RT Journal Article
SR Electronic
T1 Mechanisms of traumatic injury by demographic characteristics: an 8-year review of temporal trends from the National Trauma Data Bank
JF Injury Prevention
JO Inj Prev
FD BMJ Publishing Group Ltd
SP 347
OP 354
DO 10.1136/ip-2022-044817
VO 29
IS 4
A1 Carissa Tomas
A1 Kara Kallies
A1 Susan Cronn
A1 Constance Kostelac
A1 Terri deRoon-Cassini
A1 Laura Cassidy
YR 2023
UL http://injuryprevention.bmj.com/content/29/4/347.abstract
AB 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.Data may be obtained from a third party and are not publicly available. All data used were obtained from the National Trauma Data Bank. Requests for data use may be sent to the American College of Surgeons who manage the data repository.