TY  - JOUR
PY  - 2022//
TI  - Correlation between the injury site and trauma mechanism in severely injured patients with blunt trauma
JO  - Emergency medicine international
A1  - Choi, Young Un
A1  - Jang, Sung Woo
A1  - Kim, Su Hyun
A1  - Ko, Ji Wool
A1  - Kim, Myoung Jun
A1  - Shim, Hongjin
A1  - Han, Jae Hun
A1  - Lim, Ji Hye
A1  - Kim, Kwangmin
SP  - e8372012
EP  - e8372012
VL  - 2022
IS  - 
N2  - BACKGROUND: In patients with severe injury, predicting the injury site without using advanced diagnostic modalities can help formulate a diagnosis and treatment plan based on the suspected injury site. <br><br>OBJECTIVES: This study aimed to determine the correlation between the injury site and trauma mechanism in severely injured patients with blunt trauma. <br><br>METHODS: We retrospectively analyzed the clinical characteristics-including age, sex, date of emergency room (ER) visit, time of injury, trauma mechanism (car accident, motorcycle accident, bicycle accident, pedestrian accident, fall, slipping and rolling down, crush injury, assault, and others), final diagnosis, injury severity score, abbreviated injury scale (AIS) score, and injury site-of 1,245 patients in a tertiary trauma center. <br><br>RESULTS: There was a strong correlation between certain injury sites and specific trauma mechanisms. In particular, most trauma mechanisms were associated with injury to the head and neck, as well as the chest, with a combined frequency of >40.0%. Moreover, when using one-way analysis of variance and Bonferroni's post hoc tests, there were significant differences in AIS scores 1, 3, 4, and 5 for each trauma mechanism. <br><br>CONCLUSION: Generally, when patients with severe injury present to the ER, the injury site can be predicted upon initial assessment based on the trauma mechanism. Based on our study, the injury site predicted by a specific mechanism should be checked repeatedly and additionally through physical examination and imaging tools. This can reduce misdiagnosis and help with accurate diagnosis and treatment.<p />  <p>Language: en</p>
LA  - en
SN  - 2090-2840
UR  - http://dx.doi.org/10.1155/2022/8372012
ID  - ref1
ER  -