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© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Objectives: Subway-related accidents have risen with advancements in the system. We aim to study the injury patterns from these incidents. Methods: This is a retrospective study from a single center, covering patients from 1 January 2016 to 31 December 2023. Patients were identified using International Classification of Diseases (ICD) injury descriptions and Abbreviated Injury Scale (AIS) body regions. Results: Out of 360 patients (total), 23.5% presented with head injuries with an AIS score ≥ 3. Patients with blunt trauma (93.99%) were in higher numbers than penetrating (5.74%) and burn trauma (0.3%). Overall, the mean Injury Severity Score (ISS) was 10.69, suggesting a broad range of traumatic injuries. ISSs for severe injuries (17–24) comprised 9.2%, moderate injuries (10–16) comprised 17.5%, and minor injuries (1–9) comprised 60.8%. Falls had the highest percentage of traumatic brain injuries (TBI) (65.60%) and fractures (67.50%). Assaults showed a significant occurrence of traumatic thoracic injuries (28.90%). Suicide attempts demonstrated a high percentage of traumatic amputations (30.80%). In the emergency department (ED), most patients (69.4%) were admitted for further care, such as trauma, neurosurgery, or other care. Of these patients, 0.5% died in the ED, 0.5% died on arrival, and 1.04% died within 15 min of arrival. The mortality rate among serious fall patients was 17.20% compared to the suicide and train-struck groups at 37.90% each. Conclusions: There were high occurrences of TBIs, and fractures, thoracic injuries, and amputations. Numbers of patients with blunt trauma were a lot higher than those with penetrating and burn trauma. The mortality rates observed in the suicide and train-struck groups were higher than those in patients with severe falls.

Details

Title
Clinical Outcomes and Patterns of Traumatic Injuries Associated with Subway Incidents at a Level 1 Trauma Center
Author
Sharma, Bharti 1   VIAFID ORCID Logo  ; Aubrey May B Agcon 2 ; Agriantonis, George 1 ; Cheerasarn, Sittha 2 ; Bhatia, Navin D 1 ; Shafaee, Zahra 1 ; Whittington, Jennifer 1 ; Twelker, Kate 1   VIAFID ORCID Logo 

 Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA; [email protected] (A.M.B.A.); [email protected] (G.A.); [email protected] (S.C.); [email protected] (N.D.B.); [email protected] (Z.S.); [email protected] (J.W.); [email protected] (K.T.); Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA 
 Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA; [email protected] (A.M.B.A.); [email protected] (G.A.); [email protected] (S.C.); [email protected] (N.D.B.); [email protected] (Z.S.); [email protected] (J.W.); [email protected] (K.T.) 
First page
51
Publication year
2025
Publication date
2025
Publisher
MDPI AG
e-ISSN
20751729
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3159545755
Copyright
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.