Shark-Related Injuries in the United States: A National Trauma Data Bank Analysis.
Am Surg
; 87(10): 1661-1665, 2021 Dec.
Article
em En
| MEDLINE
| ID: mdl-34126790
ABSTRACT
BACKGROUND:
Shark-related injuries (SRIs) are a dreaded, but rare, source of injury that have not been well described. The present study aims to examine the incidence, injuries, and outcomes of SRIs presenting to US trauma centers. STUDYDESIGN:
The National Trauma Data Bank was queried from 2015 to 2018 to identify SRIs using ICD-10 e-codes W56.41XA, W56.42XA, and W56.49XA. Descriptive analyses were conducted on patient demographics, injuries, hospital course, procedures, and outcomes.RESULTS:
Fifty-three patients were identified with a mechanism of injury that was shark-related. The median age was 29 years (range 3-67) and median injury severity score was 5 (IQR 3-10). The majority of patients (96%) were admitted to the hospital (median length of stay (LOS) 4.0 days, IQR 3.0-8.0), 55% went directly to the operating room, and 53% required intensive care unit (ICU) admission (median ICU LOS 4.5 days, IQR 1.3-7.0). Extremity injuries were common 47% suffered lower extremity injuries, 40% had upper extremity injuries, and 13% had both. The majority of patients underwent surgical procedures 83% had soft tissue injuries requiring debridement, flap coverage, or skin grafting; 28% suffered neurovascular injuries (17% requiring nerve repair and 2% requiring arterial bypass); and 59% required orthopedic intervention. Six patients (11%) required amputation(s). All patients survived to discharge.CONCLUSION:
Although an exceedingly rare source of trauma, SRIs are frequently associated with devastating injuries. Given the severity of injuries and associated procedures required, these patients warrant referral to a trauma center capable of providing comprehensive care.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tubarões
/
Mordeduras e Picadas
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
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Adult
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Aged
/
Animals
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Child
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Child, preschool
/
Female
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Humans
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Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am Surg
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos