Long-Term Results of Patients with Head Injuries Treated in Different Hospitals After the Wenchuan, China, Earthquake

Xu, Jianguo; You, Chao; Zhou, Liangxue; Li, Xianquan; Li, Zongping; Fan, Xuezheng; Zeng, Yong; Jiang, Lixin; Yuan, Yong

doi:10.1016/j.wneu.2011.02.006

Cited by 8 publications

(7 citation statements)

References 26 publications

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“…The prevalence of long-term disability found in our study is similar to that of other countries like the US (Whiteneck et al 2016 ) or China (Xu et al 2011 ). However, a study by Selassie et al, using data from the state of South Carolina, found the incidence of disability to be 43% (Selassie et al 2008 ).…”

Section: Discussionsupporting

confidence: 90%

Long-term disabilities after traumatic head injury (THI): a retrospective analysis from a large level-I trauma center in Saudi Arabia

et al. 2017

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BackgroundTraumatic head injuries (THI) are a critical public health problem worldwide, with more than 10 million individuals affected every year. In Saudi Arabia (SA), the burden of THI is unknown even though injury is the leading cause of death and a major cause of disability. Therefore, we aim to estimate the prevalence of long-term of disabilities among survivors of THI treated at a large level-I trauma center in Riyadh.MethodsThe study included 258 patients, who were hospitalized due to a non-fatal THI between years 2005–2014. Patients (age = 16–60 years) were contacted via the phone and information about their Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) was ascertained. Univariate analyses were performed to examine patients’ characteristics and to estimate the prevalence of any disability. Logistic regression was used to evaluate independent predictors of long-term disability.ResultsRespondents were relatively young (mean age = 24.8; SD = 9.8), predominantly males (92.7%) and the majority sustained THI following traffic crashes (91.4%). The average time since the injury was 6.8 years (range = 3–12, SD = 2.6). Close to third of the sample (32.5%) reported at least some limitations in ADL or IADL. Regression analysis suggests that a one-unit increase in Revised Trauma Scale (RTS) was associated with 31% lower odds of disability adjusting for other covariates. While responders with a below high school education were 4.7 times more likely to report a disability than those with at least a college degree (P < 0.05).ConclusionsTHI was associated with significant limitations in various aspects of everyday life. The magnitude and impact of THI in Saudi Arabia requires public health measures to prevent these injuries and to improve their health outcomes. Advocates may use these findings to educate the public about secondary and tertiary prevention and elicit support from policymakers to facilitate interventions toward reducing THI’s associated disabilities.

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Section: Discussionsupporting

confidence: 90%

Long-term disabilities after traumatic head injury (THI): a retrospective analysis from a large level-I trauma center in Saudi Arabia

et al. 2017

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“…The authors suggested that the injuries-per-death and deaths-per-100-injuries ratios from each city after their respective earthquakes were better in the HICs owing to the structural differences in disaster preparedness and response. was important in determining mortality and disability outcomes among earthquake victims with serious head injuries (106). A comparative modeling study of three countries that had suffered earthquakes (Armenia, Japan, USA) found that differences in disaster preparedness and response were closely correlated with injury mortality and morbidity (19), and a global modeling study suggested that the availability of a pediatric trauma care center could decrease time to care and save lives during a disaster (17).…”

Section: Clinical Protocolsmentioning

confidence: 99%

The Impact of Trauma Care Systems in Low- and Middle-Income Countries

Reynolds

Stewart

Drewett

et al. 2017

Annu. Rev. Public Health

144

120

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Injury is a leading cause of death globally, and organized trauma care systems have been shown to save lives. However, even though most injuries occur in low-and middle-income countries (LMICs), most trauma care research comes from high-income countries where systems have been implemented with few resource constraints. Little context-relevant guidance exists to help policy makers set priorities in LMICs, where resources are limited and where trauma care may be implemented in distinct ways. We have aimed to review the evidence on the impact of trauma care systems in LMICs through a systematic search of 11 databases. Reports were categorized by intervention and outcome type and summarized. Of 4,284 records retrieved, 71 reports from 32 countries met inclusion criteria. Training, prehospital systems, and overall system organization were the most commonly reported interventions. Quality-improvement, costing, rehabilitation, and legislation and governance were relatively neglected areas. Included reports may inform trauma care system planning in LMICs, and noted gaps may guide research and funding agendas.

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“…Of the studies, 3 showed that the largest number of people occurred within 24 hours after an earthquake. 22,44,45 On the other hand, 2 studies showed that more patients occurred following 48 hours compared with initial 24 hours in Pakistan and Nepal. 42,47…”

Section: Neurological Surgerymentioning

confidence: 99%

“…However, based on the analysis of factors that influence mortality rate in hospitals subsequent to the occurrence of a disaster, severe traumatic brain injury was found to be the most common (odds ratio (OR) = 253.3, 95% confidence interval (CI) = 8.9 -7208.6), followed by multiple organ failure (OR = 87.8, 95%CI = 3.9 -1928.3) and prior major disease and infection (OR = 14.9, CI = 1.9 -119.0). 22 Moreover, mortality and injury profiles were influenced by the time of injury. 23…”

Section: Outcomementioning

confidence: 99%

Prevalence and Characteristics of Earthquake-Related Head Injuries: A Systematic Review

Igarashi

Matsumoto

Kubo

et al. 2021

Disaster med. public health prep.

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Objective: We conducted a systematic review to determine the prevalence and characteristics of earthquake-associated head injuries for better disaster preparedness and management. Methods: We searched for all publications related to head injuries and earthquakes from 1985 to 2018 in MEDLINE and other major databases. A search was conducted using “earthquakes,” “wounds and injuries,” and “cranio-cerebral trauma” as a medical subject headings. Results: Included in the analysis were 34 articles. With regard to the commonly occurring injuries, earthquake-related head injury ranks third among patients with earthquake-related injuries. The most common trauma is lower extremity (36.2%) followed by upper extremity (19.9%), head (16.6%), spine (13.1%), chest (11.3%), and abdomen (3.8%). The most common earthquake-related head injury was laceration or contusion (59.1%), while epidural hematoma was the most common among inpatients with intracranial hemorrhage (9.5%) followed by intracerebral hematoma (7.0%), and subdural hematoma (6.8%). Mortality rate was 5.6%. Conclusion: Head injuries were found to be a commonly occurring trauma along with extremity injuries. This knowledge is important for determining the demands for neurosurgery and for adequately managing patients, especially in resource-limited conditions.

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Long-Term Results of Patients with Head Injuries Treated in Different Hospitals After the Wenchuan, China, Earthquake

Cited by 8 publications

References 26 publications

Long-term disabilities after traumatic head injury (THI): a retrospective analysis from a large level-I trauma center in Saudi Arabia

Long-term disabilities after traumatic head injury (THI): a retrospective analysis from a large level-I trauma center in Saudi Arabia

The Impact of Trauma Care Systems in Low- and Middle-Income Countries

Prevalence and Characteristics of Earthquake-Related Head Injuries: A Systematic Review

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