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Automobile versus pedestrian injuries: does gender matter?
Margaret J Starnes1, Pantelis Hadjizacharia, Linda S Chan
1Division of Trauma and Surgical Intensive Care Unit, Department of Surgery, University of Southern California, Los Angeles, California 90033, USA.
The Journal of Emergency Medicine
|October 10, 2008
Summary
Gender significantly impacts fracture patterns in automobile vs. pedestrian injuries, with females more prone to pelvic fractures and males to tibia fractures. Survival and ICU stays were unaffected, but males aged 15-65 experienced longer hospitalizations.
Area of Science:
- Trauma Surgery
- Orthopedic Surgery
- Public Health
Background:
- Automobile vs. pedestrian (AVP) incidents result in severe injuries and fatalities.
- Gender may influence the anatomical distribution and severity of AVP injuries.
- Understanding gender-based differences is crucial for injury prevention and treatment.
Purpose of the Study:
- To analyze the impact of gender on the characteristics and severity of AVP injuries.
- To investigate gender-related outcomes in AVP incidents.
Main Methods:
- A 14-year trauma registry study of AVP pedestrian injuries at a Level I trauma center.
- Data collected included age, gender, Abbreviated Injury Score, Injury Severity Score, specific fractures (pelvic, spine, femur, tibia), survival, and length of stay in the ICU and hospital.
Main Results:
- Pelvic fractures were more common in females (20.7%) than males (11.4%), particularly in older age groups.
- Males aged 15-55 were more likely to sustain tibia fractures (31.8% vs. 25.7%).
- No significant gender differences were observed in survival or ICU length of stay.
Conclusions:
- Gender significantly affects the incidence of pelvic and tibia fractures in AVP injuries.
- Gender does not influence survival or ICU stay.
- Males aged 15-65 years experienced longer hospital stays compared to females.
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