{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T03:42:28Z","timestamp":1782445348945,"version":"3.54.5"},"reference-count":30,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>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 \u2265 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\u201324) comprised 9.2%, moderate injuries (10\u201316) comprised 17.5%, and minor injuries (1\u20139) 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.<\/jats:p>","DOI":"10.3390\/life15010051","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T07:10:17Z","timestamp":1735888217000},"page":"51","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Outcomes and Patterns of Traumatic Injuries Associated with Subway Incidents at a Level 1 Trauma Center"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8477-6225","authenticated-orcid":false,"given":"Bharti","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"},{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aubrey May B.","family":"Agcon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Agriantonis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"},{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sittha","family":"Cheerasarn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navin D.","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"},{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Shafaee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"},{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Whittington","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"},{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6162-1720","authenticated-orcid":false,"given":"Kate","family":"Twelker","sequence":"additional","affiliation":[{"name":"Department of Surgery, Elmhurst Hospital Center, NYC Health + Hospitals\/Elmhurst, 79-01 Broadway, Queens, NY 11373, USA"},{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai Hospital, New York, NY 10029, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"ref_1","unstructured":"Metropolitan Transportation Authority (2024, October 30). 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