Incidence of seriously injured road users in a Swedish region, 2003–2014, from the perspective of a national road safety policy

Värnild, Astrid; Larm, Peter; Tillgren, Per

doi:10.1186/s12889-019-7937-0

Cited by 10 publications

(4 citation statements)

References 30 publications

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“…Among other things, the strategies have included improved education, application and structural improvements, such as the installation of medians barriers, roundabouts, speed humps and pedestrians’ islands. Despite all these measures, the number of seriously injured and killed people in traffic has not decreased in the last 10 years [ 17 ]. Compared to the cost of reducing traffic accidents, fall prevention is relatively cheap.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of a trauma population in an ambulance organisation in Sweden: results from an observational study

Larsson

Axelsson

Hagiwara

et al. 2023

Scand J Trauma Resusc Emerg Med

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Background Globally, injuries are a major health problem, and in Sweden, injuries are the second most common reason for ambulance dispatch. However, there is a knowledge gap regarding the epidemiology of injuries requiring assessment by emergency medical services (EMS) in Sweden. The aim of the present study was to describe the prehospital population with injuries that have been assessed and treated by EMS. Methods A randomly selected retrospective sample was collected from 1 January through 31 December 2019 in a region in southwestern Sweden. Data were collected from ambulance and hospital medical records. Results Among 153,724 primary assignments, 26,697 (17.4%) were caused by injuries. The study cohort consisted of 5,235 patients, of whom 50.5% were men, and the median age was 63 years. The most common cause of injury was low-energy fall (51.4%), and this was the cause in 77.8% of those aged > 63 years and in 26.7% of those aged ≤ 63 years. The injury mechanism was a motor vehicle in 8.0%, a motorcycle in 2.1% and a bicycle in 4.0%. The most common trauma location was the residential area (55.5% overall; 77.9% in the elderly and 34.0% in the younger group). In the prehospital setting, the most frequent clinical sign was a wound (33.2%), a closed fracture were seen in 18.9% and an open fracture in 1.0%. Pain was reported in 74.9% and 42.9% reported severe pain. Medication was given to 42.4% of patients before arrival in the hospital. The most frequent triage colour according to the RETTS was orange (46.7%), whereas only 4.4% were triaged red. Among all patients, 83.6% were transported to the hospital, and 27.8% received fracture treatment after hospital admission. The overall 30-day mortality rate was 3.4%. Conclusion Among EMS assignments in southwestern Sweden, 17% were caused by injury equally distributed between women and men. More than half of these cases were caused by low-energy falls, and the most common trauma location was a residential area. The majority of the victims had pain upon arrival of the EMS, and a large proportion appeared to have severe pain.

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Section: Discussionmentioning

confidence: 99%

Characteristics of a trauma population in an ambulance organisation in Sweden: results from an observational study

Larsson

Axelsson

Hagiwara

et al. 2023

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…Previous studies have analyzed ISS as a dichotomous variable using a specific severity threshold (i.e. ISS of 8) [ 25 ]; as a categorical multinomial or ordinal variable of three-five categories [ 26 – 28 ]; or as a log-transformed continuous variable employing a general linear model [ 29 ]. Using our approach, the results allowed us to identify that the most severe ISS were registered among males, aged 20–59, with less schooling and whose traffic collisions occurred at nighttime; associations that have been extensively reported in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the severity of road traffic injuries from emergency department based surveillance system in two Mexican cities

et al. 2022

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Background Limited data from low- and middle-income countries (LMICs) on the severity of road traffic injuries (RTIs) and their relation to different variables of interest are routinely obtained. Knowledge on this subject relies on evidence from high-income countries, which might not be the same as in LMICs. This information is greatly needed to advance and inform local and regional efforts towards the United Nations’ Decade of Action and the Sustainable Development Goals. Methods From May 2012 to November 2014, a RTI surveillance system was implemented in two referral hospitals in two Mexican cities, León and Guadalajara, with the objective of exploring the relationship between Injury Severity Score (ISS) and different sociodemographic characteristics of the injured as well as different variables related to the event and the environment. All individuals suffering RTIs who visited the Emergency Rooms (ER) were included after granting informed consent. A Zero-Truncated Negative Binomial Model was employed to explore the statistical association between ISS and variables of interest. Results 3024 individuals participated in the study: 2185 (72.3%) patients from León and 839 patients (27.7%) from Guadalajara. Being male, in the 20–59 age-group, having less schooling, events occurring in Guadalajara, on Sundays, at night, and arriving at ER via public/private ambulance were all associated with an increased log count of ISS. Found a significant interaction effect (p-value< 0.05) between type of road user and alcohol intake six hours before the accident on severity of the injury (ISS). The use of illicit drugs, cellphones and safety devices during the event showed no association to ISS. Conclusions Our study contributes to the statistical analysis of ISS obtained through RTI hospital surveillance systems. Findings might facilitate the development and evaluation of focused interventions to reduce RTIs in vulnerable users, to enhance ER services and prehospital care, and to reduce drink driving.

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“…After the implementation of Vision Zero, there is still a lack of research on injuries to vulnerable road users [ 27 ]. A study shows that while serious injuries among car occupants have declined in recent years, the risk of serious injuries among vulnerable road users is increasing [ 28 ]. In Europe, about one-third of road fatalities is caused by pedestrians and cyclists [ 29 ].…”

Section: Documents Statistical Analysismentioning

confidence: 99%

Visualization and Analysis of Global Vision Zero Studies and Policy Orientation in China

Fan

Yan

et al. 2022

IJERPH

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As a policy that is widely used worldwide, Vision Zero is a long-term strategic goal for road safety in China. The aim of this paper is to examine the literature in the field of Vision Zero retrieved by the Web of Science (WOS) Core Collection database from 1997 to 2021 based on mapping knowledge domain (MKD) and bibliometric methods. In this paper, we analyzed the overall development level of Vision Zero at different stages using the statistical analysis of the distribution of literature years. Based on the analysis, four major research directions of Vision Zero are obtained through keywords co-occurrence analysis, including “Vision Zero in road safety”, “vulnerable road users’ risks”, “effect of speed on severity”, and “responsibility management for crashes”. Furthermore, we explore the influence and development potential of each country and region of Vision Zero based on the number and citation frequency of the literature, and the distribution of time dimensions. Among the research topics, all countries and regions are clustered into four clusters, and the current status of Vision Zero for countries in the most influential clusters, which include Sweden, the United States, Australia, China, and Norway, have been presented. Finally, an analysis of road safety in China is carried out, which includes displaying the changes in the number of road accidents, fatalities, and serious injuries in China between 2009 and 2018, comparing the fatalities per 10,000 vehicles and the fatalities per 100,000 people between China and other countries, and describing China’s strategic routes toward Vision Zero.

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Incidence of seriously injured road users in a Swedish region, 2003–2014, from the perspective of a national road safety policy

Cited by 10 publications

References 30 publications

Characteristics of a trauma population in an ambulance organisation in Sweden: results from an observational study

Characteristics of a trauma population in an ambulance organisation in Sweden: results from an observational study

Factors associated with the severity of road traffic injuries from emergency department based surveillance system in two Mexican cities

Visualization and Analysis of Global Vision Zero Studies and Policy Orientation in China

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