Identification of Risk Factors Associated with Injury Severity of Work Zone Crashes

Author(s):  
Sreekanth Reddy Akepati ◽  
Sunanda Dissanayake
2021 ◽  
pp. 105477382110504
Author(s):  
Jeong Eun Yoon ◽  
Ok-Hee Cho

Pressure injuries (PIs) are one of the most important and frequent complications in patients admitted to the intensive care unit (ICU) or those with traumatic brain injury (TBI). The purpose of this study was to determine the incidence and risk factors of PIs in patients with TBI admitted to the ICU. In this retrospective study, the medical records of 237 patients with TBI admitted to the trauma ICU of a university hospital were examined. Demographic, trauma-related, and treatment-related characteristics of all the patients were evaluated from their records. The incidence of PIs was 13.9%, while the main risk factors were a higher injury severity score, use of mechanical ventilation, vasopressor infusion, lower Braden Scale score, fever, and period of enteral feeding. This study advances the nursing practice in the ICU by predicting the development of PIs and their characteristics in patients with TBI.


2019 ◽  
Vol 43 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Venkata R. Duddu ◽  
Venu Madhav Kukkapalli ◽  
Srinivas S. Pulugurtha

Author(s):  
Ali J. Ghandour ◽  
Huda Hammoud ◽  
Samar Al-Hajj

Road traffic injury accounts for a substantial human and economic burden globally. Understanding risk factors contributing to fatal injuries is of paramount importance. In this study, we proposed a model that adopts a hybrid ensemble machine learning classifier structured from sequential minimal optimization and decision trees to identify risk factors contributing to fatal road injuries. The model was constructed, trained, tested, and validated using the Lebanese Road Accidents Platform (LRAP) database of 8482 road crash incidents, with fatality occurrence as the outcome variable. A sensitivity analysis was conducted to examine the influence of multiple factors on fatality occurrence. Seven out of the nine selected independent variables were significantly associated with fatality occurrence, namely, crash type, injury severity, spatial cluster-ID, and crash time (hour). Evidence gained from the model data analysis will be adopted by policymakers and key stakeholders to gain insights into major contributing factors associated with fatal road crashes and to translate knowledge into safety programs and enhanced road policies.


2020 ◽  
pp. 108876792093516
Author(s):  
Callie Mazurek ◽  
Michael Brook ◽  
Mary Kwasny ◽  
Robert E. Hanlon

Homicide injury severity (HIS), the degree of physical injury inflicted on a victim during a homicide, has emerged as a relevant criminological variable. However, little is known regarding the offender characteristics and criminological variables that may be associated with greater HIS. Data (demographic, cognitive, and criminological variables) from forensic neuropsychological evaluations of N = 101 offenders convicted of murder, were explored in relation to the Homicide Injury Scale. Numerous factors were related to HIS. Results partially replicate prior findings of factors associated with violent offending and provide preliminary evidence for distinct risk factors for inflicting severe injury during a homicide.


2019 ◽  
Vol 11 (19) ◽  
pp. 5194 ◽  
Author(s):  
Natalia Casado-Sanz ◽  
Begoña Guirao ◽  
Antonio Lara Galera ◽  
Maria Attard

According to the Spanish General Traffic Accident Directorate, in 2017 a total of 351 pedestrians were killed, and 14,322 pedestrians were injured in motor vehicle crashes in Spain. However, very few studies have been conducted in order to analyse the main factors that contribute to pedestrian injury severity. This study analyses the accidents that involve a single vehicle and a single pedestrian on Spanish crosstown roads from 2006 to 2016 (1535 crashes). The factors that explain these accidents include infractions committed by the pedestrian and the driver, crash profiles, and infrastructure characteristics. As a preliminary tool for the segmentation of 1535 pedestrian crashes, a k-means cluster analysis was applied. In addition, multinomial logit (MNL) models were used for analysing crash data, where possible outcomes were fatalities and severe and minor injured pedestrians. According to the results of these models, the risk factors associated with pedestrian injury severity are as follows: visibility restricted by weather conditions or glare, infractions committed by the pedestrian (such as not using crossings, crossing unlawfully, or walking on the road), infractions committed by the driver (such as distracted driving and not respecting a light or a crossing), and finally, speed infractions committed by drivers (such as inadequate speed). This study proposes the specific safety countermeasures that in turn will improve overall road safety in this particular type of road.


CJEM ◽  
2018 ◽  
Vol 20 (4) ◽  
pp. 614-622 ◽  
Author(s):  
Jake Sawa ◽  
Robert S. Green ◽  
Brent Thoma ◽  
Mete Erdogan ◽  
Philip J. Davis

ABSTRACTObjectivesThe objective of this study was to systematically review the published literature for risk factors associated with adverse outcomes in older adults sustaining blunt chest trauma.MethodsEMBASE and MEDLINE were searched from inception until March 2017 for prognostic factors associated with adverse outcomes in older adults sustaining blunt chest trauma using a pre-specified search strategy. References were independently screened for inclusion by two reviewers. Study quality was assessed using the Quality in Prognostic Studies tool. Where appropriate, descriptive statistics were used to evaluate study characteristics and predictors of adverse outcomes.ResultsThirteen cohort studies representing 79,313 patients satisfied our selection criteria. Overall, 26 prognostic factors were examined across studies and were reported for morbidity (8 studies), length of stay (7 studies), mortality (6 studies), and loss of independence (1 study). No studies examined patient quality of life or emergency department recidivism. Prognostic factors associated with morbidity and mortality included age, number of rib fractures, and injury severity score. Although age and rib fractures were found to be associated with adverse outcomes in more than 3 studies, meta-analysis was not performed due to heterogeneity amongst included studies in how these variables were measured.ConclusionsWhile blunt chest wall trauma in older adults is relatively common, the literature on prognostic factors for adverse outcomes in this patient population remains inadequate due to a paucity of high quality studies and lack of consistent reporting standards.


2014 ◽  
Author(s):  
Ariel M. Barber ◽  
Alexandra Crouch ◽  
Stephen Campbell

1992 ◽  
Vol 68 (03) ◽  
pp. 261-263 ◽  
Author(s):  
A K Banerjee ◽  
J Pearson ◽  
E L Gilliland ◽  
D Goss ◽  
J D Lewis ◽  
...  

SummaryA total of 333 patients with stable intermittent claudication at recruitment were followed up for 6 years to determine risk factors associated with subsequent mortality. Cardiovascular diseases were the underlying cause of death in 78% of the 114 patients who died. The strongest independent predictor of death during the follow-up period was the plasma fibrinogen level, an increase of 1 g/l being associated with a nearly two-fold increase in the probability of death within the next 6 years. Age, low ankle/brachial pressure index and a past history of myocardial infarction also increased the probability of death during the study period. The plasma fibrinogen level is a valuable index of those patients with stable intermittent claudication at high risk of early mortality. The results also provide further evidence for the involvement of fibrinogen in the pathogenesis of arterial disease.


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