@article{ref1,
title="10-year evaluation of train accidents",
journal="Ulusal travma ve acil cerrahi dergisi",
year="2011",
author="Akkaş, Meltem and Ay, Didem and Metin Aksu, Nalan and Günalp, Müge",
volume="17",
number="5",
pages="440-444",
abstract="BACKGROUND: Although less frequent than automobile accidents, train accidents have a major impact on victims' lives. METHODS: Records of patients older than 16 years of age admitted to the Adult Emergency Department of Hacettepe University Medical Center due to train accidents were retrospectively evaluated. RESULTS: 44 patients (30 males, 14 females) with a mean age of 31.8±11.4 years were included in the study. The majority of the accidents occurred during commuting hours. 37 patients were discharged, 22 of them from the emergency department. The mortality rate was 7/44 (16%). Overall mean Revised Trauma Score (RTS) was 10.5 (3 in deaths and 11.9 in survivors). In 5 patients, the cause of death was pelvic trauma leading to major vascular injury and lower limb amputation. In 1 patient, thorax and abdomen trauma and in 1 patient head injury were the causes of mortality. Primary risk factors for mortality were alcohol intoxication (100%), cardiopulmonary resuscitation on admittance (100%), recurrent suicide attempt (75%), presence of psychiatric illness (60%), and low RTS. CONCLUSION: In this study, most train accidents causing minor injuries were due to falling from the train prior to acceleration. Nevertheless, train accidents led to a mortality rate of 16% and morbidity rate of 37%. These findings draw attention to the importance of developing preventive strategies.<p /> <p>Language: en</p>",
language="en",
issn="1306-696X",
doi="",
url="http://dx.doi.org/"
}