Citation

Bekelis K, Missios S, Spinner R. J. Neurotrauma 2014; 31(12): 1077-1082.

Affiliation

One Medical Center Dr, Lebanon, New Hampshire, United States, 03756 ; kbekelis@gmail.com.

Copyright

(Copyright © 2014, Mary Ann Liebert Publishers)

DOI

10.1089/neu.2013.3281

PMID

24377330

Abstract

The pattern of injuries in restrained victims of motor vehicle crashes (MVCs) remains an issue of debate. We investigated the association of peripheral nerve injuries with the use of protective devices (seat belt, and air bag) during MVCs. We performed a retrospective cohort study of 384,539 adult MVC victims, who were registered in the National Trauma Data Bank (NTDB) between 2009 and 2011. Regression techniques were utilized to investigate the association of restraint use with the risk of peripheral nerve injury in patients hospitalized after an MVC. Of the study patients, 271,099 were using restraints, and 113,440 were not. Overall, there were a total of 3,086 peripheral nerve injuries. Multivariable logistic regression analysis demonstrated an association of protective device use with decreased risk of peripheral nerve injury [OR, 0.89; 95% CI, 0.82-0.96; Absolute Risk Reduction, 10.68%]. This corresponds to 16 patients who needed to be restrained to prevent one nerve injury. The location of the patient in the vehicle did not seem to affect the risk of peripheral nerve injury, with drivers demonstrating no association with nerve injuries (OR, 0.94; 95% CI, 0.87-1.02) in comparison to non-drivers. On the contrary, alcohol consumption was associated with increased incidence of peripheral nerve injuries (OR, 1.10; 95% CI, 1.01-1.20). In summary, restraint use was associated with decreased risk of peripheral nerve injury in MVC victims, after controlling for confounders.

Language: en