Incidence and risk factors of severe traumatic brain injury resulting from road accidents: A population-based study

Javouhey, Étienne; Guérin, Anne-Céline; Chiron, Mireille

doi:10.1016/j.aap.2005.08.001

Cited by 78 publications

(55 citation statements)

References 21 publications

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“…These results indicate a trend towards a decreasing incidence of hospital-treated TBI in Norway, perhaps due to the effectiveness of preventive traffic accident legislation, as reported in other European countries, with a subsequent decrease in road traffic accidents [4,9,23,26] . The density of road traffic in Norway has increased substantially over the last 10 years, but the risk of injuries and death in road traffic accidents has declined from 0.400 to 0.288 per million vehicle kilometres for the same period of time [27] .…”

Section: Incidencementioning

confidence: 56%

“…Falls are the leading cause of TBI in Northern Europe [1,7,9,10] , and the same trend is found in recent studies in the USA [3,5] . Traffic accidents continue to be the main cause of severe and fatal injuries [1,4,7] .…”

Section: Introductionmentioning

confidence: 99%

“…The number of hospital-admitted TBI patients is regarded as an important indicator of the impact of local injuries on hospital resources [1] . Several international epidemiological studies have reported changes during the last decade in the trends of TBI hospitalizations, incidence and mortality rate [3][4][5][6] . The age spectrum of TBI is also changing, with increasing incidence in the elderly [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

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Incidence of Hospital-Treated Traumatic Brain Injury in the Oslo Population

Anđelić¹,

Sigurðardóttir

Brunborg³

et al. 2008

Neuroepidemiology

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Background: The aim of this prospective, population-based study is to present the incidence of hospital-treated traumatic brain injury (TBI) in Oslo, Norway, and to describe the severity of brain injuries and outcome of the patients’ acute medical care. Methods: Data were obtained from hospital admission registers and medical records from May 2005 to May 2006. The initial severity of TBI was measured by the Glasgow Coma Scale. The region is urban with a population of 534,129. Results: The 445 patients identified represent an annual incidence of 83.3/100,000. The median age was 29 years. The male:female ratio was 1.8:1.0. The highest incidence of TBI hospitalizations was found in the elderly males and the youngest children. The most common causes of TBI were falls (51%) and transport accidents (29.7%). Intracranial lesions were found more often in the elderly. The case fatality rate was 2.0/100 hospitalized patients and was highest in the elderly. Conclusions: The incidence of hospital-treated TBI in this study is considerably lower than that found in previous studies from Norway and Scandinavia. Despite the apparent decline in TBI hospitalization rates, our findings should also draw attention to the need for more effective preventive programmes related to falls. Studies that assess long-term consequences of TBI in elderly patients are also needed.

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Section: Incidencementioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incidence of Hospital-Treated Traumatic Brain Injury in the Oslo Population

Anđelić¹,

Sigurðardóttir

Brunborg³

et al. 2008

Neuroepidemiology

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“…Collision with another motorized vehicle or fixed object were associated with a high risk of injuries and death, usually due to excessive speed, also correlated to the high level of energy (12) .…”

Section: Discussionmentioning

confidence: 99%

Traffic accidents with motorcycles and their relationship to mortality

Oliveira

Sousa

2011

Rev. Latino-Am. Enfermagem

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This study characterizes traffic accidents involving motorcycles according to local conditions, data concerning the type of accident, date and time, and identifies among these variables those associated with the death of victims. This retrospective study uses data from traffic collision reports from 2004 and death records from the institute of forensic medicine. A total of 99.4% of the events occurred in urban areas, where illumination (87.4%), weather conditions (80.6%); and traffic signs (70.6%) were satisfactory. Collisions between motorcycles and cars or pickup trucks prevailed (55.5%), followed by motorcycle falls (18.0%). In relation to the type of collision, the highest percentage was observed in broadside collision category (35.2%). There were differences between the groups of fatalities and survivors in relation to the area and illumination in the collision's site, in addition to the types of collision and impact. The conclusion is that local conditions and types of collision and impact stand out among the multiple variables defining the severity of accidents involving motorcycles.Descriptors: Accidents, Traffic; Mortality; External Causes. Ocurrencias de tránsito con motocicleta y su relación con la mortalidadSe tuvo por objetivo caracterizar las ocurrencias de tránsito con motocicleta, según condiciones locales, datos relacionados al tipo de accidente, fecha y hora, además de identificar entre esas variables las que se asociaron con la muerte de las víctimas. Se trata de un estudio retrospectivo utilizando datos de los Boletines de Ocurrencia de Tránsito referentes al año de 2.004 y los registros de muerte del Instituto Médico Legal.El 99,4% de las ocurrencias sucedieron en área urbana, en locales donde las condiciones de luminosidad (87,4%), condición meteorológica (80,6%) y señalización (70,6%) eran satisfactorias. Predominó la colisión de motocicleta con automóvil o camioneta (55,5%) y las caídas de motocicleta fueron las más frecuentes (18,0%). En el tipo de impacto, el mayor porcentaje fue observado en la categoría colisión transversal (35,2%). El grupo de muertos difirió en relación a los sobreviventes en cuanto al área y luminosidad del local de la ocurrencia, además del tipo de accidente e impacto. Se concluye que las condiciones locales, tipos de accidente e impacto se destacan entre las múltiples dimensiones que envuelven la gravedad de las ocurrencias con motociclistas.

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“…Javouhey E et al, in 2006, reported that on colliding with fixed object or any other motorized vehicles there are a high risk of injuries and death, usually due to excessive speed, correlated to the high level of energy 30 . Peel-Asa C, Kraus JF., 1996 reported in their study that the higher risk of severe injuries and fatalities are due to excessive speed and also when correlated to the level of energy.…”

Section: Manner Of Collisionmentioning

confidence: 99%

Study of Injury Pattern in Human Beings in Road Traffic Accidents Involving Two Wheelers

Seethalakshmi¹,

Sudalaimuthu²,

Mahendran³

et al. 2015

jemds

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India experienced very rapid population growth from 48 million to 1.2 billion in a span of decades. In India rapid urbanization, industrialization, population explosion and migration of people in past two decades results in enormous growth in the field of road transportation. This resulted in increasing amount of the road traffic leading to increased risk for occurrence of road traffic accidents. In India road traffic injuries will be third leading cause of death by 2020 with the increase in the use of two wheelers and congestion and environmental pollution this mortality rate will continue to rise. Considering the preciousness of human lives, this study has been undertaken to analyse the pattern of injuries in Road Traffic Accidents Involving Two Wheelers to create awareness among the law enforcing authorities, transport authorities and public regarding two wheeler fatalities. A sincere attempt has been made in this study to analyse the distribution of the pattern of injuries sustained by two wheeler travellers, so that appropriate interventional strategies can be evolved at various levels and by different agencies. 147 Two wheeler Accident victims were randomly selected from 1063 road traffic accident cases brought to the Institute of Forensic Medicine, Madras Medical College Chennai-3 for routine medico legal examination. Preliminary data were collected from the medico legal documents such as history of the case, Inquest form, First Information Report, Accident Register, Death Report, Clinical data submitted by the investigating officer at the time of medico legal examination. During autopsy, on external examination, nature of injury, size, number were measured in all cases. Internal organ injuries were recorded. Cause of death was arrived at based on the findings made out during autopsy. Totally 147 motorcyclist victims were included in this study in which demographic factors such as age, sex, time of accident, manner of collision, period of survival, injury pattern were analysed. Total number of helmet users and non-helmet users and pattern of injuries were analysed. External and internal injuries among the victims were analysed according the different regions of the body. Pattern of fatal injuries and the cause of death were also analysed. Data collected were entered into excel sheets and statistical analysis was done using SPSS software version 16 and conclusions were arrived. With the help of this study, analysis and conclusions, recommendations for road safety policies were sought.

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Incidence and risk factors of severe traumatic brain injury resulting from road accidents: A population-based study

Cited by 78 publications

References 21 publications

Incidence of Hospital-Treated Traumatic Brain Injury in the Oslo Population

Incidence of Hospital-Treated Traumatic Brain Injury in the Oslo Population

Traffic accidents with motorcycles and their relationship to mortality

Study of Injury Pattern in Human Beings in Road Traffic Accidents Involving Two Wheelers

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