospital charges, length of stay, mortality, and discharge disposition were recorded. Results: Sixty seven patients were identified and included in the analysis. 70.1% of patients were 65 or older and a majority were female (59.7%). The most common mechanism of injury was a ground level fall (79.1%), and the most common injury encountered was a femur fracture (52.2%) which involved the acetabulo-femoral joint in 85.7% of cases. Traumatic brain injuries were uncommon occurring in 7.5% of cases. There were no fatalities in this series. Conclusions: The most common injuries aboard cruise ships requiring hospitalisation occur in the geriatric population as a result of a ground level fall. Most commonly, the injuries are long bone fractures, with femur fractures occurring most frequently and accounting for over half of all injuries sustained. Resources and protocols for pre-hospital management of cruise ship injuries should prioritise these patients, and fall prevention measures for this demographic should be mandatory aboard all cruise ships.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 86%

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Patterns of injury amongst cruise ship passengers requiring hospitalisation

Isom

Accilien

Chery

et al. 2018

International Maritime Health

View full text Add to dashboard Cite

show abstract

“…In recent years, several studies have reported on mortality in passengers who have sailed in cruise ships and/or other types of passenger vessels [1,2]. Many other studies have reported on morbidity in cruise ship passengers, including injuries [3][4][5], various communicable diseases including gastroenteritis and influenza [3,[6][7][8][9][10], and acute cardiovascular diseases [11]. Little has been reported on mortality and its causes among crew members who serve on board cruise or passenger ships.…”

Section: Introductionmentioning

confidence: 99%