Equine-related injury: a retrospective analysis of outcomes over a 10-year period.
Abstract: Morbidity and financial loss caused by equine-related injuries may be significant. The purposes of this study were to determine the patterns of equine-related injury and the impact on outcomes. Methods: A 10-year retrospective review of equine-related injuries was performed. Age, gender, mechanism, injury severity score, Glasgow Coma Score, length of stay, surgical interventions, and mortality were assessed. Results: Of 80 emergency department evaluations, 76 patients were admitted and form the basis of this study. The most frequent mechanism of injury was fall (68%), followed by crush injuries (15%), kicks (8%), and trampling (5%). Musculoskeletal injuries were most common (64%). Thirty-eight (50%) patients required surgical intervention. Thirty-seven (52%) patients were discharged home; 34% required outpatient physical therapy, and 14% required inpatient rehabilitation. The mortality rate was 7%. Conclusions: Equine-related injuries resulted in significant morbidity; most victims required outpatient or inpatient rehabilitation. The use of preventive strategies may minimize mortality and reduce the financial impact of postinjury morbidity.
Publication Date: 2008-04-22 PubMed ID: 18424291DOI: 10.1016/j.amjsurg.2007.11.007Google Scholar: Lookup
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- Journal Article
Summary
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This research article presents a 10-year retrospective analysis of horse-related injuries to understand their common patterns and their impacts on the victims. The study reveals a high frequency of severe injuries that required surgical intervention and rehabilitative care, emphasizing the need for preventive measures to reduce morbidity and financial costs.
Objective of the Study
- The primary focus of this study was to determine the patterns of injuries caused by horses and to evaluate their impact on the victims. By understanding these patterns, researchers aimed to suggest appropriate measures that may prevent such injuries and minimize their financial impact.
Methods Used
- This was a retrospective review of data collected over 10 years concerning injuries related to horses. Various factors such as age, gender, injury mechanism, injury severity, Glasgow Coma Score (a measure of consciousnes), length of hospital stay, and the need for surgical interventions were assessed.
- The study primarily included patients who were admitted to the hospital following emergency department evaluations.
Findings of the Study
- The researchers found that out of 80 patients evaluated in the emergency department, 76 were admitted and included in the study.
- The most common cause of horse-related injury was falling, which accounted for about 68% of the cases. Other less frequent injuries included crush injuries (15%), kicks (8%), and trampling (5%).
- The most prevalent type of injuries were musculoskeletal injuries (64%).
- Half of the patients required surgical intervention, indicating the severity of the injuries.
- A majority (52%) of patients were discharged home after their hospital stay. However, about 34% required outpatient physical therapy and 14% needed inpatient rehabilitation, indicating serious and long-term impacts of these injuries.
- The study recorded a mortality rate of 7% from such injuries.
Conclusions
- According to the study, injuries related to horses resulted in significant morbidity. Majority of the victims required either outpatient or inpatient rehabilitation which highlights the severe and lasting impacts of horse-related injuries.
- The study concludes by recommending the use of preventive strategies, suggesting that such measures could minimize both mortality and the financial costs associated with post-injury care and rehabilitation.
Cite This Article
APA
Clarke CN, Tsuei BJ, Butler KL.
(2008).
Equine-related injury: a retrospective analysis of outcomes over a 10-year period.
Am J Surg, 195(5), 702-704.
https://doi.org/10.1016/j.amjsurg.2007.11.007 Publication
Researcher Affiliations
- Department of Surgery, Division of Trauma/Critical Care, University of Cincinnati, 231 Albert B. Sabin Way, Cincinnati, OH 45267-0828, USA.
MeSH Terms
- Accidental Falls / statistics & numerical data
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Animals
- Craniocerebral Trauma / epidemiology
- Female
- Glasgow Coma Scale
- Horses
- Humans
- Injury Severity Score
- Length of Stay
- Male
- Middle Aged
- Musculoskeletal System / injuries
- Retrospective Studies
Citations
This article has been cited 9 times.- Mutore K, Lim J, Fofana D, Torres-Reveron A, Skubic JJ. Hearing hoofbeats? Think head and neck trauma: a 10-year NTDB analysis of equestrian-related trauma in the USA.. Trauma Surg Acute Care Open 2021;6(1):e000728.
- Letsiou S. Tracing skin aging process: a mini- review of in vitro approaches.. Biogerontology 2021 Jun;22(3):261-272.
- Chapman M, Thomas M, Thompson K. What People Really Think About Safety around Horses: The Relationship between Risk Perception, Values and Safety Behaviours.. Animals (Basel) 2020 Nov 26;10(12).
- Serio F, Fujii Q, Shah K, McCague A. Horsing Around: A Retrospective Review of Horse-Related Trauma.. J Emerg Trauma Shock 2019 Jan-Mar;12(1):69-70.
- Weber CD, Nguyen AR, Lefering R, Hofman M, Hildebrand F, Pape HC. Blunt injuries related to equestrian sports: results from an international prospective trauma database analysis.. Int Orthop 2017 Oct;41(10):2105-2112.
- Young JD, Gelbs JC, Zhu DS, Gallacher SE, Sutton KM, Blaine TA. Orthopaedic Injuries in Equestrian Sports: A Current Concepts Review.. Orthop J Sports Med 2015 Sep;3(9):2325967115603924.
- Haigh L, Thompson K. Helmet Use Amongst Equestrians: Harnessing Social and Attitudinal Factors Revealed in Online Forums.. Animals (Basel) 2015 Jul 17;5(3):576-91.
- Swanberg JE, Clouser JM, Bush A, Westneat S. From the Horse Worker's Mouth: A Detailed Account of Injuries Experienced by Latino Horse Workers.. J Immigr Minor Health 2016 Jun;18(3):513-521.
- Carmichael SP 2nd, Davenport DL, Kearney PA, Bernard AC. On and off the horse: mechanisms and patterns of injury in mounted and unmounted equestrians.. Injury 2014 Sep;45(9):1479-83.
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