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Open Access

Blunt traumatic brachial plexus injuries in a northern rural US setting: increased likelihood in unshielded motor-powered crashes

Samantha Leonard, Theo Woehrle, Hooman Nikizad, Jared Vearrier, Marilyn Odean, Colleen Renier, John Bollins, Steven Eyer
DOI: 10.1136/tsaco-2020-000558 Published 26 November 2020
Samantha Leonard
1Department of Surgery, University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota, USA
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Theo Woehrle
2Essentia Institute of Rural Health, Duluth, Minnesota, USA
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  • ORCID record for Theo Woehrle
Hooman Nikizad
1Department of Surgery, University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota, USA
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Jared Vearrier
3University of Minnesota Medical School-Duluth Campus, Duluth, Minnesota, USA
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Marilyn Odean
4Whiteside Institute for Clinical Research, Duluth, Minnesota, USA
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Colleen Renier
2Essentia Institute of Rural Health, Duluth, Minnesota, USA
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John Bollins
5Trauma Department, St Luke’s Medical Center, Duluth, Minnesota, USA
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Steven Eyer
6Trauma Department, Essentia Health-St Mary's Medical Center, Duluth, Minnesota, USA
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    Figure 1

    Consolidated Standards of Reporting Trials (CONSORT) flow diagram of study population inclusion and exclusions of blunt traumatic brachial plexus injuries (BTBPI).

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    Figure 2

    Year of blunt traumatic brachial plexus injuries (BTBPI) for shielded and unshielded motorized vehicle mechanisms of injury.

Tables

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  • Table 1

    ORs of BTBPIs caused by motor vehicles and BTBPI crash details

    Crash details
    VehicleAll injuriesBTBPI (%)OR95% CIp-valueAge
    Median (IQR)
    Male (%)Night (%)Season (%)Alcohol related (%)ISS
    Median (IQR)
    LLULWinterSpringSummerFall
    MVC573422 (0.4)Ref–––32 (19)8255232727185017.0 (17)
    ATVC159010 (0.6)1.640.73.50.19024 (20)902005030203033.5 (18)
    SMC136724 (1.8)4.642.58.3<0.00139 (12)92387921003814.0 (10)
    MCC12607 (0.6)1.450.63.20.39032 (34)862901443434317.0 (5)
    Shielded573422 (0.4)Ref–––32 (19)8255232727185017.0 (17)
    Unshielded421741 (1)2.551.524.29<0.00138 (20)9032462715123617.0 (14)
    Total995163 (0.6)––––35 (19)8740382719164117.0 (14)
    • Bolded values have a p-value <0.05, which was considered statistically significant.

    • ATVC, all-terrain vehicle crash; BTBPI, blunt traumatic brachial plexus injuries; ISS, Injury Severity Score; LL, lower limit; MCC, motorcycle crash; MVC, motor vehicle crash; Ref, reference category; SMC, snowmobile crash; UL, upper limit.

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Blunt traumatic brachial plexus injuries in a northern rural US setting: increased likelihood in unshielded motor-powered crashes
Samantha Leonard, Theo Woehrle, Hooman Nikizad, Jared Vearrier, Marilyn Odean, Colleen Renier, John Bollins, Steven Eyer
Trauma Surg Acute Care Open Nov 2020, 5 (1) e000558; DOI: 10.1136/tsaco-2020-000558

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Blunt traumatic brachial plexus injuries in a northern rural US setting: increased likelihood in unshielded motor-powered crashes
Samantha Leonard, Theo Woehrle, Hooman Nikizad, Jared Vearrier, Marilyn Odean, Colleen Renier, John Bollins, Steven Eyer
Trauma Surg Acute Care Open Nov 2020, 5 (1) e000558; DOI: 10.1136/tsaco-2020-000558
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Blunt traumatic brachial plexus injuries in a northern rural US setting: increased likelihood in unshielded motor-powered crashes
Samantha Leonard, Theo Woehrle, Hooman Nikizad, Jared Vearrier, Marilyn Odean, Colleen Renier, John Bollins, Steven Eyer
Trauma Surgery & Acute Care Open Nov 2020, 5 (1) e000558; DOI: 10.1136/tsaco-2020-000558
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