Factors affecting locomotor traumatism based on data collected from patients provided with outpatient healthcare at Hospital Emergency Department SPSK 1 PMU, and hospitalized in the Department of Orthopaedics PMU – a prospective study

Mateusz Pytlak



Introduction: Some contributory factors are commonly known. If a person suffers from dizziness, for example, they will be more likely to lose balance and fall, which, in turn, leads to trauma. The influence of alcohol consumption on the incidence of injury has also been well documented in numerous studies. Other relevant factors, however, have received various assessments and recognition by different researchers. There is some disagreement among scientists concerning obesity.

The aim of the thesis was to determine the influence of various factors on the incidence of injury.

Materials and methods: The subjects used for the study were 800 patients receiving emergency treatment in the emergency department and hospitalised in the Department of Orthopaedics, Traumatology and Locomotor Oncology, Pomeranian Medical University in Szczecin (in Poland). The diagnostic survey method was employed.

Results: Within the study group women were found to have a higher incidence of contusion. During a snowfall they also proved to suffer physical trauma more often than men. Men, on the other hand, displayed a higher incidence of injury at work. They were also more likely to suffer from torso injury. Younger individuals were more tired at the time of the accident than their older counterparts. Those having more sleep suffered fewer bone fractures.

Conclusions: 1. The research showed that the group with the highest risk of trauma were women aged above 46 and suffering from hypertension. In contrast, for men the risk was highest among working individuals aged under 30. 2. Those with the highest incidence of injury were married couples with two children, having higher or vocational education, not working, living in towns with populations of over 200,000 and having a monthly income between 1000–2000 PLN per family member. 3. External factors like weather had the most significant impact on the incidence of injury sustained in motor vehicle accidents.


injuries; accidents traffic; adult

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Kwolek A, Podgórska J, Rykała J. Postępy w zakresie rehabilitacji narządu ruchu, zwłaszcza w Dekadzie Kości i Stawów 2000–2010. In: Kurczyński J, editor. Postępy w zakresie epidemiologii, stanu profilaktyki, diagnostyki i leczenia chorób układu kostno-stawowego w Polsce i na świecie w okresie dekady 2000–2010. Warszawa: Uniwersytet Rzeszowski i Narodowy Instytut Leków w Warszawie; 2010. p. 51-6.

Cervantes-Trejo A, Leenen I, Fabila-Carrasco JS, Rojas-Vargas R. Trends in traffic fatalities in Mexico: examining progress on the decade of action for road safety 2011–2020. Int J Public Health 2016;61(8):903-13. doi: 10.1007/s00038-016-0867-z.

Schneiders W, Niemann G, Rammelt S, Meyner T, Rehberg S. Injuries under the influence of alcohol. Unfallchirurg 2017;120(7):585-9. doi: 10.1007/s00113-016-0164-6.

Rivara FP, Gurney JG, Ries RK, Seguin DA, Copass MK, Jurkovich GJ. A descriptive study of trauma, alcohol, and alcoholism in young adults. J Adolesc Health 1992;13(8):663-7.

Barton DJ, Tift FW, Cournoyer LE, Vieth JT, Hudson KB. Acute alcohol use and injury patterns in young adult prehospital patients. Prehosp Emerg Care 2016;20(2):206-11. doi: 10.3109/10903127.2015.1076101.

Relja B, Menke J, Wagner N, Auner B, Voth M, Nau C, et al. Effects of positive blood alcohol concentration on outcome and systemic interleukin-6 in major trauma patients. Injury 2016;47(3):640-5. doi: 10.1016/j.injury.2016.01.016.

Hitosugi M, Koseki T, Miyama G, Furukawa S, Morita S. Comparison of the injury severity and medical history of disease-related versus trauma-related bicyclist fatalities. Leg Med 2016;18:58-61. doi: 10.1016/j.legalmed.2015.12.001.

Fire in the United States: 1987–1996. Arlington: National Fire Data Center; 1999.

Redeker NS, Smeltzer SC, Kirkpatrick J, Parchment S. Risk factors of adolescent and young adult trauma victims. Am J Crit Care 1995;4(5):370-8.

Obesity: preventing and managing the global epidemic. Report of a WHO Consultation (WHO Technical Report Series 894). Geneva: WHO; 2000. p. 7-9.

Wojtyniak B, Goryński P, Moskalewicz B. Sytuacja zdrowotna ludności Polski i jej uwarunkowania. Warszawa: Narodowy Instytut Zdrowia Publicznego – Państwowy Zakład Higieny; 2012.

Duckworth AD, Clement ND, Jenkins PJ, Aitken SA, Court-Brown CM, McQueen MM. The epidemiology of radial head and neck fractures. J Hand Surg [Am] 2012;37(1):112-9. doi: 10.1016/j.jhsa.2011.09.034.

Resources for optimal care of the injured patient. Chicago: American College of Surgeons; 2000.

Gawroński W. Uraz, obrażenie a kontuzja. Med Sport 1998;2(4):343-4.

Clèries M, Bosch A, Vela E, Bustins M. Road traffic injuries in Catalonia (Spain): an approach using the minimum data set for acute-care hospitals and emergency resources. Gac Sanit 2015,29(1):36-42.

Charbotel B, Martin JL, Chiron M. Work-related versus non-work-related road accidents, developments in the last decade in France. Accid Anal Prev 2010;42(2):604-11. doi: 10.1016/j.aap.2009.10.006.

Atisha DM, Burr TV, Allori AC, Puscas L, Erdmann D, Marcus JR. Facial fractures in the aging population. Plast Reconstr Surg 2016;137(2):587-93. doi: 10.1097/01.prs.0000475791.31361.9a.

Bohatyrewicz A, Ziętek P, Kołodziej Ł, Kotrych D, Sieczka Ł. Biomechaniczne podstawy powstawania osteoporozy. In: Gzik M, Lewandowska-Szumieł M, Pawlikowski M, Wychowański M, editors. Biomechanika i inżynieria rehabilitacyjna. Warszawa: Akademicka Oficyna Wydawnicza Exit; 2015. p. 525-41.

Tykarski A, Posadzy-Małaczyńska A, Wyrzykowski B, Kwaśniewska M, Pająk A, Tendera M, et al. Rozpowszechnienie nadciśnienia tętniczego oraz skuteczność jego leczenia u dorosłych mieszkańców naszego kraju. Wyniki programu WOBASZ. Kardiol Pol 2005;63(4):614-9.

Nunes MI. The relationship between quality of life and adherence to treatment. Curr Hypertens Rep 2001;3(6):462-5.

Baune BT, Aljeesh YI. The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza Strip. Ann Gen Psychiatry 2006;5:6. doi: 10.1186/1744-859X-5-6.

Chang AM, Reid KJ, Gourineni R, Zee PC. Sleep timing and circadian phase in delayed sleep phase syndrome. J Biol Rhythms 2009;24(4):313-21. doi: 10.1177/0748730409339611.

Rybakowski J, Pużyński S, Wciórka J. Psychiatria. Podstawy psychiatrii. T. 1. Wrocław: Elsevier Urban & Partner; 2010.

Wichniak A. Zaburzenia snu. In: Jarema M, Rabe-Jabłońska J, editors. Psychiatria. Podręcznik dla studentów medycyny. Warszawa: PZWL; 2011. p. 289-13.

Buleshov MA, Buleshova AM, Yessaliyev AA, Jaksybergenov AM, Talgatbek AM. Evaluation of the role of individual and external background factors in traumatization and in everyday life. Life Sci J 2014;11:7.

Bales CW, Buhr G. Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life. J Am Med Dir Assoc 2008;9(5):302-12. doi: 10.1016/j.jamda.2008.01.006.

Wallace JI, Schwartz RS. Epidemiology of weight loss in humans with special reference to wasting in the elderly. Int J Cardiol 2002;85(1):15-21.

Jeffery RW, Drewnowski A, Epstein LH, Stunkard AJ, Wilson GT, Wing RR, et al. Long-term maintenance of weight loss: current status. Health Psychol 2000;19(1):5-16.

Wadden TA, Crerand CE, Brock J. Behavioral treatment of obesity. Psychiatr Clin North Am 2005;28(1):151-70. doi: 10.1016/j.psc.2004.09.008.

Perri MG, Fuller PR. Success and failure in the treatment of obesity: Where do we go from here? Med Exerc Nutr Health 1995,4:255-72.

Zodiak. Encyklopedia PWN. http://encyklopedia.pwn.pl/haslo/4001986/zodiak.html (25.02.2016).

Reichardt CS. Testing astrological predictions about sex, marriage, and selfishness. Skeptic Magazine 2010;15(4):40-5.

Hjortrup PB, Haase N, Wetterslev J, Perner A. Gone fishing in a fluid trial. Crit Care Resusc 2016;18(1):55-8.

Schuld J, Slotta EJ, Schuld S, Kollmar O, Schilling MK, Richter S. Popular belief meets surgical reality: impact of lunar phases, Friday the 13th and zodiac signs on emergency operations and intraoperative blood loss. World J Surg 2011;35(9):1945-9. doi: 10.1007/s00268-011-1166-8.

Petrovecki M, Rahelić D, Bilić-Zulle L, Jelec V. Factors influencing medical informatics examination grade – can biorhythm, astrological sign, seasonal aspect, or bad statistics predict outcome? Croat Med J 2003;44(1):69-74.

May M, Braun KP, Helke C, Richter W, Vogler H, Hoschke B, et al. Lunar phases and zodiac signs do not influence quality of radical cystectomy – a statistical analysis of 452 patients with invasive bladder cancer. Int Urol Nephrol 2007;39(4):1023-30. doi: 10.1007/s11255-006-9165-7.

Boland MR, Shahn Z, Madigan D, Hripcsak G, Tatonetti NP. Birth month affects lifetime disease risk: a phenome-wide method. J Am Med Inform Assoc 2015;22(5):1042-53. doi: 10.1093/jamia/ocv046.

Goszczyńska M, Rosłan A. Self-evaluation of drivers’ skill: a cross-cultural comparison. Accid Anal Prev 1989;21(3):217-24.

Flores GM, Gotohio MP, Paras NG, Seva RR. Analysis motorcycle accidents based on environmental and personal factors. Manila: Department of Industrial Engineering De La Salle University; 2009.

Yannis G, Golias J, Papadimitriou E. Driver age and vehicle engine size effects on fault and severity in young motorcyclists accidents. Accid Anal Prev 2005;37(2):327-33. doi: 10.1016/j.aap.2004.10.003.

Boufous S, Aboss A, Montgomery V. Reporting on cyclist crashes in Australian newspapers. Aust N Z J Public Health 2016;40(5):490-2. doi: 10.1111/1753-6405.12537.

Majdzadeh R, Khalagi K, Naraghi K, Motevalian A, Eshraghian MR. Determinants of traffic injuries in drivers and motorcyclists involved in an accident. Accid Anal Prev 2007;40(1):17-23. doi: 10.1016/j.aap.2007.03.019.

Pai CW, Saleh W. Modelling motorcyclist injury severity by various crash types at Tjunctions in the UK. Safety Sci 2007;46:1234-47.

Symon E. Wypadki drogowe w Polsce w 2012 roku. Warszawa: Zespół Profilaktyki i Analiz Biura Ruchu Drogowego Komendy Głównej Policji; 2013.

DOI: https://doi.org/10.21164/pomjlifesci.384

Copyright (c) 2018 Mateusz Pytlak

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/