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A single urban center experience with adult pedestrians struck by motor vehicles.

Publication ,  Journal Article
McElroy, LM; Juern, JJ; Bertleson, A; Xiang, Q; Szabo, A; Weigelt, J
Published in: WMJ
June 2013

BACKGROUND: Pedestrian-vehicle crashes are a significant problem in public health. Understanding contributing factors within a specific community helps recognize and target key intervention points. METHODS: Trauma registry analysis included all of the patients treated at a Level I trauma center following pedestrian-motor vehicle collisions from January 1, 2000 to December 31, 2010. Variables examined included patient demographics, timing of collision, abbreviated injury scale score, injury severity score (ISS), hospital and intensive care unit (ICU) length of stay (LOS), and emergency department and hospital disposition. RESULTS: A total of 945 pedestrians were reviewed within the study period. Average age was 46.4+/-19.4 years. One hundred seventy-seven (18.7%) patients were elderly and of the elderly group, 69 (39%) were 80 years of age or greater. The median ISS score was 12, average hospital LOS was 10.8 days and average ICU length of stay was 6.0+/-7.5 days. More elderly patients required admission to the ICU than the nonelderly (61.6% vs 40.2%; P<0.001), and more elderly patients required admission to a skilled nursing facility than nonelderly (42.1% vs. 9%; P< 0.001). The mortality rate for elderly patients was more than double that of nonelderly patients (20.9% vs 9.1%; P<0.001). Pedestrian-motor vehicle collisions occurred disproportionately between the hours of 6 PM and midnight (P< 0.0001). CONCLUSION: Elderly patients struck by a motor vehicle have a mortality rate twice that of the nonelderly and a higher rate of discharge to a skilled nursing facility, despite having a similar injury severity score on admission. This highlights the need for aggressive prevention efforts targeted at the elderly population.

Duke Scholars

Published In

WMJ

ISSN

1098-1861

Publication Date

June 2013

Volume

112

Issue

3

Start / End Page

117 / 122

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Wisconsin
  • Walking
  • Urban Population
  • Trauma Centers
  • Risk Factors
  • Regression Analysis
  • Registries
  • Motor Vehicles
  • Middle Aged
 

Citation

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McElroy, L. M., Juern, J. J., Bertleson, A., Xiang, Q., Szabo, A., & Weigelt, J. (2013). A single urban center experience with adult pedestrians struck by motor vehicles. WMJ, 112(3), 117–122.
McElroy, Lisa M., Jeremy J. Juern, Annette Bertleson, Qun Xiang, Aniko Szabo, and John Weigelt. “A single urban center experience with adult pedestrians struck by motor vehicles.WMJ 112, no. 3 (June 2013): 117–22.
McElroy LM, Juern JJ, Bertleson A, Xiang Q, Szabo A, Weigelt J. A single urban center experience with adult pedestrians struck by motor vehicles. WMJ. 2013 Jun;112(3):117–22.
McElroy, Lisa M., et al. “A single urban center experience with adult pedestrians struck by motor vehicles.WMJ, vol. 112, no. 3, June 2013, pp. 117–22.
McElroy LM, Juern JJ, Bertleson A, Xiang Q, Szabo A, Weigelt J. A single urban center experience with adult pedestrians struck by motor vehicles. WMJ. 2013 Jun;112(3):117–122.

Published In

WMJ

ISSN

1098-1861

Publication Date

June 2013

Volume

112

Issue

3

Start / End Page

117 / 122

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Wisconsin
  • Walking
  • Urban Population
  • Trauma Centers
  • Risk Factors
  • Regression Analysis
  • Registries
  • Motor Vehicles
  • Middle Aged