Lesión.%202025%20Nov%2020:112898.%20doi:%2010.1016/j.injury.2025.112898.%20 Online%20ahead%20of%20print.
ANTECEDENTES:%20Equestrian%20sports%20have%20be en%20encontraron%20a%20causa%20tasas%20altas%20de%20lesiones.%20En%20práctica%20clínica%20después%20de%20tales%20lesiones,%20politrauma%20protocolo%20evaluaciones%20generalmente%20incluyen%20cuerpo entero %20tomografía%20computada%20(WBCT),%20CT%20de%20del%20tórax,%20abdomen%20y%20pelvis%20con%20intravenoso%20yodo%20contraste%20medio,%20y%20TC%20de%20la%20cervical%20columna %20y%20cerebro%20sin%20contraste.%20El%20propósito%20fue%20a%20investigar%20el%20uso%20de%20WBCT%20en%20accidentes%20relacionados con la equitación,%20a%20analizar%20demografía,%20yo mecanismo%20de%20lesiones%20(MOI),%20terapia%20y%20gravedad%20de%20accidentes%20relacionados con equinos,%20radiología,%20y%20el%20uso%20de%20equipo%20de protección.
MATERIAL%20Y %20MÉTODOS:%20Este%20es%20un%20retrospectivo%20estudio%20que incluye%20a%20cohorte%20de%20pacientes%20que%20fueron%20ingresados%20a%20trauma%20centros%20en%20Queen%20Silvia%20Niños%27 s%20Hospital%20(pediátrico%20<16 years) and Sahlgrenska University Hospital (adult ≥16 years) in Gothenburg in the period 2010 – 2020 due to equestrian-related injuries. Medical records were studied concerning patient demographics, MOI, protective equipment, injuries suffered, Injury Severity Score (ISS), surgery, and hospital length of stay.
RESULTADOS:%20Hubo%20hubo%201341%20pacientes%20(97%20%%20mujer,%2043%20%%%20pediátrico)%20con%20accidentes%20relacionados con%20ecuestres%20que%20fueron%2 0ingresaron%20a%20los%20hospitales.%20De%20estos,%20262%20fueron%20evaluados%20como%20politrauma a,%20de%20que%2077%20%%20eran%20adultos%20con%20edad%20mediana%20de%2038%20años%20y%20 23%20%%20eran%20pediátricos%20con%20edad%20mediana%20de%2013%20años.%20WBCT%20era%20perf ormed%20en%2054%20%%20de%20adultos%20y%2052%20%%20de%20pacientes%20pediátricos.%20El%20MO Yo%20era%20principalmente%20caída%20de%20a%20caballo%20241/262%20(92%20%),%20y%20en%2027/241%20( 11%20%)%20el%20caballo%20también%20cayó%20sobre%20el%20jinete.%20En%20el%20262%20pacientes,%20s pino%20lesión%20fue%20vista%20en%2032%20%,%20torácica%20lesión%20en%2029%20%,%20cerebral% 20hemorragias%20en%2022%20(8%20%),%20tetraplejía%20en%202%20(0,8%20%),%20y%20paraplejía a%20en%201%20(0.4%20%).%20Abdominal%20lesión%20fue%20mayoritariamente%20vista%20en%20hígado%2013/262 %20(5%20%).%20La%20mediana%20ISS%20fue%204%20(IQR%201-9).%20Había%20%2059%20%%20de%2 0pediátrico%20y%2048%20%%20de%20adultos%20pacientes%20hospitalizados%20para%20a%20mediana%20o f%202%20días%20(IQR%201-5),%20y%2014%20necesita%20cuidados%20intensivos.%20Cirugía%20era%20re requerido%20en%2033%20pacientes.%20El uso%20de%20cascos%20y%20chalecos%20fue%20registrado%20i n%20146%20(56%20%)%20y%2058%20(22%20%)%20de%20los%20individuos,%20respectivamente.
~1 4~CONCLUSIONES:%20Solo%2054%20%%20de%20adultos%20y%2052%20%%20de%20pacientes%20pediátricos%20realizados%20a%20WBCT%20después%20ecuestres%20-%20relacionados%20politrauma%20indicando%20en evaluación%20adecuada.%20La%20documentación%20tasa%20de%20equipos%20de%20seguridad%20era%20lo w.
PubMed:41309434%20|%20DOI:10.1016/j.injury.2025.112898
