Abstracting and Indexing

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Introduction: Motor vehicle crashes (MVCs) are a major cause of injury and death globally, with postoperative patients potentially at increased risk due to physical and cognitive impairments following surgery. This study aims to assess the incidence of MVCs among adults undergoing general surgery.

Methods: The study was conducted with 160 adult patients who underwent various general surgeries. Each participant served as their own control, comparing two 28-day intervals: a pre-surgery interval (56–28 days before surgery) and a post-surgery interval (0–28 days after discharge). Data on MVCs were collected, and adjusted incidence rate ratios (IRRs) were estimated using conditional Poisson regression models, stratified by demographic and clinical characteristics.

Results: The study found a significant increase in MVCs post-surgery, with an incidence rate of 13.1 per 1000 person-days compared to 6.9 per 1000 person-days pre-surgery (p = 0.008). The peak crash incidence occurred within the first 14 days post-discharge. Subgroup analysis revealed that younger patients (IRR: 2.5) and females (IRR: 2.3) experienced a higher risk of post-surgical crashes. Length of hospital stay also significantly correlated with crash risk, particularly for those hospitalized for more than three days (IRR: 2.4).

Conclusion: This study highlights a significant association between general surgery and increased MVC risk, particularly in the initial postoperative period.

Keywords: Motor Vehicle Crashes, General Surgery, Postoperative Risk, Driving Safety, Case-Crossover Study, Crash Incidence