Potentially preventable prehospital deaths from motor vehicle collisions

Juliet J. Ray, Jonathan P. Meizoso, Shevonne S. Satahoo, James S. Davis, Robert M. Van Haren, Harrison Dermer, Graygo Jill, George T. Bahouth, Lorne H. Blackbourne, Carl I Schulman

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: In 2011, about 30,000 people died in motor vehicle collisions (MVCs) in the United States. We sought to evaluate the causes of prehospital deaths related to MVCs and to assess whether these deaths were potentially preventable. Methods: Miami–Dade Medical Examiner records for 2011 were reviewed for all prehospital deaths of occupants of 4-wheeled motor vehicle collisions. Injuries were categorized by affected organ and anatomic location of the body. Cases were reviewed by a panel of 2 trauma surgeons to determine cause of death and whether the death was potentially preventable. Time to death and hospital arrival times were determined using the Fatality Analysis Reporting System (FARS) data from 2002 to 2012, which allowed comparison of our local data to national prevalence estimates. Results: Local data revealed that 39% of the 98 deaths reviewed were potentially preventable (PPD). Significantly more patients with PPD had neurotrauma as a cause of death compared to those with a nonpreventable death (NPD) (44.7% vs. 25.0%, P =.049). NPDs were significantly more likely to have combined neurotrauma and hemorrhage as cause of death compared to PPDs (45.0% vs. 10.5%, P <.001). NPDs were significantly more likely to have injuries to the chest, pelvis, or spine. NPDs also had significantly more injuries to the following organ systems: lung, cardiac, and vascular chest (all P <.05). In the nationally representative FARS data from 2002 to 2012, 30% of deaths occurred on scene and another 32% occurred within 1 h of injury. When comparing the 2011 FARS data for Miami–Dade to the remainder of the United States in that year, percentage of deaths when reported on scene (25 vs. 23%, respectively) and within 1 h of injury (35 vs. 32%, respectively) were similar. Conclusions: Nationally, FARS data demonstrated that two thirds of all MVC deaths occurred within 1 h of injury. Over a third of prehospital MVC deaths were potentially preventable in our local sample. By examining injury patterns in PPDs, targeted intervention may be initiated.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalTraffic Injury Prevention
DOIs
StateAccepted/In press - Jul 19 2016

Fingerprint

Motor Vehicles
motor vehicle
death
reporting system
Tuberculin
cause of death
Information Systems
Wounds and Injuries
Cause of Death
Research Design
Coroners and Medical Examiners
Thoracic Injuries
medical examiner
Pelvis
Medical Records
Blood Vessels
trauma
Spine
Thorax
Hemorrhage

Keywords

  • accident
  • car
  • crash
  • injury
  • mortality
  • road
  • traffic

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Safety Research

Cite this

Ray, J. J., Meizoso, J. P., Satahoo, S. S., Davis, J. S., Van Haren, R. M., Dermer, H., ... Schulman, C. I. (Accepted/In press). Potentially preventable prehospital deaths from motor vehicle collisions. Traffic Injury Prevention, 1-5. https://doi.org/10.1080/15389588.2016.1149580

Potentially preventable prehospital deaths from motor vehicle collisions. / Ray, Juliet J.; Meizoso, Jonathan P.; Satahoo, Shevonne S.; Davis, James S.; Van Haren, Robert M.; Dermer, Harrison; Jill, Graygo; Bahouth, George T.; Blackbourne, Lorne H.; Schulman, Carl I.

In: Traffic Injury Prevention, 19.07.2016, p. 1-5.

Research output: Contribution to journalArticle

Ray, JJ, Meizoso, JP, Satahoo, SS, Davis, JS, Van Haren, RM, Dermer, H, Jill, G, Bahouth, GT, Blackbourne, LH & Schulman, CI 2016, 'Potentially preventable prehospital deaths from motor vehicle collisions', Traffic Injury Prevention, pp. 1-5. https://doi.org/10.1080/15389588.2016.1149580
Ray, Juliet J. ; Meizoso, Jonathan P. ; Satahoo, Shevonne S. ; Davis, James S. ; Van Haren, Robert M. ; Dermer, Harrison ; Jill, Graygo ; Bahouth, George T. ; Blackbourne, Lorne H. ; Schulman, Carl I. / Potentially preventable prehospital deaths from motor vehicle collisions. In: Traffic Injury Prevention. 2016 ; pp. 1-5.
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AU - Dermer, Harrison

AU - Jill, Graygo

AU - Bahouth, George T.

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N2 - Background: In 2011, about 30,000 people died in motor vehicle collisions (MVCs) in the United States. We sought to evaluate the causes of prehospital deaths related to MVCs and to assess whether these deaths were potentially preventable. Methods: Miami–Dade Medical Examiner records for 2011 were reviewed for all prehospital deaths of occupants of 4-wheeled motor vehicle collisions. Injuries were categorized by affected organ and anatomic location of the body. Cases were reviewed by a panel of 2 trauma surgeons to determine cause of death and whether the death was potentially preventable. Time to death and hospital arrival times were determined using the Fatality Analysis Reporting System (FARS) data from 2002 to 2012, which allowed comparison of our local data to national prevalence estimates. Results: Local data revealed that 39% of the 98 deaths reviewed were potentially preventable (PPD). Significantly more patients with PPD had neurotrauma as a cause of death compared to those with a nonpreventable death (NPD) (44.7% vs. 25.0%, P =.049). NPDs were significantly more likely to have combined neurotrauma and hemorrhage as cause of death compared to PPDs (45.0% vs. 10.5%, P <.001). NPDs were significantly more likely to have injuries to the chest, pelvis, or spine. NPDs also had significantly more injuries to the following organ systems: lung, cardiac, and vascular chest (all P <.05). In the nationally representative FARS data from 2002 to 2012, 30% of deaths occurred on scene and another 32% occurred within 1 h of injury. When comparing the 2011 FARS data for Miami–Dade to the remainder of the United States in that year, percentage of deaths when reported on scene (25 vs. 23%, respectively) and within 1 h of injury (35 vs. 32%, respectively) were similar. Conclusions: Nationally, FARS data demonstrated that two thirds of all MVC deaths occurred within 1 h of injury. Over a third of prehospital MVC deaths were potentially preventable in our local sample. By examining injury patterns in PPDs, targeted intervention may be initiated.

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