دورية أكاديمية
The Impact of Seat Belt Use in Pregnancy on Injuries and Outcomes After Motor Vehicle Collisions.
| العنوان: | The Impact of Seat Belt Use in Pregnancy on Injuries and Outcomes After Motor Vehicle Collisions. |
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| المؤلفون: | Schellenberg M; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California. Electronic address: morgan.schellenberg@med.usc.edu., Ruiz NS; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California., Cheng V; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California., Heindel P; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California., Roedel EQ; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California., Clark DH; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California., Inaba K; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California., Demetriades D; Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, Los Angeles, California. |
| المصدر: | The Journal of surgical research [J Surg Res] 2020 Oct; Vol. 254, pp. 96-101. Date of Electronic Publication: 2020 May 15. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York, NY : Academic Press Original Publication: Philadelphia [etc.] |
| مواضيع طبية MeSH: | Accidents, Traffic/*statistics & numerical data , Seat Belts/*statistics & numerical data , Wounds and Injuries/*epidemiology, Abdominal Injuries/epidemiology ; Adult ; Ethnicity ; Female ; Humans ; Injury Severity Score ; Length of Stay ; Pregnancy ; Retrospective Studies |
| مستخلص: | Background: Seat belt use during motor vehicle collisions (MVCs) has been shown to alter adults' intra-abdominal injury patterns, although the effect of seat belt use in pregnant women is unclear. The objective of this study was to determine the impact of seat belt use in pregnancy on injuries and outcomes after MVCs. Methods: Patients injured by MVCs were identified from the National Trauma Data Bank (2007-2014). The exclusion criteria were transfer from an outside hospital, male or unspecified sex, missing restraint data, and nonchildbearing age. Demographics, clinical/injury data, pregnancy status, seat belt use, and outcomes were collected. Study groups were dichotomized by pregnancy status with subgroup analysis by seat belt use. Univariate/multivariate analyses compared outcomes and determined predictors of seat belt use. Results: After exclusions, 162,964 women were included, of which 680 (<1%) were pregnant. Intra-abdominal injuries during pregnancy did not vary according to seat belt use (P > 0.05). Unrestrained pregnant women were more injured (Injury Severity Score: 13 versus 7, P < 0.001), more likely to need emergent operation (14% versus 10%, P < 0.001), and had a longer hospital stay (6 versus 4 d, P = 0.012) than restrained counterparts. On multivariate analysis among pregnant women, seat belt use was associated with age ≥25 y (odds ratio: 2.033, P = 0.001). The lack of restraint use was associated with the position in the passenger seat (odds ratio: 0.521, P = 0.001). Conclusions: Seat belt use in pregnancy does not alter abdominal injury patterns but is associated with lower injury severity, reduced need for emergent surgery, and shortened hospital stay. Public health interventions emphasizing the importance of seat belts could be focused on younger patients and vehicle passengers to reach the high-risk pregnant subset. (Copyright © 2020 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Motor vehicle collisions; Pregnancy; Restraint use; Seat belt use; Trauma |
| تواريخ الأحداث: | Date Created: 20200519 Date Completed: 20201029 Latest Revision: 20211204 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.jss.2020.04.012 |
| PMID: | 32422432 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1095-8673 |
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| DOI: | 10.1016/j.jss.2020.04.012 |