Traumatic injuries in patients with diabetes mellitus

El‐Menyar, Ayman; Mekkodathil, Ahammed; Al-Thani, Hassan

doi:10.4103/0974-2700.179461

Cited by 16 publications

(13 citation statements)

References 73 publications

(133 reference statements)

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“…Men commute by car more often than women. Hypoglycaemia and other complications related to advanced diabetes can cause a deterioration in driving performance as a result of compromised psychomotor skills, poorer visuo-spatial functions, slower information-processing, decreased vigilance and poorer judgement [24]. Our finding is consistent with that of a previous study which reported the risk of motor vehicle crash-related injury to be almost twice as high in drivers with Type 1 diabetes as in drivers who do not have diabetes [25].…”

Section: Discussionsupporting

confidence: 91%

Diabetes and risk of occupational injury: a cohort study

et al. 2017

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Aims To investigate if diabetes is associated with a higher risk of occupational (workplace or commuting) injury.Methods Medication data from the Finnish Prescription Register were used to identify diabetes cases in 2004 in a large employee cohort (the Finnish Public Sector study). These data were linked to injury records obtained from the Federation of Accident Insurance Institutions. A total of 1020 diabetes cases (median age 52 years, range 20 to 65 years; 66% women) and their 5234 age-and sex-matched controls were followed up until 2011. Sex-stratified Cox proportional hazards models, adjusting for age, occupational status, obesity and health behaviours, were applied. Because of the small number of men in the cohort, injury types and locations were only examined among women.Results During the median follow-up of 6.7 years, 25% of the participants with diabetes (n=252) and 20% of those without (n=1051) experienced an occupational injury. The association between diabetes and injury was stronger in women than men (P=0.048). Diabetes was associated with a higher risk of workplace (hazard ratio 1.37, 95% CI 1.11 to 1.69) and commuting (hazard ratio 1.36, 95% CI 1.03 to 1.79) injury in women. With regard to different injury types and locations, diabetes was associated with bone fractures, dislocations, sprains and strains, and injuries to upper and lower extremities. In men, there was an association between insulin-treated diabetes and commuting injury (hazard ratio 3.14, 95% CI 1.52 to 6.49).Conclusions Diabetes was associated with workplace and commuting injuries in women. Men with insulin-treated diabetes had a higher risk of commuting injuries.

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Section: Discussionsupporting

confidence: 91%

Diabetes and risk of occupational injury: a cohort study

et al. 2017

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“…There is a dire need of behavior change communication in healthcare experts, public education, law enforcement, newer technology, and special care for elderly population. [44] Parkinson's disease may lead to unsafe driving with variable impairments in vision and cognition. [45] Routine changes due to senility like diminished eyesight and slow reaction time should not be equated with Alzheimer's disease.…”

Section: Risk Factors For Road Traffic Accidentsmentioning

confidence: 99%

Public health crisis of road traffic accidents in India: Risk factor assessment and recommendations on prevention on the behalf of the Academy of Family Physicians of India

Pal

Ghosh

Kumar

et al. 2019

J Family Med Prim Care

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Roads are considered a sign of development bringing colossal benefits to community as socioeconomic and logistic facilitator. Yet, growth of road network has brought road crashes leading to civic pain from premature deaths of productive age group. In 2017, 16 citizens were killed and 53 injured every hour on Indian roads as per officially reported data, while a fair number go unreported. This is unacceptably high when compared with international standards. Risk correlates of road traffic injuries (RTIs) need to be redefined so as to form a continuum with other confounding factors that impact to take lives on road. Risk factors impacting RTIs vary from human components to the roles and responsibilities of healthcare stakeholders. We should have made roads safer for all citizens because a large percentage of population – children, pedestrians, cyclists, motorcyclists, and the elderly – are most vulnerable. A taskforce was set up by the Academy of Family Physicians of India to scientifically analyze the literature available to assess risks and put forward appropriate recommendations.

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“…[2,5] In those with traumatic injuries diabetes has been reported as both a risk factor and predictor of worse outcomes. [6] A number of studies conclude that those with type 2 diabetes have a higher risk of fracture than those without diabetes although risk estimates vary considerably from 20% higher to three-fold depending on the inclusion criteria (e.g. type of diabetes, age of patients), skeletal site, diabetes duration and study design.…”

Section: Introductionmentioning

confidence: 99%

Incident Type 2 Diabetes and Risk of Fracture: A Comparative Cohort Analysis Using U.K. Primary Care Records

et al. 2020

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Objective To estimate risk of fracture in men and women with recent diagnosis of type 2 diabetes compared to individuals without diabetes. Research Design and MethodsIn this cohort study we used routinely-collected UK primary care data from The Health Improvement Network. In adults (>35 years) diagnosed with type 2 diabetes between 2004-2013 fractures sustained until 2019 were identified and compared to fractures sustained in individuals without diabetes. Multivariable models estimated time to first fracture following diagnosis of diabetes. Annual prevalence rates included at least one fracture in a given year. ResultsAmong 174,244 individuals with incident type 2 diabetes and 747,290 without diabetes, there was no increased risk of fracture among males with diabetes (adjusted hazards ratio (aHR) 0.97 (95%CI 0.94, 1.00)) and a small reduced risk among females (aHR 0.94, (95%CI 0.92, 0.96)). In those aged 85 years and over those in the diabetes cohort were at significantly lower risk of incident fracture (Males: aHR 0.85, 95%CI 0.71, 1.00; Females: aHR 0.85, 95%CI 0.78, 0.94). For those in the most deprived areas, aHRs were 0.90 (95%CI 0.83, 0.98) for males and 0.91 (95%CI 0.85, 0.97) for females. Annual fracture prevalence rates, by sex, were similar for those with and without type 2 diabetes. ConclusionWe found no evidence to suggest a higher risk of fracture following diagnosis of type 2 diabetes. After a diagnosis of type 2 diabetes individuals should be encouraged to make positive lifestyle changes, including undertaking weight-bearing physical activities that improve bone health.

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Traumatic injuries in patients with diabetes mellitus

Cited by 16 publications

References 73 publications

Diabetes and risk of occupational injury: a cohort study

Diabetes and risk of occupational injury: a cohort study

Public health crisis of road traffic accidents in India: Risk factor assessment and recommendations on prevention on the behalf of the Academy of Family Physicians of India

Incident Type 2 Diabetes and Risk of Fracture: A Comparative Cohort Analysis Using U.K. Primary Care Records

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