Causes and Circumstances of Horse Related Injuries and Impact on Quality of Life
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 231
- 试验地点
- 1
- 主要终点
- Injury Severity Score (ISS)
研究概览
简要总结
Horse-related activity can be risky. Horses are the leading cause of animal-related fatalities in Oregon and Oregon's annual death rate from animals is 45% higher than the national rate. By interviewing injured equestrians, the investigators may be able to determine patterns of decision-making and behavior from their collective experience and develop useful safety recommendations. The investigators will also determine the impact that the injury has had on quality of life. The long-term goal of the investigators research is to develop safety and prevention recommendations and a horse-related injury prevention program to reduce the number of horse related injuries.
详细描述
Introduction and Background:
Horse-related activity (HRA) can be risky. The National Electronic Injury Surveillance System (NEISS) estimated that in 2006, 68,060 Americans went to a U.S. emergency room with horse-related injuries (HRI), of which 5,676 were hospitalized. However, Thomas et al estimated that 102,904 people each year from 2001 to 2003 were treated for HRI in emergency rooms nationwide. In Oregon, horses are the leading cause of animal-related fatalities in Oregon and Oregon's annual death rate from animals is 45% higher than the national rate. In a survey of 679 Northwest equestrians in Oregon, Washington, and Idaho, 81% riders reported at least one injury during their career, and 1 in 5 equestrians required hospitalization, surgery, or sustained permanent disability as a result of a HRI.
The long-term goal of our research is to develop a horse-related injury prevention program. Our preliminary study indicated that lower levels of experience were strong indicators of greater risk. The period of greatest danger appears to be during the initial 100 hours of HRA, with the incidence of injury nearly 8 times greater among novices as compared to instructors or professionals. The extent to which HRI is preventable is currently not clear, but it may be substantial. 64% of injured, experienced riders believed their incident was preventable and 47% altered their riding habits as a result.
Rationale:
There is a need to develop specific safety and prevention recommendations to reduce the number of HRIs. We intend to retrospectively determine what decisions, conditions, or other influential circumstances occurred that led to the subject's injury incident and to question the subject whether any measures could have prevented the incident from occurring. By interviewing injured equestrians, we may be able to determine patterns of decision-making and behavior from their collective experience and develop useful safety recommendations.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects must have been treated at OHSU from January 1, 2001 through September 30, 2008 for any horse related traumatic injury.
- •The subject will have signed an IRB approved written informed consent and HIPAA authorization to participate in the study.
- •Subjects must have access to the internet and an e-mail account to participate in the survey.
- •Subjects must be able to complete surveys written in English.
排除标准
- •Subjects who are deceased.
结局指标
主要结局
Injury Severity Score (ISS)
时间窗: 2008-2011
The Injury Severity Score (ISS) is based upon the Abbreviated Injury Scale (AIS) and is calculated by dividing the body into 6 regions. Each region is scored on a scale of 1 (minor severity/better) to 5 (most severity/worse). ISS total score is calculated by squaring each of the 3 most severely injured body regions, then summing the three squared numbers. Total ISS score can range from 3 to 75.
次要结局
未报告次要终点