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Earthquake-related injuries: Evaluation with multidetector computed tomography and digital radiography of 1491 patients.
- Source :
- Journal of Critical Care; Feb2012, Vol. 27 Issue 1, p103.e1-103.e6, 0p
- Publication Year :
- 2012
-
Abstract
- Abstract: Purpose: The aim of this study was to evaluate the common features of earthquake-related injuries using radiography and computed tomography. Materials and Methods: We retrospectively reviewed the radiography and multidetector computed tomography features of 1491 patients injured in 2008 Sichuan earthquake. We categorized patients by age group (<35, 35-64, and ≥65 years) and time to imaging. Injuries were categorized by anatomical distribution. Results: We detected earthquake-related trauma in 1197 patients (80.28%), including head injuries, facial fractures, thoracic injuries, abdominal injuries, pelvic fractures, spinal injuries, and extremity fractures in 91, 41, 354, 30, 204, 299, and 732 (61.15%) patients, respectively (χ <superscript>2</superscript> = 1844.747, P < .001). Injuries in 2 or more anatomical locations occurred in 384 cases. We discovered significant difference in the anatomical distribution of injuries among the 3 age groups (χ <superscript>2</superscript> = 104.113, P < .001) and among the time-to-imaging categories (χ <superscript>2</superscript> = 64.420, P < .001). Twenty-two patients (1.48%) eventually died. Abdominal injuries (B = 2.285, P = .004), head injuries (B = 2.194, P < .001), thoracic injuries (B = 1.989, P < .001), and age (B = 1.539, P < .001) were all associated with patient death. Conclusions: The Sichuan earthquake most commonly resulted in extremity fractures, but there was a high incidence of injuries to multiple body areas. Head, abdominal, and thoracic injuries and age older than 64 years all were significant risk factors for earthquake mortality. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 08839441
- Volume :
- 27
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Journal of Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- 71488743
- Full Text :
- https://doi.org/10.1016/j.jcrc.2011.03.007