Faculty Collaboration Database

Mechanisms of traumatic injury by demographic characteristics: an 8-year review of temporal trends from the National Trauma Data Bank. Inj Prev 2023 Aug;29(4):347-354

Date

03/21/2023

Pubmed ID

36941050

Pubmed Central ID

PMC10423504

DOI

10.1136/ip-2022-044817

Scopus ID

2-s2.0-85152652779 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

BACKGROUND/PURPOSE: This 8-year retrospective study of the National Trauma Data Bank describes temporal trends of traumatic injury by mechanism of injury (MOI) by demographic characteristics from 2012 to 2019 for adult patients 18 years and older.

METHODS: Overall, 5 630 461 records were included after excluding those with missing demographic information and International Classification of Disease codes. MOIs were calculated as proportions of total injury by year. Temporal trends of MOI were evaluated using two-sided non-parametric Mann-Kendall trend tests for (1) all patients and (2) within racial and ethnic groups (ie, Asian, 2% of total patient sample; Black, 14%; Hispanic or Latino, 10%; Multiracial, 3%; Native American, <1%; Pacific Islander, <1%; White, 69%) and stratified by age and sex.

RESULTS/OUTCOMES: For all patients, falls increased over time (p=0.001), whereas burn (p<0.01), cut/pierce (p<0.01), cyclist (p=0.01), machinery (p<0.001), motor vehicle transport (MVT) motorcyclist (p<0.001), MVT occupant (p<0.001) and other blunt trauma (p=0.03) injuries decreased over time. The proportion of falls increased across all racial and ethnic groups and significantly for those aged 65 and older. There were further differences in decreasing trends of MOI by racial and ethnic categories and by age groups.

CONCLUSIONS: These results suggest that falls are an important injury prevention target with an ageing US population across all racial and ethnic groups. Differing injury profiles by racial and ethnic identity indicate that injury prevention efforts be designed accordingly and targeted specifically to individuals most at risk for specific MOIs.

STUDY TYPE: Level I, prognostic/epidemiological.

Author List

Tomas C, Kallies K, Cronn S, Kostelac C, deRoon-Cassini T, Cassidy L

Authors

Laura Cassidy PhD Associate Dean, Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Susan E. Cronn RN APP Lead Inpatient 1 in the Surgery department at Medical College of Wisconsin
Carissa W. Tomas PhD Assistant Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Terri A. deRoon Cassini PhD Center Director, Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Accidental Falls
Adolescent
Adult
Humans
Retrospective Studies
United States
Wounds and Injuries
Wounds, Nonpenetrating
Young Adult