Pattern and In-Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident-Related Spinal Injury: A Retrospective Single-Center Study

Abstract

Background. Motor vehicle accident (MVA) is a global health hazard that results in spinal, thoracic, and abdominal injuries. Detailed studies on the association between MVA-related traumatic spinal injury (TSI) and thoracoabdominal injuries are lacking. This study aims to elucidate the prevalence, pattern of association between these injuries, and related outcomes in terms of in-hospital mortality. Methods. This is a retrospective single-center study of MVA-related TSI with thoracoabdominal associated injuries. Descriptive analysis was performed for gender, age, spinal injury level, thoracoabdominal injury region, admission day, hospital stay duration, and discharge category. The association between TSI and thoracoabdominal injury was analyzed, and the chi-square test was used to test the significance of differences. A statistically significant difference was considered at P values less than 0.05. Results. The cohort had a mean age of 33.6 ± 17.7 years with predominantly more males (85.1%). Thoracoabdominal injuries were present in 10.5% of MVA-related TSIs, and 9.2% of victims died during their hospital stay. There is a significant ( P = 0.045 ) association between the level of the spinal and the region of thoracoabdominal injuries. The presence of TSI-associated thoracic injury significantly ( P = 0.041 ) correlated with increased in-hospital mortality more than abdominal injury. Conclusion. Thoracoabdominal injuries concomitant with MVA-related TSI cause considerable mortality. A pattern of association exists between the level of spinal and region of thoracoabdominal injury. Knowledge of this pattern is helpful in the routine practice of trauma health partitioners.

Sex, age, role and geographic differences in traumatic spinal fractures caused by motor vehicle collisions: a multicentre retrospective study

“…Female patients were more frequently associated with passenger, pedestrian, thoracic and lumbar fracture, and SCI than male patients. A previous study showed that thoracic and abdominal injuries accounted for 10.5% of MVC-related TSFs, and male patients with MVC-related TSI were more frequently associated with thoracic- and abdominal-associated injuries than females 16 . In the current study, the number of male patients exceeded the number of female patients, a phenomenon that could be explained by gender demographics and the Chinese culture; men are involved in more social activities than women, and women rarely drive motorcycles.…”

“…This association occurs in distinct patterns and influences patient outcomes 15 . Thoracic and abdominal injuries account for 10.5% of MVC-related TSFs 16 . Traumatic spinal cord injuries (TSCIs) have a devastating effect on the quality of life of patients.…”

“…In most of the studies on spinal fractures, researchers have simply reported that MVCs were the main cause of spinal fracture and indicated trends regarding related MVCs but have not discussed the specific epidemiological characteristics of the MVCs 7 – 13 . Reports from studies on spinal fracture caused by MVCs have included discussions of only some aspects of MVCs 14 – 21 , such as injured front-seat occupants 14 , paediatric passengers 18 or elderly subjects 19 , traumatic spinal injury associated with orthopaedic fractures 15 , thoracoabdominal injuries 16 , and thoracolumbar fractures 17 , 20 . Although much is known about the characteristics of TSFs, TSFs caused by MVCs have not been discussed in depth according to different sexes, age groups, roles and geographic locations in a single study.…”

Retracted: Pattern and In‐Hospital Mortality of Thoracoabdominal Injuries Associated with Motor Vehicle Accident‐Related Spinal Injury: A Retrospective Single‐Center Study

“…This article has been retracted by Hindawi, as publisher, following an investigation undertaken by the publisher [ 1 ]. This investigation has uncovered evidence of systematic manipulation of the publication and peer-review process.…”