Injury Prevention Implications in an Ethnically Mixed Population: A Study of 764 Patients with Traumatic Brain Injury

Parchani, Ashok; Maull, Kimball I.; Sheikh, Nissar; Sebastian, Mark

doi:10.5005/jp-journals-10030-1007

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…In the present study road traffic accidents were the commonest cause of injuries followed by falls and assault and in literature the incidence of injuries from RTAs ranges from 55 to 72%, followed by falls ranging from 20 to 30% and assaults ranging from 1 to 10% respectively. [5,[18][19][20][21][22] Most of the incident victims were motorcycle riders (skid and fall) followed by motor vehicle drivers and pedestrian injuries These findigns were similar to the fidnigns reopprted in a a prospective case-study from Eastern China where the authors observed that 61% of traumatic brain injuries were related to road traffic injuries, of these approximately one-third were motorcyclists, 31%…”

Section: Discussionsupporting

confidence: 60%

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Sivakumar¹,

Subrahmanyam²,

Phanindra³

et al. 2018

Romanian Neurosurgery

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Introduction: Demographic and clinical profile of traumatic brain injury (TBI) of a particular place is very crucial for strengthening the guidelines. The details of same are scant from a tertiary institute, Nellore district. The present study aims to explore the demographic, injury and clinical aspects of cerebro-cranial injury patients from an institute setup. Methods: The study consists of two years retrospective data and one year prospective data. The study was approved by institute ethical committee. The patient data was entered on pre designed proforma that includes the desired variables. The data analysis was done using StatsDirect software. Both prospective and retrospective data was merged for analysis. Percentages for categorical data and mean values for continuous data were calculated. Results: There were total of 336 patients. Patients in age group of 21 to 50 years constituted 67% and males were four times higher than females. Nearly one fourth of patients were influenced by alcohol. Three fourth of accidents were due to road traffic accidents (RTAs) followed by falls (17%) and assault (6%). About one tenth of patients were pedestrians. One fourth of patients had associated injuries other than head and brain. On CT findings majority of patients had cerebral contusion (46%) followed by skull fracture (40%), SDH (28%) and EDH (23%). Twenty two patients died in the study period. Conclusion: Knowledge of injury and its later consequences to public is very important. Strict rules to consider safety precautions and compulsory family insurances should be encouraged. Rules to prevent paediatric drive.

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Section: Discussionsupporting

confidence: 60%

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Sivakumar¹,

Subrahmanyam²,

Phanindra³

et al. 2018

Romanian Neurosurgery

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“…[ 21 ] In literature, RTA was reported as the major cause of TBI (ranging from 55% to 72%), followed by falls (20%–30%), and assaults (ranging from 1% to 10%). [ 31 32 33 34 35 36 ] As a result of the aging population of developed nations, the falls have been suggested as the frequent emerging cause of injury. [ 37 ] Indian studies indicated that road traffic injuries are the leading cause of moderate and severe reported in various parts of the country as well as in other parts of the world.…”

Section: Discussionmentioning

confidence: 99%

Morbidity audit of 704 traumatic brain injury cases in a dedicated South Indian trauma center

et al. 2018

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Background: In the era of evidence-based health care, protocol of intervention in traumatic brain injury (TBI) cases help decide more easily and safely about patients and prevent unnecessary transfer of patients to other centers. Objectives: The objective of this study is to provide protocol-based intervention and evaluate the epidemiological, clinical characteristics of TBI cases. Methods: This prospective study was conducted on 704 patients who were suspected of TBI at the Department of Neurosurgery, Narayana Medical College and Hospital, followed by protocol-based intervention assessed and reassessed repeatedly. Results: Overall, TBI involved 569 (80.82%) adults in the productive age groups (21–60 years); among males 81.47%. Among males, highest (23.15%) cases were in the age group of 31–40 years while in females, majority (27.04%) was among 41–50 years. Road traffic accidents were the most common (54.12%) mechanism of injury followed by fall (21.31%) and two-wheelers (15.20%). More than half sustained mild TBI (51.42%) while 26.28% moderate TBI and 22.30% severe TBI; among males, severe TBI victims 102 (18.82%) were in the productive age group. Loss of consciousness was almost a universal and significant observation (95.45%); vomiting was next common finding (76.42%). Bleeding from the ear-nose-throat (ENT) region was more in males (33.58%) than females (20.75%). Glasgow coma scale was significantly related with loss of consciousness (91.08%), vomiting (63.06%), and ENT bleeding (44.59%) in severe, moderate, and mild injuries. Conclusion: A rational clinical acumen with judicious use of diagnostic protocol leads to better management of TBI without unnecessary imaging and thus reduce total health-care costs.

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“…A recent study from Qatar, reported falls to be the second most common cause of traumatic brain injury (TBI) among young workers (94%). [ 11 ] The incidence of fall-related accidents is proportionately increasing in Qatar over the past few years [ Figure 2 ]. Tuma et al .…”

Section: Discussionmentioning

confidence: 99%

“…[ 59 ] reported that lack of safety measures were associated with fatal and nonfatal injuries at construction sites in UAE. Parchani et al .,[ 11 ] found struck by falling objects to be the third most common cause of head injury among construction workers in Qatar. Another recent study from Qatar found that the rate of injuries by falling objects was 4% with overall mortality of 8.6% at construction sites.…”

Section: Discussionmentioning

confidence: 99%

“…[ 9 10 ] Blunt injuries such as RTAs, falls from height and falls of heavy objects are widely reported causes of morbidity and mortality in this region. [ 2 11 ] On the other hand, the rapid economic growth has attracted large numbers of expatriate workers from different nationalities which have become the victims of traffic related pedestrian injuries in the Arab Middle East particularly in the rapid developing countries namely Qatar, Kuwait, UAE, Bahrain and Saudi Arabia. [ 3 ] Complex interaction of socio-cultural practices, economic and educational status, politics and large influx of expatriates in the Middle-East make it difficult to estimate the root cause of increasing traumatic injuries.…”

Section: Introductionmentioning

confidence: 99%

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Blunt traumatic injury in the Arab Middle Eastern populations

Asim

El‐Menyar

Al-Thani

et al. 2014

J Emerg Trauma Shock

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Background:Trauma represents a global public health concern with an estimated 5 million deaths annually. Moreover, the incidence of blunt traumatic injuries (BTI) particularly road traffic accidents (RTAs) and workplace-related injuries are rising throughout the world-wide. Objectives: We aimed to review the epidemiology and prevention of BTI, in the Arab Middle East.Materials and Methods:A traditional narrative literature review was carried out using PubMed, MEDLINE and EMBASE search engines. We used the keywords “traumatic injuries”, “blunt” “epidemiology”, “Arab Middle East” between December 1972 and March 2013.Results:The most common mechanisms of BTI in our region are RTAs, falls from height, struck by heavy objects and pedestrian motor vehicle trauma crashes. The rate of RTA and occupational injuries are markedly increased in the region due to rapid industrial development, extreme climatic conditions and unfamiliar working environment. However, lack of reliable information on these unintentional injuries is mainly responsible for the underestimation of this trauma burden. This knowledge deficit shields the extent of the problem from policy makers, leading to continued fatalities. These preventable injuries in turn add to the overall financial burden on the society through loss of productivity and greater need of medical and welfare services.Conclusion:In the Arab Middle East, population-based studies on the incidence, mechanism of injury, prevention and outcome of BTI are not well-documented. Therefore, region-specific BTI studies would strengthen surveillance to better understand the burden of these injuries in the region.

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Injury Prevention Implications in an Ethnically Mixed Population: A Study of 764 Patients with Traumatic Brain Injury

Cited by 4 publications

References 20 publications

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

A descriptive study of cranio-cerebral injuries admitted in tertiary care center of coastal Andhra Pradesh

Morbidity audit of 704 traumatic brain injury cases in a dedicated South Indian trauma center

Blunt traumatic injury in the Arab Middle Eastern populations

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