Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents

Background. Traumatic head injury (THI) due to road traffic accidents (RTAs) is a global health problem. Studies exploring the association between RTA-related THI and concurrent orthopedic fractures are lacking. We aim to provide a detailed analysis of this association and its impact on inhospital o...

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Autor principal:	Mubarak Ali Algahtany
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Biotechnology TP248.13-248.65 Biology (General) QH301-705.5
Acceso en línea:	https://doaj.org/article/465f5effaf0148bd8de0f38086de92de
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spelling	oai:doaj.org-article:465f5effaf0148bd8de0f38086de92de2021-11-08T02:36:17ZInvestigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents1754-210310.1155/2021/2430090https://doaj.org/article/465f5effaf0148bd8de0f38086de92de2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2430090https://doaj.org/toc/1754-2103Background. Traumatic head injury (THI) due to road traffic accidents (RTAs) is a global health problem. Studies exploring the association between RTA-related THI and concurrent orthopedic fractures are lacking. We aim to provide a detailed analysis of this association and its impact on inhospital outcomes. Methods. Retrospective analysis of RTA-related THI associated with orthopedic fractures admitted to a large tertiary center, Southwest, Saudi Arabia, over ten years. Descriptive statistics for participant demographics and clinical outcomes were represented by percentages. The associations between head injury diagnosis or orthopedic fractures region and patient demographics are analyzed using the Chi-square test. Post hoc analysis for the significant Chi-square values was carried out by calculating the significant adjusted residuals. Adjust p value was obtained by using the Benjamini-Hochberg procedure to control for multiplicity testing. A p value less than 0.05 was considered statistically significant. Results. Concurrent orthopedic fractures are present in one-tenth of RTA-related THI. The cohort was dominated by young males, with 46.5% of the population between 18 and 29 years old. There was a significant association between the head injury diagnosis and the region of orthopedic fracture (p=0.028). The type of head injury had significant associations with mortality and duration of hospital stay (p=0.039 and p=0.037, respectively). The region of orthopedic fracture significantly (p=0.018) affected the duration of hospital stay, with fractures in the clavicle/shoulder region significantly (p=0.035) having a short course of hospital admission. Conclusion. Orthopedic fractures concomitant with RTA-related THI are common. The associations between the two injuries tend to happen in specific patterns. The inhospital stay duration and mortality significantly correlated with the site of the head or orthopedic injury. Knowledge of these patterns improves the care of THI victims, triaging, and resource allocations.Mubarak Ali AlgahtanyHindawi LimitedarticleBiotechnologyTP248.13-248.65Biology (General)QH301-705.5ENApplied Bionics and Biomechanics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Biotechnology TP248.13-248.65 Biology (General) QH301-705.5
spellingShingle	Biotechnology TP248.13-248.65 Biology (General) QH301-705.5 Mubarak Ali Algahtany Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents
description	Background. Traumatic head injury (THI) due to road traffic accidents (RTAs) is a global health problem. Studies exploring the association between RTA-related THI and concurrent orthopedic fractures are lacking. We aim to provide a detailed analysis of this association and its impact on inhospital outcomes. Methods. Retrospective analysis of RTA-related THI associated with orthopedic fractures admitted to a large tertiary center, Southwest, Saudi Arabia, over ten years. Descriptive statistics for participant demographics and clinical outcomes were represented by percentages. The associations between head injury diagnosis or orthopedic fractures region and patient demographics are analyzed using the Chi-square test. Post hoc analysis for the significant Chi-square values was carried out by calculating the significant adjusted residuals. Adjust p value was obtained by using the Benjamini-Hochberg procedure to control for multiplicity testing. A p value less than 0.05 was considered statistically significant. Results. Concurrent orthopedic fractures are present in one-tenth of RTA-related THI. The cohort was dominated by young males, with 46.5% of the population between 18 and 29 years old. There was a significant association between the head injury diagnosis and the region of orthopedic fracture (p=0.028). The type of head injury had significant associations with mortality and duration of hospital stay (p=0.039 and p=0.037, respectively). The region of orthopedic fracture significantly (p=0.018) affected the duration of hospital stay, with fractures in the clavicle/shoulder region significantly (p=0.035) having a short course of hospital admission. Conclusion. Orthopedic fractures concomitant with RTA-related THI are common. The associations between the two injuries tend to happen in specific patterns. The inhospital stay duration and mortality significantly correlated with the site of the head or orthopedic injury. Knowledge of these patterns improves the care of THI victims, triaging, and resource allocations.
format	article
author	Mubarak Ali Algahtany
author_facet	Mubarak Ali Algahtany
author_sort	Mubarak Ali Algahtany
title	Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents
title_short	Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents
title_full	Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents
title_fullStr	Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents
title_full_unstemmed	Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents
title_sort	investigating the association between orthopedic fractures and head injury due to road traffic accidents
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/465f5effaf0148bd8de0f38086de92de
work_keys_str_mv	AT mubarakalialgahtany investigatingtheassociationbetweenorthopedicfracturesandheadinjuryduetoroadtrafficaccidents
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Investigating the Association between Orthopedic Fractures and Head Injury due to Road Traffic Accidents

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