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[Tree collisions in road traffic accidents - mechanism and pattern of injury]
G Matthes1, U Schmucker, M Schindel
1Ernst-Moritz-Arndt-Universität Greifswald, Unfall- und Wiederherstellungschirurgie, Greifswald. gerrit.matthes@uni-greifswald.de
Introduction:
In Germany, the county of Mecklenburg-Vorpommern has got the highest frequency of traffic accidents. 42 % of all deadly injured car accident victims in Mecklenburg-Vorpommern sustained a tree collision. Aim of this study was to analyze tree collisions regarding typical pattern and severity of injury.
Methods:
During an on-going prospective, non-interventional accident survey within a defined area of the county of Mecklenburg-Vorpommern tree collisions with minimum one victim sustaining a Maximum Abbreviated Injury Scale of 1-6 injury were analyzed.
Results:
In between January 2001 and June 2004 287 accidents were documented. 19 % (54) were tree collisions. 81 % of drivers were male. 36 of 54 tree collisions (67 %) occurred on straight roadways. The mean ISS was 31.3 (SD +/- 29.8), 30 % (23) of the passengers died. 70 of 78 individuals sustained more than one injury. With that, the combination of head- and chest trauma was most frequent and associated with the highest injury severity.
Discussion:
Especially tree collisions lead to severe trauma. Interestingly, most accidents did occur on straight roadways.
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