Complications of Vehicular-Related Injuries: A Scoping Review of Literature

Authors

South Western Sydney Clinical School, University of New South Wales, Sydney, Australia

10.5812/atr.37414

Abstract

Context
Complications of vehicular-related trauma contribute to the overall morbidity, and ultimately the costs, of road accidents. However, direct evidence on the burden of complications of vehicular-related trauma injuries is not directly explored. This scoping review aims to provide a summary of the relevant literature on the most significant acute complications and consequences of trauma caused by motor vehicle accidents or similar mechanisms.


Evidence Acquisition
Multiple electronic databases, as well as grey literature, were explored. Studies were included in this scoping review if they evaluated adult patients with acute complications of traumatic injury caused by motor vehicle trauma or similar mechanisms.


Results
Trauma-related complications contribute to increasing mortality of patients. Complications of traumatic injuries are also the main cause of patients’ readmission to hospitals. Various studies report the rate of high-grade complications around 10%, but the overall rate of complications, ignoring severity, is approximately 60%. Depending on the surveyed population, different complications are identified as the most prevalent, but pneumonia is identified as the most prevalent complication in the majority of studies. The most important factors predicting the occurrence of complications in trauma patients are older age and poor Glasgow coma scale.


Conclusions
Complications of trauma-related injuries are significant factors affecting the outcome of patients. There has been limited research directly exploring this topic, possibly due to the difficulty of undertaking such studies. A particularly important research topic is the prevention and management of complications in elderly trauma patients with comorbidities. In conclusion, complications of trauma related injuries are significant considerations for clinical practice and research.

Keywords

References

1. Connelly LB, Supangan R. The economic costs of road traffic crashes:
Australia, states and territories. Accid Anal Prev. 2006;38(6):1087–93.
doi: 10.1016/j.aap.2006.04.015. [PubMed: 16797462].
2. Ang DN, Rivara FP, Nathens A, Jurkovich GJ, Maier RV, Wang
J, et al. Complication rates among trauma centers. J Am Coll
Surg. 2009;209(5):595–602. doi: 10.1016/j.jamcollsurg.2009.08.003.
[PubMed: 19854399].
3. Haider AH, Gupta S, Zogg CK, Kisat MT, Schupper A, Efron DT,
et al. Beyond incidence: Costs of complications in trauma and
what it means for those who pay. Surgery. 2015;158(1):96–103. doi:
10.1016/j.surg.2015.02.015. [PubMed: 25900034].
4. Saltzherr TP, Visser A, Ponsen KJ, Luitse JS, Goslings JC. Complications
in multitrauma patients in a Dutch level 1 trauma center.
J Trauma. 2010;69(5):1143–6. doi: 10.1097/TA.0b013e3181cb85bb.
[PubMed: 20400919].
5. Arksey H, O’Malley L. Scoping studies: towards a methodological
framework. Int J Soc Res Methodol. 2005;8(1):19–32. doi:
10.1080/1364557032000119616.
6. Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the
methodology. Implement Sci. 2010;5:69. doi: 10.1186/1748-5908-5-69.
[PubMed: 20854677].
7. Sarrami-Foroushani P, Travaglia J, Debono D, Clay-Williams R, Braithwaite
J. Scoping meta-review: introducing a new methodology. Clin
Transl Sci. 2015;8(1):77–81. doi: 10.1111/cts.12188. [PubMed: 25041546].
8. Schloman BF. Mapping the literature of allied health: project
overview. Bull Med Libr Assoc. 1997;85(3):271–7. [PubMed: 9285127].
9. Ding Y, Chowdhury GG, Foo S. Bibliometric cartography of information
retrieval research by using co-word analysis. Inf Process Manage.
2001;37(6):817–42. doi: 10.1016/s0306-4573(00)00051-0.
10. Haas B, Gomez D, Hemmila MR, Nathens AB. Prevention of complications
and successful rescue of patients with serious complications:
characteristics of high-performing trauma centers. J Trauma.
2011;70(3):575–82. doi: 10.1097/TA.0b013e31820e75a9. [PubMed:
21610345].
11. Osler T, Glance LG, Hosmer DW. Complication-associated mortality
following trauma: a population-based observational study. Arch Surg.
2012;147(2):152–8. doi: 10.1001/archsurg.2011.888. [PubMed: 22351910].
12. Benns M, Carr B, Kallan MJ, Sims CA. Benchmarking the incidence of
organ failure after injury at trauma centers and nontrauma centers
in the United States. J Trauma Acute Care Surg. 2013;75(3):426–31. doi:
10.1097/TA.0b013e31829cfa19. [PubMed: 24089112].
13. Dewar DC, Mackay P, Balogh Z. Epidemiology of post-injury multiple
organ failure in an Australian trauma system. ANZ J Surg.
2009;79(6):431–6. doi: 10.1111/j.1445-2197.2009.04968.x. [PubMed:
19566865].
14. Dewar DC, Tarrant SM, King KL, Balogh ZJ. Changes in the epidemiology
and prediction of multiple-organ failure after injury. J Trauma
Acute Care Surg. 2013;74(3):774–9. doi: 10.1097/TA.0b013e31827a6e69.
[PubMed: 23425734].
15. Xu SX, Wang L, Zhou GJ, Zhang M, Gan JX. Risk factors and clinical
significance of trauma-induced coagulopathy in ICU patients
with severe trauma. Eur J Emerg Med. 2013;20(4):286–90. doi:
10.1097/MEJ.0b013e328358bec7. [PubMed: 22976461].
16. Vogel JA, Liao MM, Hopkins E, Seleno N, Byyny RL, Moore EE, et al. Prediction
of postinjury multiple-organ failure in the emergency department:
development of the Denver Emergency Department Trauma
Organ Failure score. J Trauma Acute Care Surg. 2014;76(1):140–5. doi:
10.1097/TA.0b013e3182a99da4. [PubMed: 24368369].
17. Moore L, Stelfox HT, Turgeon AF, Nathens AB, Le Sage N, Emond M,
et al. Rates, patterns, and determinants of unplanned readmission
after traumatic injury: a multicenter cohort study. Ann Surg.
2014;259(2):374–80. doi: 10.1097/SLA.0b013e31828b0fae. [PubMed:
23478531].
18. Fakhry SM, Leon S, Derderian C, Al-Harakeh H, Ferguson PL. Intensive
care unit bounce back in trauma patients: an analysis of unplanned
returns to the intensive care unit. J Trauma Acute Care
Surg. 2013;74(6):1528–33. doi: 10.1097/TA.0b013e31829247e7. [PubMed:
23694883].
19. Hyllienmark P, Brattstrom O, Larsson E, Martling CR, Petersson J, Oldner
A. High incidence of post-injury pneumonia in intensive caretreated
trauma patients. Acta Anaesthesiol Scand. 2013;57(7):848–54.
doi: 10.1111/aas.12111. [PubMed: 23550742].
20. Holbrook TL, Hoyt DB, Anderson JP. The impact of major in-hospital
complications on functional outcome and quality of life after
trauma. J Trauma. 2001;50(1):91–5. [PubMed: 11231676].
21. Fraser DR, Dombrovskiy VY, Vogel TR. Infectious complications after
vehicular trauma in the United States. Surg Infect (Larchmt).
2011;12(4):291–6. doi: 10.1089/sur.2010.081. [PubMed: 21815814].
22. Adams SD, Cotton BA, McGuire MF, Dipasupil E, Podbielski JM, Zaharia
A, et al. Unique pattern of complications in elderly trauma patients at
a Level I trauma center. J Trauma Acute Care Surg. 2012;72(1):112–8. doi:
10.1097/TA.0b013e318241f073. [PubMed: 22310124].
23. Access Economics . The economic cost of spinal cord injury and traumatic
brain injury in Australia. Australia: Access Economics; 2009.
24. Harris AM, Althausen PL, Kellam J, Bosse MJ, Castillo R, Lower Extremity
Assessment Project Study G. Complications following limbthreatening
lower extremity trauma. J Orthop Trauma. 2009;23(1):1–6.
doi: 10.1097/BOT.0b013e31818e43dd. [PubMed: 19104297].
25. de Jongh MA, Bosma E, Verhofstad MH, Leenen LP. Prediction models
for complications in trauma patients. Br J Surg. 2011;98(6):790–6. doi:
10.1002/bjs.7436. [PubMed: 21462365].
26. Kahl JE, Calvo RY, Sise MJ, Sise CB, Thorndike JF, Shackford SR. The
changing nature of death on the trauma service. J Trauma Acute Care
Surg. 2013;75(2):195–201. doi: 10.1097/TA.0b013e3182997865. [PubMed:
23823614].
27. Yeung L, Miraflor E, Strumwasser A, Sadeghi P, Victorino GP. Does gastric
volume in trauma patients identify a population at risk for developing
pneumonia and poor outcomes?. J Surg Res. 2012;178(2):874–8.
doi: 10.1016/j.jss.2012.07.067. [PubMed: 22917669].
28. Zarzaur BL, Bell TM, Croce MA, Fabian TC. Geographic variation
in susceptibility to ventilator-associated pneumonia after traumatic
injury. J Trauma Acute Care Surg. 2013;75(2):234–40. doi:
10.1097/TA.0b013e3182924c18. [PubMed: 23823609].
29. Australian Bureau of Statistics . National Health Survey: Injuries, Australia
Australia: Australian Bureau of Statistics; 2001. [updated 2003].
Available from: http://www.abs.gov.au/ausstats/abs@.nsf/mf/http://
www.abs.gov.au/ausstats/abs.
Archives of Trauma Research
Volume 6, Issue 1
January 2017
Pages 1-7

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