La señal del cinturón de seguridad como indicador de lesiones

Translated title of the contribution: Seat belt mark as indicator of injury

Patrizio Petrone, Marcela Pardo, Emily Ramicone, Juan A. Asensio

Research output: Contribution to journalArticle

Abstract

Objective: To analyze the correlation between seat belt mark and the presence of visceral organ and musculoskeletal injuries in neck, thorax and/or abdomen. Setting. Level I Urban Trauma Center. Population: 1,264 patients involved in a car accident. Patients and method: We performed a retrospective study including all patients sustaining car accidents admitted to a Level I Urban Trauma Center over 14 months (July 2001-August 2002). Patients aged less than 16 years were excluded. The main outcome measure was the need for surgical intervention. Results: A total of 239 patients with seat belt mark were evaluated. The mean age was 39 years (range, 16-95, SD ± 17); 129 (53.9%) were males and 110 (46.1%) were females; 165 (69%) were drivers and 74 (31%) were passengers. The mean weight was 63 kg (range, 46-148 kg). One hundred and one sustained a seat belt mark over the abdomen with 31 associated injuries (30.6%); there were 86 seat belt marks over the thorax corresponding to 21 injuries (24.4%) and 24 seat belt marks over the neck without injuries. The most frequent injuries were thoracic-costal, clavicular and sternum fractures (including 8 myocardial contusions) and abdominal-mesenteric, small bowel, bladder, spleen, liver and colon injuries. Surgery was required by 73 (30.5%) of 239 patients with seat belt mark and by 85 of 564 patients (15%) without seat belt mark (p <0.01). Conclusion: The presence of seat belt marks over the thorax and/or abdomen were associated with a higher incidence of visceral organ and musculoskeletal injuries compared with the patients who sustained injuries without seat belt marks.

Translated title of the contributionSeat belt mark as indicator of injury
Original languageSpanish
Pages (from-to)252-255
Number of pages4
JournalCirugia Espanola
Volume76
Issue number4
DOIs
StatePublished - Dec 1 2004
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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