Head injuries in adolescents in Taiwan: a comparison between urban and rural groups

Chiang, Ming-Fu; Chiu, Wen-Ta; Chao, Hsing‐Lung; Chen, Wan-Lin; Chu, Shufen; Chen, Shiu‐Jau; Hung, Chung-Chan; Tsai, Shin-Han

doi:10.1016/j.surneu.2006.08.029

Cited by 16 publications

(17 citation statements)

References 15 publications

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“…Such rural/urban differences in LOS from the previous literature are also inconsistent. Whereas one study showed that paediatric patients admitted to rural hospitals had significantly shorter LOS and lower odds for prolonged stay compared to those admitted to urban hospitals,38 another study showed that adolescents who suffered head injuries and lived in rural areas had significantly longer LOS in hospital 39. The small number of observed hospitalisations and the difficulties measuring injury severity in the present study may, however, mask the differentials in injury severity by SES or rurality.…”

Section: Discussioncontrasting

confidence: 67%

Socioeconomic status and risk of car crash injury, independent of place of residence and driving exposure: results from the DRIVE Study

Chen

Ivers

Martiniuk

et al. 2009

Journal of Epidemiology & Community Health

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Section: Discussioncontrasting

confidence: 67%

Socioeconomic status and risk of car crash injury, independent of place of residence and driving exposure: results from the DRIVE Study

Chen

Ivers

Martiniuk

et al. 2009

Journal of Epidemiology & Community Health

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“…These findings extend the literature suggesting that road crashes are a substantial cause of hospitalized head injury among young adults [7,13], despite sustained road safety efforts that have greatly reduced road deaths in Australia [29]. Young people are inexperienced drivers who are often in older, less crashworthy cars [30].…”

Section: Discussionsupporting

confidence: 72%

“…Quality-of-life following severe head injury is also reported as being markedly reduced [11,12]. Road traffic crashes are among the most common causes of head injury among young adults [13] and risk factors for this cause of head injury are amenable to control.…”

Section: Introductionmentioning

confidence: 99%

Head and traumatic brain injuries among Australian youth and young adults, July 2000–June 2006

2012

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“…[19][20][21] In this study, TBI secondary to RTA was present in 64% which is similar to other studies from Asia and developed countries. [22,23,25,26] Majority (60%) of the cases with RTA were hit-and-run victims, 42 (10%) were vehicle occupants and 135 (30%) were pedestrians hit by a vehicle. The high pedestrian rate is similar to other studies with a range of between 28-48%.…”

Section: Discussionmentioning

confidence: 99%

Spectrum of surgical trauma and associated head injuries at a university hospital in eastern Nepal

Bajracharya

Agrawal

Yam

et al. 2010

Journal of Neurosciences in Rural Practice

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Background:Trauma is one of the common surgical emergencies presenting at B. P. Koirala Institute of Health Sciences (BPKIHS), Nepal, a tertiary referral center catering to the needs of the population of Eastern Nepal and nearby districts of India.Objective:The objective of this study is to analyze the magnitude, epidemiological, clinical profile and outcome of trauma at B P Koirala Institute of Health Sciences.Materials and Methods:This descriptive case series study includes all patients with history of trauma coming to BPKIHS emergency and referred to the surgery department. We noted the detailed clinical history and examination, demographics, mechanism of injury, nature of injury, time of reporting in emergency, treatment offered (operative or non operative management) and analyzed details of operative procedure (i.e. laparotomy, thoracotomy, craniotomy etc.), average length of hospital stay, morbidity and outcome (according to Glasgow outcome scale). Collected data were analyzed using EpiInfo 2000 statistical software.Results:There were 1848 patients eligible to be included in the study. The mean age of the patients was 28.9 ± 19.3 years. Majority of the patients (38%) belonged to the age group of 21 - 40 years and the male to female ratio was 2.7:1. Most of the trauma victims were students (30%) followed by laborers (27%) and farmers (22%) respectively. The commonest causes of injury were fall from height (39%), road traffic accident (38%) and physical assault (18%); 78% of the patients were managed conservatively and 22% underwent operative management. Postoperative complications were seen in 18%. Wound infection 7.5%, neurological deficit including cerebrospinal fluid (CSF) otrorrhea was seen in 2.2% patients. Good recovery was seen in 84%, moderate disability in 5.2% patients and severe disability in 1.4% patients. The mortally was 6.3% and most of the deaths were related to traumatic brain injuries.Conclusions:In Nepal, trauma-related injury contributes significantly to morbidity and mortality and is the third leading cause of death. There are very few studies on trauma from this country and hence this study will help in understanding the etiology and outcome particularly in the Eastern region of Nepal.

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Head injuries in adolescents in Taiwan: a comparison between urban and rural groups

Cited by 16 publications

References 15 publications

Socioeconomic status and risk of car crash injury, independent of place of residence and driving exposure: results from the DRIVE Study

Socioeconomic status and risk of car crash injury, independent of place of residence and driving exposure: results from the DRIVE Study

Head and traumatic brain injuries among Australian youth and young adults, July 2000–June 2006

Spectrum of surgical trauma and associated head injuries at a university hospital in eastern Nepal

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