Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011-2014)

Yu, Wenya; Chen, Haiping; Lv, Yipeng; Deng, Qiangyu; Kang, Pengde; Zhang, Lulu

doi:10.1371/journal.pone.0176907

Cited by 22 publications

(23 citation statements)

References 25 publications

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“…This study was undertaken to characterize the influence of SEI sustained at the same time as head trauma on the outcome of the latter. Head trauma is known to be associated with SEI in 23%–48% 2 , 3 , 12 , 13) of cases, and 29.3% in our own series. This wide range of frequencies is attributable to differences in the study populations, study protocols, and definitions of SEI used in the various investigations.…”

Section: Discussionsupporting

confidence: 50%

Outcomes after Traumatic Brain Injury with Concomitant Severe Extracranial Injuries

Watanabe

Kawai

Iwamura

et al. 2018

Neurol. Med. Chir.(Tokyo)

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Traumatic brain injury (TBI) is a leading cause of death and disability in trauma patients. Patients with TBI frequently sustain concomitant injuries in extracranial regions. The effect of severe extracranial injury (SEI) on the outcome of TBI is controversial. For 8 years, we retrospectively enrolled 485 patients with the blunt head injury with head abbreviated injury scale (AIS) ≥ 3. SEI was defined as AIS ≥ 3 injuries in the face, chest, abdomen, and pelvis/extremities. Vital signs and coagulation parameter values were also extracted from the database. Total patients were dichotomized into isolated TBI (n = 343) and TBI associated with SEI (n = 142). The differences in severity and outcome between these two groups were analyzed. To assess the relation between outcome and any variables showing significant differences in univariate analysis, we included the parameters in univariable and multivariable logistic regression analyses. Mortality was 17.8% in the isolated TBI group and 21.8% in TBI with SEI group (P = 0.38), but the Glasgow Outcome Scale (GOS) in the TBI with SEI group was unfavorable compared to the isolated TBI group (P = 0.002). Patients with SBP ≤ 90 mmHg were frequent in the TBI with SEI group. Adjusting for age, GCS, and length of hospital stay, SEI was a strong prognostic factor for mortality with adjusted ORs of 2.30. Hypotension and coagulopathy caused by SEI are considerable factors underlying the secondary insults to TBI. It is important to manage not only the brain but the whole body in the treatment of TBI patients with SEI.

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Section: Discussionsupporting

confidence: 50%

Outcomes after Traumatic Brain Injury with Concomitant Severe Extracranial Injuries

Watanabe

Kawai

Iwamura

et al. 2018

Neurol. Med. Chir.(Tokyo)

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“…The risk of road traffic mortality increased with age. The result matches the findings from several studies [30][31][32][33][34]. This result may be explained by the deterioration in health with aging.…”

Section: Discussionsupporting

confidence: 91%

Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

et al. 2019

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Background Road traffic injuries are a major public health burden in developing countries. Thailand has the highest fatality rate from road traffic injuries in southeast Asia so that prevention of unintentional injuries is important. Objective To identify patient and injury characteristics associated with road traffic mortality in the southern provinces of Thailand. Methods Data on a total of 78,862 road traffic injuries recorded by the general hospitals in 5 southern provinces of Thailand, during 2008–2013, were obtained from the Office of Disease Prevention and Control. Chi-squared test was used to determine the association between patient/injury characteristics and road traffic mortality, and logistic regression was used to identify the strength of associations. Results In this study, road traffic mortality was found to be 1.8% of all injuries. Most of the deaths occurred in males (61.7%), who were aged 25–44 years (35.8%), being drivers (68.6%), using motorcycle (78.4%), and not wearing a helmet (61.0%). Road traffic mortality was higher among males, older age people, those who were not wearing a helmet or not fastening a seat belt, pedestrians and when people crashed with or by motor car, with wound being penetrating or blunt with penetrating, and when they were having head or neck, chest, or abdominal or pelvic cavity injuries. Conclusion Policies and measures for reducing road traffic mortality should focus on males and older aged persons, use of safety devices, and occurrence of multiple injuries.

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“…Comparing deaths in the groups with and without SCT, there was a higher percentage of deaths among victims ofSCT. According to some studies, among the victims of traffic accidents, the majority died due to chest injuries [59] and brain trauma, followed by multiple trauma [60].…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Aspects of Spinal Cord Trauma Cases among Traffic Accident Victims

Silveira¹,

Palitot²,

Cavalcanti³

et al. 2020

int arch med

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Objective: To describe and analyze characteristics of cases of spinal cord Trauma (SCT) among traffic accident victims admitted to a referral hospital. Method: Descriptive, analytical, cross-sectional study with quantitative approach, developed in the city of Campina Grande, in the state of Paraíba, Brazil. The population consists of 1,884 medical records of patients admitted to hospital after damage caused by traffic accidents from January to December 2016. Data were analyzed using descriptive and inferential statistics, adopting a significance level of 5%. Results: Among the victims of traffic accidents, there was a male predominance (85.4%). The most affected age group was 21 to 30 years (29%). Accidents involving motorcyclists were predominant (82.9%) and 43 victims (2.3%) suffered spinal injury. Among these ones, there was a prevalence of males (86%), in the age group between 21 and 30 years (35.7%). In 30 cases (69.8%), the victims had spinal injuries. The cervical level (55.8%) was dominant. In addition, 46.7% of the victims were classified as ASIA and there were 9 cases (30%) of paraplegia and 1 case (3.3%) of tetraplegia. A bivariate analysis revealed a significant association between the variable presence of SCT and type of accident (p <0.001), use of cervical collar (p <0.005), injuries in other anatomical regions (p <0.001), surgical treatment (p < 0.001) and outcome of the patient’s situation (p <0.005). Conclusions: Among the victims of traffic accidents and SCT there was a predominance of males, young individuals and motorcyclists. Keywords: Epidemiology. Traffic-accidents. Public health. Spinal injuries. Spinal cord trauma.

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Comparison of influencing factors on outcomes of single and multiple road traffic injuries: A regional study in Shanghai, China (2011-2014)

Cited by 22 publications

References 25 publications

Outcomes after Traumatic Brain Injury with Concomitant Severe Extracranial Injuries

Outcomes after Traumatic Brain Injury with Concomitant Severe Extracranial Injuries

Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

Epidemiologic Aspects of Spinal Cord Trauma Cases among Traffic Accident Victims

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