Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso
OBJECTIVE: To compare demographics and motivations for falls from bridges at the United States-Mexico border and in El Paso County, Texas, and to analyze injuries and injury patterns to support intentionality and to provide treatment recommendations. METHODS: A retrospective observational review was...
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ftdoajarticles:oai:doaj.org/article:71f842fabab74880a04ba8131095d543 2023-05-15T15:19:08+02:00 Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso Susan F. McLean Alan H. Tyroch 2012-05-01T00:00:00Z https://doaj.org/article/71f842fabab74880a04ba8131095d543 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892012000500011 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/71f842fabab74880a04ba8131095d543 Revista Panamericana de Salud Pública, Vol 31, Iss 5, Pp 427-434 (2012) Fracturas de la columna vertebral traumatismos encefálicos migración internacional accidentes por caídas salud fronteriza Estados Unidos México Spinal fractures brain injuries emigration and immigration accidental falls border health United States Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2012 ftdoajarticles 2022-12-31T14:25:19Z OBJECTIVE: To compare demographics and motivations for falls from bridges at the United States-Mexico border and in El Paso County, Texas, and to analyze injuries and injury patterns to support intentionality and to provide treatment recommendations. METHODS: A retrospective observational review was conducted of hospital admissions to a trauma center after falls from bridges from 1995 to 2009. Statistical methods used were chi-square testing, T-test for means comparison, univariate correlations, and regression analysis. RESULTS: Of the 97 evaluated patients, 81.4% fell from U.S.-Mexico border bridges, including one patient who fell from a railway bridge; 74.7% of those falling from border bridges had a non-U.S. address, contrasting with 22.2% of those who fell within the United States. Falls over the border were associated with more immigration-related motivations and fewer suicide attempts. Injuries included lower extremities in 76 (78.4%) and thoracolumbar spine in 27 (27.8%) patients; 16 patients with a thoracolumbar spine fracture (59.3%) also had a lower extremity injury. Mean hospital length of stay was 7.2 days. Mean injury severity score was 8.45 (range 1-43). Age, injury severity score, and pelvic fracture increased the hospital length of stay. CONCLUSIONS: Patients fell while emigrating-immigrating based on residence and motivating factors. A dyad of lower extremity and thoracolumbar spine injuries coincided in 59.3% of those with a thoracolumbar spine injury; thoracolumbar spine imaging of patients evaluated after falls from bridges is recommended. Proposed prevention strategies include posting signs on bridges and installing catch-net safety barriers. OBJETIVO: Comparar la información demográfica y las motivaciones relacionadas con las caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en el condado de El Paso, Texas; analizar las lesiones y los patrones de lesiones que avalan la intencionalidad; y proporcionar recomendaciones terapéuticas. MÉTODOS: Se llevó a cabo un ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Fracturas de la columna vertebral traumatismos encefálicos migración internacional accidentes por caídas salud fronteriza Estados Unidos México Spinal fractures brain injuries emigration and immigration accidental falls border health United States Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Fracturas de la columna vertebral traumatismos encefálicos migración internacional accidentes por caídas salud fronteriza Estados Unidos México Spinal fractures brain injuries emigration and immigration accidental falls border health United States Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Susan F. McLean Alan H. Tyroch Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso |
topic_facet |
Fracturas de la columna vertebral traumatismos encefálicos migración internacional accidentes por caídas salud fronteriza Estados Unidos México Spinal fractures brain injuries emigration and immigration accidental falls border health United States Mexico Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVE: To compare demographics and motivations for falls from bridges at the United States-Mexico border and in El Paso County, Texas, and to analyze injuries and injury patterns to support intentionality and to provide treatment recommendations. METHODS: A retrospective observational review was conducted of hospital admissions to a trauma center after falls from bridges from 1995 to 2009. Statistical methods used were chi-square testing, T-test for means comparison, univariate correlations, and regression analysis. RESULTS: Of the 97 evaluated patients, 81.4% fell from U.S.-Mexico border bridges, including one patient who fell from a railway bridge; 74.7% of those falling from border bridges had a non-U.S. address, contrasting with 22.2% of those who fell within the United States. Falls over the border were associated with more immigration-related motivations and fewer suicide attempts. Injuries included lower extremities in 76 (78.4%) and thoracolumbar spine in 27 (27.8%) patients; 16 patients with a thoracolumbar spine fracture (59.3%) also had a lower extremity injury. Mean hospital length of stay was 7.2 days. Mean injury severity score was 8.45 (range 1-43). Age, injury severity score, and pelvic fracture increased the hospital length of stay. CONCLUSIONS: Patients fell while emigrating-immigrating based on residence and motivating factors. A dyad of lower extremity and thoracolumbar spine injuries coincided in 59.3% of those with a thoracolumbar spine injury; thoracolumbar spine imaging of patients evaluated after falls from bridges is recommended. Proposed prevention strategies include posting signs on bridges and installing catch-net safety barriers. OBJETIVO: Comparar la información demográfica y las motivaciones relacionadas con las caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en el condado de El Paso, Texas; analizar las lesiones y los patrones de lesiones que avalan la intencionalidad; y proporcionar recomendaciones terapéuticas. MÉTODOS: Se llevó a cabo un ... |
format |
Article in Journal/Newspaper |
author |
Susan F. McLean Alan H. Tyroch |
author_facet |
Susan F. McLean Alan H. Tyroch |
author_sort |
Susan F. McLean |
title |
Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso |
title_short |
Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso |
title_full |
Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso |
title_fullStr |
Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso |
title_full_unstemmed |
Injuries sustained after falls from bridges across the United States-Mexico border at El Paso Traumatismos por caídas desde puentes que atraviesan la frontera entre México y los Estados Unidos en El Paso |
title_sort |
injuries sustained after falls from bridges across the united states-mexico border at el paso traumatismos por caídas desde puentes que atraviesan la frontera entre méxico y los estados unidos en el paso |
publisher |
Pan American Health Organization |
publishDate |
2012 |
url |
https://doaj.org/article/71f842fabab74880a04ba8131095d543 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 31, Iss 5, Pp 427-434 (2012) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892012000500011 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/71f842fabab74880a04ba8131095d543 |
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1766349325610254336 |