scholarly journals High Mortality from Major Vascular Trauma in Traffic Accidents: A Population-Based Study

2019 ◽  
Vol 109 (4) ◽  
pp. 328-335
Author(s):  
B. K. Johannesdottir ◽  
U. Johannesdottir ◽  
T. Jonsson ◽  
S. H. Lund ◽  
B. Mogensen ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Population Based ◽  
Vascular Trauma ◽  
Term Survival ◽  
Mortality And Morbidity ◽  
New Injury Severity Score ◽  
Discharged Patients ◽  
Discharge From Hospital

Background and Aims: Injuries involving major arteries are an important cause of mortality and morbidity, most often from road traffic accidents. Our aim was to study the outcome of major vascular trauma from traffic accidents in an entire population, including patients who die at the scene and those who reach hospital alive. Materials and Methods: This was a retrospective analysis of all patients who sustained major vascular trauma in traffic accidents in Iceland from 2000 to 2011. Patient demographics, mechanism, and location of vascular injury and treatment were registered. Injury scores were calculated and overall survival estimated. Results: There were 62 individuals (mean age 44 years, 79% males) with 95 major vascular traumas, giving an incidence of 1.69/100,000 inhabitants (95% confidence interval: 1.27–2.21). A total of 33 died at the scene and 8 during transportation to hospital but 21 (34%) reached hospital alive. Most patients who succumbed had thoracic major vascular traumas (76%) or abdominal major vascular traumas (23%). Mean new injury severity score for the 21 admitted patients was 44. A total of 18 were operated with vascular repair, 3 with endovascular stent graft insertion. The mean hospital stay for discharged patients was 34 days. Altogether, 15 of the 62 patients (24%) survived to discharge from hospital, with a 5-year survival of 86% for discharged patients. Conclusion: Every other patient with major vascular trauma following traffic accidents died at the scene and a further 13% died during transportation to hospital, most of whom sustained major vascular trauma to the thoracic aorta. However, one-third of the patients reached hospital alive and 71% of them survived to discharge, with excellent long-term survival.

Teens on Wheels and Consequences: A Six-Year Population-Based Study of Bicycle and Moped Injuries

2020 ◽  
Author(s):  
Jani Unkuri ◽  
Päivi Salminen ◽  
Pentti Kallio ◽  
Silja Kosola
Keyword(s):  
Injury Risk ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Age Groups ◽  
Population Based ◽  
Incidence Rates ◽  
Severe Injuries ◽  
Severity Scores ◽  
Study Population

Abstract Introduction Road traffic accidents are a major contributor to morbidity and mortality in the pediatric and adolescent population. Among adolescents, bicycles and light motorized two wheelers are popular means of transportation and increase adolescents' autonomy. Most previous studies on injury risk and incidence have pooled different vehicles and age groups together but more distinct data are required to guide policy. Materials and Methods We gathered data on all 1,432 children and adolescents (age 7–15) who had been treated for injuries from bicycle(n = 841) or moped/motorized scooter (n = 591) accidents at our study centers during a 6-year period (2008–2013). In addition to clinical data, we reviewed Injury Severity Scores (ISS) and calculated incidence estimates for the population of 15-year-olds in the study area. Results Most bicyclists were injured after a fall (72%), whereas most moped/scooter riders were injured in a collision (51%), most often with a heavier motorized vehicle. Internal injuries, multiple injuries, and severe injuries (ISS >15) were more common among moped/scooter riders than bicyclists (p < 0·001 for all). Moped/scooter riders were more often hospitalized and underwent more operations than bicyclists (p < 0·001 for both). The annual estimated incidence rates of injury were roughly eightfold for 15-year-old moped/scooter riders compared to bicyclists of the same age. Conclusion Cycling is in general a safe mode of transportation and rider safety could be further increased with the proper use of helmets. Although no patient deaths occurred in this study population, mopeds and motorized scooters led to significant morbidity.

scholarly journals Characteristics of Patients Injured in Road Traffic Accidents According to the New Injury Severity Score

2016 ◽  
Vol 40 (2) ◽  
pp. 288 ◽  
Author(s):  
Jung Soo Lee ◽  
Yeo Hyung Kim ◽  
Jae Sung Yun ◽  
Sang Eun Jung ◽  
Choong Sik Chae ◽  
...  
Keyword(s):  
Injury Severity Score ◽  
Severity Score ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
New Injury Severity Score

scholarly journals Improving the timeliness and accuracy of injury severity data in road traffic accidents in an emerging economy setting

2018 ◽  
Vol 31 (2) ◽  
pp. 140-146
Author(s):  
Carlos Lam ◽  
Chang-I Chen ◽  
Chia-Chang Chuang ◽  
Chia-Chieh Wu ◽  
Shih-Hsiang Yu ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Emerging Economy ◽  
Road Traffic Accidents

Children and Terror Casualties Receive Preference in ICU Admissions

2012 ◽  
Vol 6 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Kobi Peleg ◽  
Michael Rozenfeld ◽  
Eran Dolev ◽  
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Age Groups ◽  
Trauma Patients ◽  
Trauma Centers ◽  
Severe Injuries ◽  
Level I ◽  
Hospital Emergency Departments ◽  
Trauma Type

ABSTRACTObjective: Trauma casualties caused by terror-related events and children injured as a result of trauma may be given preference in hospital emergency departments (EDs) due to their perceived importance. We investigated whether there are differences in the treatment and hospitalization of terror-related casualties compared to other types of injury events and between children and adults injured in terror-related events.Methods: Retrospective study of 121 608 trauma patients from the Israel Trauma Registry during the period of October 2000-December 2005. Of the 10 hospitals included in the registry, 6 were level I trauma centers and 4 were regional trauma centers. Patients who were hospitalized or died in the ED or were transferred between hospitals were included in the registry.Results: All analyses were controlled for Injury Severity Score (ISS). All patients with ISS 1-24 terror casualties had the highest frequency of intensive care unit (ICU) admissions when compared with patients after road traffic accidents (RTA) and other trauma. Among patients with terror-related casualties, children were admitted to ICU disproportionally to the severity of their injury. Logistic regression adjusted for injury severity and trauma type showed that both terror casualties and children have a higher probability of being admitted to the ICU.Conclusions: Injured children are admitted to ICU more often than other age groups. Also, terror-related casualties are more frequently admitted to the ICU compared to those from other types of injury events. These differences were not directly related to a higher proportion of severe injuries among the preferred groups.(Disaster Med Public Health Preparedness. 2012;6:14–19)

scholarly journals Epidemiology of Fatal Injuries reported in the mortuary of a tertiary care hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 633
Author(s):  
Subrat Kumar Pradhan ◽  
Himansu Prasad Acharya ◽  
Rudra Prasanna Mishra ◽  
Jay Kumar Panda ◽  
Durga Madhab Satapathy ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Adult Population ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Care Hospital ◽  
Age Group ◽  
Microsoft Excel ◽  
Mortality And Morbidity ◽  
Fatal Injuries

Background: Injuries are an increasingly recognized global, preventable public health problem and are an important cause of mortality and morbidity in adult population. The major causes of injury related deaths may be intentional and unintentional. The major unintentional or “accidental” causes are road traffic accidents (RTAs), falls and drowning whereas the leading intentional causes are suicide and homicide. A robust Surveillance System for Injury Mortality is almost non-existent in our country due to which the data for the same is not available and haphazard. Keeping these factors in mind, the following study was under taken to identify the various epidemiological factors related to fatal injury cases.Methods: A record based retrospective study was conducted in the Department of Community Medicine, VSSIMAR, Burla, Odisha. The data were collected from the autopsy reports preserved at the Dept of FM & T, VSSIMSAR. Variables like age, sex, number of injury cause of death, place of death etc. were collected. Data were entered in Microsoft Excel and analysed using proportions and percentages.Results: The age group 25-44 years recorded the maximum number of deaths (37.49%). Males suffered the highest casualty accounting for 61.85% of deaths. Unintentional fatal injuries constituted 63.58% of deaths. The most number of fatal injuries resulting in deaths were RTAs (36.41%).Conclusions: The age group 25-44 years recorded maximum deaths. Males were the major death victims. RTAs constituted maximum of deaths among unintentional fatal injuries. Homicidal injuries constituted maximum of deaths due to intentional fatal injuries.

scholarly journals Analysis of the Risk Factors Affecting the Severity of Traffic Accidents on Spanish Crosstown Roads: The Driver’s Perspective

2020 ◽  
Vol 12 (6) ◽  
pp. 2237 ◽  
Author(s):  
Natalia Casado-Sanz ◽  
Begoña Guirao ◽  
Maria Attard
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Fatal Outcome ◽  
Policy Support ◽  
Health Concern ◽  
Contributing Factors ◽  
Factors Affecting ◽  
Traffic Volumes ◽  
New Vision

Globally, road traffic accidents are an important public health concern which needs to be tackled. A multidisciplinary approach is required to understand what causes them and to provide the evidence for policy support. In Spain, one of the roads with the highest fatality rate is the crosstown road, a particular type of rural road in which urban and interurban traffic meet, producing conflicts and interference with the population. This paper contributes to the previous existing research on the Spanish crosstown roads, providing a new vision that had not been analyzed so far: the driver’s perspective. The main purpose of the investigation is to identify the contributing factors that increment the likelihood of a fatal outcome based on single-vehicle crashes, which occurred on Spanish crosstown roads in the period 2006-2016. In order to achieve this aim, 1064 accidents have been analyzed, applying a latent cluster analysis as an initial tool for the fragmentation of crashes. Next, a multinomial logit (MNL) model was applied to find the most important factors involved in driver injury severity. The statistical analysis reveals that factors such as lateral crosstown roads, low traffic volumes, higher percentages of heavy vehicles, wider lanes, the non-existence of road markings, and finally, infractions, increase the severity of the drivers’ injuries.

scholarly journals Empirical Modelling for exploring the factors contributing to disability severity from road traffic accidents in Thailand

1970 ◽  
Vol 6 (2) ◽  
pp. 176-185
Author(s):  
Jaratsri Rungrattanaubol ◽  
Anamai Na-udom ◽  
Antony Harfield
Keyword(s):  
Neural Network ◽  
Data Mining ◽  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Empirical Modelling ◽  
Standard Data ◽  
Accident Data ◽  
Computer Based

This paper introduces a computer-based model for predicting the severity of injuries in road traffic accidents. Using accident data from surveys at hospitals in Thailand, standard data mining techniques were applied to train and test a multilayer perceptron neural network. The resulting neural network specification was loaded into an interactive environment called EDEN that enables further exploration of the computer-based model. Although the model can be used for the classification of accident data in terms of injury severity (in a similar way to other data mining tools), the EDEN tool enables deeper exploration of the underlying factors that might affect injury severity in road traffic accidents. The aim of this paper is to describe the development of the computer-based model and to demonstrate the potential of EDEN as an interactive tool for knowledge discovery.

Sign in / Sign up

Export Citation Format

Share Document