title: Equine-related injury: a retrospective analysis of outcomes over a 10-year period.
abstract: BACKGROUND
  Morbidity and financial loss caused by equine-related injuries may be significant. The purposes of this study were to determine the patterns of equine-related injury and the impact on outcomes.
  
  
  METHODS
  A 10-year retrospective review of equine-related injuries was performed. Age, gender, mechanism, injury severity score, Glasgow Coma Score, length of stay, surgical interventions, and mortality were assessed.
  
  
  RESULTS
  Of 80 emergency department evaluations, 76 patients were admitted and form the basis of this study. The most frequent mechanism of injury was fall (68%), followed by crush injuries (15%), kicks (8%), and trampling (5%). Musculoskeletal injuries were most common (64%). Thirty-eight (50%) patients required surgical intervention. Thirty-seven (52%) patients were discharged home; 34% required outpatient physical therapy, and 14% required inpatient rehabilitation. The mortality rate was 7%.
  
  
  CONCLUSIONS
  Equine-related injuries resulted in significant morbidity; most victims required outpatient or inpatient rehabilitation. The use of preventive strategies may minimize mortality and reduce the financial impact of postinjury morbidity.
authors.affiliation: Department of Surgery, Division of Trauma/Critical Care, University of Cincinnati, 231 Albert B. Sabin Way, Cincinnati, OH 45267-0828, USA.
authors.forename: Callisia N
authors.initials: CN
authors.lastname: Clarke
authors.forename: Betty J
authors.initials: BJ
authors.lastname: Tsuei
authors.forename: Karyn L
authors.initials: KL
authors.lastname: Butler
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D006259:Craniocerebral Trauma / Q000453:epidemiology*; D005260:Female; D015600:Glasgow Coma Scale; D006736:Horses; D006801:Humans; D015601:Injury Severity Score; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009141:Musculoskeletal System / Q000293:injuries*; D012189:Retrospective Studies