Predictors of injury mortality: findings from a large national cohort in Thailand

Yiengprugsawan, Vasoontara; Berecki‐Gisolf, Janneke; Bain, Christopher; McClure, Roderick John; Seubsman, Sam-ang; Sleigh, Adrian

doi:10.1136/bmjopen-2013-004668

Cited by 9 publications

(8 citation statements)

References 27 publications

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“…Together, they account for 18% of the global loss of Disability-Adjusted Life Years (DALYs) [ 1 ]. Injuries have been a public health priority because of their burden and associated mortality [ 2 ]. They are especially important in low and middle income countries, which account for 90% of the global burden [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress following Injury in a Large Cohort of Thai Adults

et al. 2016

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IntroductionInjury and psychological distress are public health priorities because of their high occurrence in the population. This study examines the longitudinal effects of injury characteristics on psychological distress.MethodsStudy participants were enrolled distance learning Thai adults (N = 42,785 at 2013 follow-up) residing nationwide. We analysed 2009 and 2013 data. Injury questions included injury prevalence, causes and levels of severity. Distress was measured using the standard Kessler-6. To assess the risk for post-injury distress, we used multinomial logistic regression investigating psychological distress in 2013 as an outcome including injury categories in both 2009 and 2013 as predictors, adjusted for sociodemographic factors.ResultsOverall injury was predictive of psychological distress. Both types of injury (traffic and non- traffic) associated with increasing psychological distress. Those that had experienced both types of injuries in the previous year had higher odds of developing psychological distress compared to those who experienced just one type. In 2013, adjusted psychological distress odds ratios were 1.46 [95% Confidence Interval 1.14–1.87] for traffic injury only; 1.26 [1.13–1.40] for non-traffic injury only; and 2.71 [2.19–3.35] for both traffic and non-traffic injuries. Increasing frequency of injury and increasing injury severity were also linked to elevated psychological distress among our Thai cohort members.ConclusionsOur results revealed a significantly high risk of psychological distress following injury. With increasing occurrence of injury, especially traffic injuries in low and middle income countries such as Thailand, future policies should not only focus on physical care but also address psychological distress as an important consequence of injury.

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Section: Introductionmentioning

confidence: 99%

Psychological Distress following Injury in a Large Cohort of Thai Adults

et al. 2016

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“…It is known that injury is an important issue in public health globally with a heavy burden in developing countries (1). Traumatic injuries are the leading cause of death in people aged 15 -29 years and according to the WHO, trauma will be the 5 th main causes of mortality by the year 2030 (2).…”

Section: Introductionmentioning

confidence: 99%

Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

Yadollahi¹,

Anvar²,

Ghaem³

et al. 2015

Razavi Int J Med

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Background: Traumatic injuries exert significant burden on human populations around the world. Iran as a developing country is at top 5 deadliest countries regarding injuries; however, few studies have examined the descriptive epidemiology of trauma in Iran. Objectives: To describe injuries regarding age, gender and injury mechanism and also time trend in emergency departments of Shahid Rajaee Trauma Center affiliated to Shiraz University of Medical Sciences. Patients and Methods:This descriptive cross-sectional study was carried out on all trauma patients (n = 21542) admitted to Shahid Rajaee Trauma Hospital (level I trauma referral center in Shiraz) between March 2011 and March 2012. Data were analyzed separately by age, gender, month of admission, and injury mechanisms (motorcycle collision, car-pedestrian accidents, car-car accidents, fall from height, stab wounds and gunshot injuries). Results: With a mean age of 36.0 ± 17.2 years, a total number of 21542 patients were visited, 16524 (76.7%) of whom were male. The male to female ratio was 3.3:1 with injured men being significantly younger than women (mean age 33.7 + 16.6 and 43.6 ± 19.2 years, respectively). There were 1492 trauma victims older than 60 years accounting for the smallest proportion of the population (6.92%). On admission, 1699 patients (7.9%) required cardiopulmonary cerebral resuscitation (CPCR) with a sex ratio of 2:1. Among those requiring CPCR, falling down was the major cause (45.24%) of injury in elderly (patients over 60 year) and car accident in those under 60 year (43.94%). Conclusions: Injuries affect all age groups; however, the disproportionately at risk population is the productive youth. Preventive strategies should focus on reducing trauma incidence among young men at population level. Considering the higher number of incidents occurring in mid spring and late summer, authorities should devise preventive plans mainly through alteration of traffic rules in this period.

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“…However previous TCS analyses have not found injury history to be a predictor of injury mortality. Instead injury mortality is predicted by other risk taking behaviours such as alcohol consumption and smoking (Yiengprugsawan, Berecki-Gisolf, Bain, et al, 2014). Another possible explanation is that the impact of injury results in worsening physical and mental health.…”

Section: Discussionmentioning

confidence: 99%

Death in Transitional Asia: 11-Year All-Cause Mortality in the Thai Cohort Study

Kelly¹,

Rao²,

Seubsman³

et al. 2019

GJHS

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OBJECTIVE: Thailand is experiencing a substantial reduction in overall mortality, an ageing society and increasing prevalence of non-communicable diseases. There is an urgent need to understand locally important risk factors for this new disease burden and their distribution. We investigated risk factors for mortality in a large cohort of Thai adults and report on key trends. PARTICIPANTS: A nationwide cohort of 87,151 Thai adults followed up since 2005 with their data records linked to the Thai civil registration system to monitor mortality up to the end of 2016. METHODS: We used logistic regression models to measure associations between a large range of socio-demographic, health behaviour and health status variables and all-cause mortality. RESULTS: 1402 cohort members died between 2005 and 2016. In fully-adjusted models higher income, female sex, and higher education had the strongest protective effects against mortality. Normal body weight also protected (AOR 0.71 [0.52-0.96] with Obese as reference). Heavy smoking (AOR 1.48 [1.29-1.70]), and regular alcohol consumption (AOR 1.37 [1.12-1.68]) were associated with the highest mortality. Experiencing injury in the year proceeding the baseline survey also associated with increased mortality, while urbanising since childhood had a protective effect. CONCLUSION: This study adds to evidence regarding risks for all-cause mortality in Thailand. Results indicate the need for Thailand to maintain successful tobacco control programs and to address the effects of increased alcohol consumption. The protective effect of higher education is particularly important in Thailand given the growing proportion of the population who are finishing high school and moving to higher education.

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Predictors of injury mortality: findings from a large national cohort in Thailand

Cited by 9 publications

References 27 publications

Psychological Distress following Injury in a Large Cohort of Thai Adults

Psychological Distress following Injury in a Large Cohort of Thai Adults

Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey

Death in Transitional Asia: 11-Year All-Cause Mortality in the Thai Cohort Study

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