Author's Accepted Manuscript The Impact of Seat belts and Airbags on High Grade Renal Injuries and Nephrectomy Rates in Motor Vehicle Collisions Marc A. Bjurlin, Richard J. Fantus, Michele M. Mellett, Richard J. Fantus, Dana Villines
PII: DOI: Reference:
S0022-5347(14)03505-8 10.1016/j.juro.2014.04.093 JURO 11442
To appear in: The Journal of Urology Accepted Date: 22 April 2014 Please cite this article as: Bjurlin MA, Fantus RJ, Mellett MM, Fantus RJ, Villines D, The Impact of Seat belts and Airbags on High Grade Renal Injuries and Nephrectomy Rates in Motor Vehicle Collisions, The Journal of Urology® (2014), doi: 10.1016/j.juro.2014.04.093. DISCLAIMER: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our subscribers we are providing this early version of the article. The paper will be copy edited and typeset, and proof will be reviewed before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to The Journal pertain. All press releases and the articles they feature are under strict embargo until uncorrected proof of the article becomes available online. We will provide journalists and editors with full-text copies of the articles in question prior to the embargo date so that stories can be adequately researched and written. The standard embargo time is 12:01 AM ET on that date.
ACCEPTED MANUSCRIPT
The Impact of Seat belts and Airbags on High Grade Renal Injuries and Nephrectomy Rates in Motor Vehicle Collisions
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Marc A Bjurlin DO1†, Richard J. Fantus BA2, Michele M. Mellett MD3, Richard J. Fantus MD3*, Dana Villines MA4
Department of Urology, New York University Langone Medical Center, New York University School of Medicine, 150 East 32 Street, NY, NY 10016 Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030
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Department of Surgery, Section of Trauma, and Surgical Critical Care, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Chicago, IL 60657 Department of Research, Advocate Health, Chicago, IL 60657
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†
Supported in part by grant UL1 TR000038 from the National Center for the Advancement of Translational Science (NCATS), National Institutes of Health.
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* Corresponding Author: Richard J. Fantus, M.D., FACS Section of Trauma and Surgical Critical Care, Department of Surgery Advocate Illinois Masonic Medical Center 836 W. Wellington Ave. Chicago, IL 60657 Tel: 773.296.7033 Fax: 773.296.7199 Email: [email protected]
Word count:
Manuscript – 2562
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ACCEPTED MANUSCRIPT
Purpose: Motor vehicle collisions (MVCs) are the most common cause of blunt genitourinary trauma. We compared renal injuries with no protective device to those with
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seat belts and/or airbags utilizing the National Trauma Data Bank (NTDB). Our primary endpoint was a reduction in high-grade renal injuries (grades III-V) with a secondary endpoint of reduction in nephrectomy rate.
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Materials and Methods: The NTDB research datasets, admission year 2010, 2011, and
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2012, were queried for MVC occupants with renal injury. Subjects were stratified by protective device and airbag deployment. Abbreviated Injury Score was converted to American Association for the Surgery of Trauma renal injury grade and nephrectomy rates were evaluated. Intergroup comparisons were analyzed for renal injury grades, nephrectomy, length of stay, and mortality with chi-square or one-way ANOVA.
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Protective device relative risk reduction was determined.
Results: A review of 466,028 MVCs revealed 3,846 renal injuries. Injured occupants
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without a protective device had a higher rate of high grade renal injury (45.1%) compared to those with seat belts (39.9%, p=0.008), airbags (42.3%, p=0.317), and seat belts with
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airbags (34.7%, p
PII: DOI: Reference:
S0022-5347(14)03505-8 10.1016/j.juro.2014.04.093 JURO 11442
To appear in: The Journal of Urology Accepted Date: 22 April 2014 Please cite this article as: Bjurlin MA, Fantus RJ, Mellett MM, Fantus RJ, Villines D, The Impact of Seat belts and Airbags on High Grade Renal Injuries and Nephrectomy Rates in Motor Vehicle Collisions, The Journal of Urology® (2014), doi: 10.1016/j.juro.2014.04.093. DISCLAIMER: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our subscribers we are providing this early version of the article. The paper will be copy edited and typeset, and proof will be reviewed before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to The Journal pertain. All press releases and the articles they feature are under strict embargo until uncorrected proof of the article becomes available online. We will provide journalists and editors with full-text copies of the articles in question prior to the embargo date so that stories can be adequately researched and written. The standard embargo time is 12:01 AM ET on that date.
ACCEPTED MANUSCRIPT
The Impact of Seat belts and Airbags on High Grade Renal Injuries and Nephrectomy Rates in Motor Vehicle Collisions
1
RI PT
Marc A Bjurlin DO1†, Richard J. Fantus BA2, Michele M. Mellett MD3, Richard J. Fantus MD3*, Dana Villines MA4
Department of Urology, New York University Langone Medical Center, New York University School of Medicine, 150 East 32 Street, NY, NY 10016 Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030
SC
2 3
Department of Surgery, Section of Trauma, and Surgical Critical Care, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Chicago, IL 60657 Department of Research, Advocate Health, Chicago, IL 60657
M AN U
4
†
Supported in part by grant UL1 TR000038 from the National Center for the Advancement of Translational Science (NCATS), National Institutes of Health.
AC C
EP
TE D
* Corresponding Author: Richard J. Fantus, M.D., FACS Section of Trauma and Surgical Critical Care, Department of Surgery Advocate Illinois Masonic Medical Center 836 W. Wellington Ave. Chicago, IL 60657 Tel: 773.296.7033 Fax: 773.296.7199 Email: [email protected]
Word count:
Manuscript – 2562
1
ACCEPTED MANUSCRIPT
Purpose: Motor vehicle collisions (MVCs) are the most common cause of blunt genitourinary trauma. We compared renal injuries with no protective device to those with
RI PT
seat belts and/or airbags utilizing the National Trauma Data Bank (NTDB). Our primary endpoint was a reduction in high-grade renal injuries (grades III-V) with a secondary endpoint of reduction in nephrectomy rate.
SC
Materials and Methods: The NTDB research datasets, admission year 2010, 2011, and
M AN U
2012, were queried for MVC occupants with renal injury. Subjects were stratified by protective device and airbag deployment. Abbreviated Injury Score was converted to American Association for the Surgery of Trauma renal injury grade and nephrectomy rates were evaluated. Intergroup comparisons were analyzed for renal injury grades, nephrectomy, length of stay, and mortality with chi-square or one-way ANOVA.
TE D
Protective device relative risk reduction was determined.
Results: A review of 466,028 MVCs revealed 3,846 renal injuries. Injured occupants
EP
without a protective device had a higher rate of high grade renal injury (45.1%) compared to those with seat belts (39.9%, p=0.008), airbags (42.3%, p=0.317), and seat belts with
AC C
airbags (34.7%, p
