Analyze Diet
Wilderness & environmental medicine2017; 28(3); 213-218; doi: 10.1016/j.wem.2017.05.004

Similarities Between Large Animal-Related and Motor Vehicle Crash-Related Injuries.

Abstract: Many Americans sustain large animal-related injuries (LARIs) from blunt trauma. We compare the injuries and management of LARI in our region of the United States with those of motor vehicle crashes (MVCs). Methods: A 15-year retrospective study of trauma patients with LARI matched to MVC controls by Injury Severity Score (ISS), age, and sex was conducted. Values were statistically compared, and differences were considered statistically significant at P < .05. Results: There were 156 LARI cases, of which 87% were related to horses, 8% to bulls, and the remainder to deer, mules, bison, cows, and rams. In the LARI group, the age was 42±18 years (mean±SD), ISS was 7±4, and 61% were females. The MVC group had a significantly longer length of hospital stay (5±5 vs 4±3 days) and blood alcohol concentration (35±84 vs 3±20 g/L). There were no significant differences in injury patterns between LARI and MVC; however, additional radiological studies (RS) were performed on MVC (9±6 vs 7±5). LARI patients were more often transferred from rural locations (39% vs 25%) and traveled further to our trauma center (40±32 vs 24±29 km) than did MVC patients. Conclusions: LARI has a similar pattern of injury to MVC, but fewer RS. LARI typically occurred further away, requiring transfer from rural areas to our institution. We recommend a similar approach for the evaluation of LARI and MVC.
Publication Date: 2017-07-14 PubMed ID: 28716291DOI: 10.1016/j.wem.2017.05.004Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research examines and compares the injuries and management processes related to Large Animal-Related Injuries (LARIs) and Motor Vehicle Crashes (MVCs) in a certain region of the United States, revealing similarities between the two.

Research Methodology

  • The study uses a 15-years retrospective examination, comparing cases of LARIs to equivalent MVC cases. The comparison standard was based on Injury Severity Score (ISS), individuals’ age, and their gender.
  • The statistical relevance of results were assessed and differences were deemed significant if they occurred at probabilities less than 0.05 (P < .05).

Results of Research

  • The sample had 156 LARI cases, the majority (87%) of which involved horses. Bulls accounted for 8% and the rest involved deer, mules, bison, cows, and rams.
  • The average age of patients in the LARI group was 42 years, with an ISS of 7, and 61% of the group were females.
  • In comparing hospital stay duration and blood alcohol concentration, MVC patients had higher levels for both (5±5 days and 35±84 g/L respectively) when compared with the LARI group (4±3 days and 3±20 g/L respectively).
  • There were no significant variances in the types of injuries suffered between the two groups, however, additional Radiology Studies (RS) were ordered more frequently for MVC patients (9±6 vs 7±5)
  • The study found that LARI patients more often needed transportation from rural locations (39%) and on average traveled further distances (40±32 km versus 24±29 km) to a trauma center than MVC patients.

Conclusion

The research found that despite the different circumstances leading to the injuries, LARI cases presented similar injury patterns to those seen in MVCs, though fewer additional Radiological Studies were required. Furthermore, the accidents typically occurred further from the trauma center and required transportation from more remote, rural areas. The similarities in injuries and management processes between LARI and MVC suggest the potential value of applying similar medical assessment and treatment strategies for both.

Cite This Article

APA
Tremelling AM, Marley RA, Marley MB, Woofter CM, Docherty C, Salvator AE, Muakkassa FF. (2017). Similarities Between Large Animal-Related and Motor Vehicle Crash-Related Injuries. Wilderness Environ Med, 28(3), 213-218. https://doi.org/10.1016/j.wem.2017.05.004

Publication

ISSN: 1545-1534
NlmUniqueID: 9505185
Country: United States
Language: English
Volume: 28
Issue: 3
Pages: 213-218
PII: S1080-6032(17)30151-5

Researcher Affiliations

Tremelling, Abigail M
  • Cleveland Clinic Akron General, Akron, Ohio.
Marley, Robert A
  • Cleveland Clinic Akron General, Akron, Ohio.
Marley, Mackenzie B
  • Cleveland Clinic Akron General, Akron, Ohio.
Woofter, Christina M
  • Northeast Ohio Medical University, Rootstown, Ohio.
Docherty, Courtney
  • Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Salvator, Ann E
  • Cleveland Clinic Akron General, Akron, Ohio.
Muakkassa, Farid F
  • Cleveland Clinic Akron General, Akron, Ohio. Electronic address: muakkaf@ccf.org.

MeSH Terms

  • Accidents, Traffic / statistics & numerical data
  • Adult
  • Animals
  • Blood Alcohol Content
  • Equidae
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Retrospective Studies
  • Ruminants
  • United States
  • Wounds and Injuries / classification
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / etiology

Citations

This article has been cited 0 times.