Characteristics of Moderate and Severe Traumatic Brain Injury of Motorcycle Crashes in Bandung, Indonesia

Faried, Ahmad; Bachani, Abdulgafoor M.; Sendjaja, Andi N.; Hung, Yuen Wai; Arifin, Muhammad Z.

doi:10.1016/j.wneu.2016.12.133

Cited by 41 publications

(24 citation statements)

References 15 publications

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“…For one, it is the only one that we are aware of that specifically reports all-terrain, RTI-related HI in our region of the world and our findings demonstrate that injuries resulting from road crashes in this part of the world are toward the more severe end of the trauma spectrum. This fact is fully in keeping with the literature evidence that traffic-related fatalities are most prevalent in the developing countries in general, and the African region in particular ( 1 , 7 – 9 , 21 ). Hence, apart from the usual severe brain injury necessitating their neurosurgical referral in this study subjects, there was usually evidence of significant systemic injuries in the other body parts, especially the limbs and the facial regions.…”

Section: Discussionsupporting

confidence: 91%

Clinical Epidemiology of Head Injury from Road-Traffic Trauma in a Developing Country in the Current Era

Adeleye

Ogun

2017

Front. Neurol.

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ObjectivesAfrica and other Asian low middle-income countries account for the greatest burden of the global road-traffic injury (RTI)-related head injury (HI). This study set out to describe the incidence, causation, and severity of RTI-related HI and associated injuries in a Nigerian academic neurosurgical practice.MethodsThis is a retrospective cross-sectional analysis of RTI-related HI from a prospective HI registry in an academic neurosurgery practice in Nigeria.ResultsAll-terrain RTI accounted for 80.6% (833/1,034) of HI over a 7-year study period. All age groups were involved, mean 33.06 years (SD 18.30), mode 21–30, 231/833 (27.7%). The male:female ratio was 631:202, ≈3:1. The road trauma occurred exclusively from motorcycle-and motor-vehicle crash (MCC/MVC), MCC caused 56.8% (473/833) of these; the victims were vulnerable road users (VRU) in 74%, and >90% belong in the low socioeconomic class. Using the Glasgow Coma Scale grading, the HI was moderate/severe in 52%; loss of consciousness occurred in 93%, the Abbreviated Injury Severity-head > 3 in 74%, and computed tomography (CT) Rotterdam score > 3 in 52%. Significant extracranial injuries occurred in many organ systems, 421/833 (50.5%) having Injury Severity Score (ISS) > 25. Surgical lesions included extensive brain contusions in 157 (18.8%); acute extradural hematoma in 34 (4.1%); acute subdural hematoma in 32 (3.8%); and traumatic intracerebral hemorrhage in 27 (3.2%), but only 97 (11.6%) received operative care for various logistic reasons. The in-hospital outcome was good in 71.3% and poor in 28.7%; the statistically significant (p < 0.001) determinants of this outcome profile were the severity of the HI, the CT Rotterdam score, and the ISS.ConclusionIn this study from Nigeria, RTI-related HI emanates from significant trauma to vulnerable road users and are caused exclusively by motorcycles and motor vehicles.

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Section: Discussionsupporting

confidence: 91%

Clinical Epidemiology of Head Injury from Road-Traffic Trauma in a Developing Country in the Current Era

Adeleye

Ogun

2017

Front. Neurol.

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“…Although mean values of passenger helmet use were quite high, it did not mean that they always fasten the chin strap (even the mean values for "fasten the chin strip" for the rider was only 3.02). Most of the motorcycle riders were not wearing helmet at the time of injury [34]. The mean values of control error constructs were between 3.03 (not skid on a wet road or manhole cover) and 3.61 (not carry large carriage).…”

Section: Data Summarymentioning

confidence: 99%

The Relationship Between Children Education in the Family and Car Driving and Motorcycle Riding Behaviour in Indonesia

Putranto¹,

Alyandi²

2019

IJIE

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Education is a process to change one's attitude and behaviour to improve the maturity of a human being through learning and training [1]. Parental behaviours vary around the world according to parents' socioeconomic environments, and according to their cultural models of parenting [2]. Cultural models or scripts [3]-[8] are interconnected ideologies, Abstract: Children received their first-hand education from family environment. This paper is intended to evaluate whether children education in the family is related to car driver and motorcycle rider behaviour. Firstly, a long list of bad and good norms received from family revealed from ten respondents from various religions and ethnicities. 4 constructs (explanatory variables which are not directly observable) were found as Indonesian Family values (IFV), i.e. religious, disciplinary, ethical and politeness norms and law norms. Car driver behaviour was measured using Indonesian Driver Behaviour Questionnaire (IDBQ) consist of 4 constructs, i.e. aggressive behaviour, ordinary violation, errors, and lapses. Motorcycle rider behaviour was measured using Indonesian Motorcyle Behaviour Questionnaire (IMRBQ) consisted of 6 constructs, i.e. traffic/ control errors, speed/ safety/ traffic violations, and stunts. Pearson correlation analyses were conducted between means of each construct in IMRBQ, IDBQ and 4 constructs in IFV. Some of the constructs in IFV were significantly correlated with some constructs in MDBQ and IMRBQ.

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“…In the USA, 2.8 million individuals seek medical attention for TBI each year with an estimated annual cost of over US$76 billion 5 6. Incidence of TBI is also on the rise in low-income and middle-income countries, mainly due to the increased use of motor vehicles 7–9. While sport and military-related TBI have received considerable media attention in the last decade, the highest combined incidence of TBI-related emergency department visits, hospitalisations and deaths occurs in civilians 10…”

Section: Introductionmentioning

confidence: 99%

Update on the prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: protocol for a systematic review and meta-analysis

et al. 2020

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IntroductionTraumatic brain injury (TBI) is a major public health concern. Persistent post-traumatic headache (PTH) is a common consequence of TBI affecting productivity and quality of life. The only review providing information about headache prevalence after TBI was published in 2008, combined data from civilian and military TBI, and was strictly derived from Medline database. Due to recent changes in TBI diagnosis and trauma epidemiology, the aim of the current study is to perform a systematic review and meta-analysis to derive updated prevalence estimates of persistent PTH in adult civilian TBI.Methods and analysisThe methods have been defined following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies published from 2008 to 2019 will be identified searching the electronic databases Medline, Embase, Cochrane, Google Scholar, Directory of Open Access Journals and Web of Science. Retrieved records will be independently screened by two authors and relevant data will be extracted from studies reporting data on persistent PTH prevalence among civilian TBI individuals (≥16 years). The pooled prevalence estimates of any form of headache will be computed applying random-effects meta-analysis. Heterogeneity will be assessed using the I2statistic and explored through subgroup analyses considering TBI severity (mild vs moderate/severe). Estimations of risk of bias will be performed using the Risk of Bias Tool for Prevalence Studies.Ethics and disseminationThe result of this systematic review will be published in a peer-reviewed journal and disseminated at relevant conferences presentations. Formal ethical approval is not required because we will search and evaluate only existing sources of literature. By focusing on studies conducted in the last decade, this review will provide the most up-to-date information about the global prevalence of persistent PTH after TBI. Considering the economical and social burden of persistent PTH after TBI, accurate estimates of this problematic disorder is of utmost importance for planning, implementing and evaluating prevention interventions.PROSPERO registration numberNCT42018094138

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Characteristics of Moderate and Severe Traumatic Brain Injury of Motorcycle Crashes in Bandung, Indonesia

Cited by 41 publications

References 15 publications

Clinical Epidemiology of Head Injury from Road-Traffic Trauma in a Developing Country in the Current Era

Clinical Epidemiology of Head Injury from Road-Traffic Trauma in a Developing Country in the Current Era

The Relationship Between Children Education in the Family and Car Driving and Motorcycle Riding Behaviour in Indonesia

Update on the prevalence of persistent post-traumatic headache in adult civilian traumatic brain injury: protocol for a systematic review and meta-analysis

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