Version 1
: Received: 1 November 2024 / Approved: 1 November 2024 / Online: 4 November 2024 (09:03:31 CET)
How to cite:
Sharma, B.; Agcon, A. M. B.; Agriantonis, G.; Cheerasarn, S.; Bhatia, N. D.; Dave, J.; Mestre, J.; Shafaee, Z.; Whittington, J.; Twelker, K. Severity and Length of Stay Associated with Subway-Related Injury at A Level 1 Trauma Center. Preprints2024, 2024110134. https://doi.org/10.20944/preprints202411.0134.v1
Sharma, B.; Agcon, A. M. B.; Agriantonis, G.; Cheerasarn, S.; Bhatia, N. D.; Dave, J.; Mestre, J.; Shafaee, Z.; Whittington, J.; Twelker, K. Severity and Length of Stay Associated with Subway-Related Injury at A Level 1 Trauma Center. Preprints 2024, 2024110134. https://doi.org/10.20944/preprints202411.0134.v1
Sharma, B.; Agcon, A. M. B.; Agriantonis, G.; Cheerasarn, S.; Bhatia, N. D.; Dave, J.; Mestre, J.; Shafaee, Z.; Whittington, J.; Twelker, K. Severity and Length of Stay Associated with Subway-Related Injury at A Level 1 Trauma Center. Preprints2024, 2024110134. https://doi.org/10.20944/preprints202411.0134.v1
APA Style
Sharma, B., Agcon, A. M. B., Agriantonis, G., Cheerasarn, S., Bhatia, N. D., Dave, J., Mestre, J., Shafaee, Z., Whittington, J., & Twelker, K. (2024). Severity and Length of Stay Associated with Subway-Related Injury at A Level 1 Trauma Center. Preprints. https://doi.org/10.20944/preprints202411.0134.v1
Chicago/Turabian Style
Sharma, B., Jennifer Whittington and Kate Twelker. 2024 "Severity and Length of Stay Associated with Subway-Related Injury at A Level 1 Trauma Center" Preprints. https://doi.org/10.20944/preprints202411.0134.v1
Abstract
Objectives: There has been limited research on injuries related to subway incidents. Our study seeks to examine the seriousness of these injuries and the duration of hospital stays following subway accidents. This research has the potential to enhance the treatment of trauma patients and deepen our understanding of injuries associated with subway incidents.Methods: This is a retrospective, single-center study of patients with subway-related injuries admitted to a level 1 trauma center from 2016 to 2023. Patients were identified based on the cause and injury mechanism of subway-related trauma incidents. Descriptive statistics, ANOVA, and Pearson correlation analyses were performed on length of stays and ISS, with significance set at p < 0.01.Results: Over 8 years, we identified 383 patients who presented with subway injuries to our Level 1 ACS verified Trauma Center. 80.7 % of patients were male and 19.3% were females. The mean (SEM) age of the cohort was 47.36, with a standard deviation of 17.72. The mean Injury Severity Score (ISS) was 10.39, with a standard deviation of 11.01. The mean for Emergency department (ED) length of stay (LOS) is 12.33 (hours), 1.73 (days) for Intensive care unit (ICU) LOS, and 8.26 (days) for hospital (H) LOS. The age range which has the highest number of subway-related trauma incidents was in their 30s (n=82, 21.4%), followed by the age range 50 to 60 (n = 63, 16.4%), in their 40s (n= 62, 16.2%), and 20s (n= 57,14.9%). The ANOVA analysis shows significant differences in quality of care indicators (ED LOS, ICU LOS, HLOS, and ventilator days) based on injury severity metrics, with p-values below 0.05. Higher ISS are linked to longer lengths of stay and increased ventilator use. Pearson correlation analysis shows ED LOS negatively correlates with ICU LOS and ISS, demonstrating minor injuries may result in shorter ICU stays and no escalation of trauma care. Additionally, ICU LOS and HLOS are positively correlated, and both are moderately correlated with ISS, suggesting that more severe injuries lead to longer ICU and hospital stays. All correlations are significant at the 0.01 level (two-tailed).Conclusion: The individuals in the age group of 20 to 60 years experienced the highest trauma related to subways. The number of injured males was higher than females. Non-Hispanic individuals showed higher injury rates compared to Hispanic individuals. Injury rates in Whites were higher, followed by Blacks and Asians. The most common combinations of severe injuries were in the head, thorax, lower extremities, abdomen, and spine. Injured patients suffered from severe head and thorax injuries, which consequently affected the length of their hospital and ICU stay.
Keywords
Subway; trauma; length of stay; severity; injury
Subject
Medicine and Pharmacology, Clinical Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
