scholarly journals Effect of COVID-19 on epidemiological characteristics of road traffic injuries in Suzhou: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenjuan Huang ◽  
Qi Lin ◽  
Feng Xu ◽  
Du Chen

Abstract Background To present the new trends in epidemiology of road traffic injuries (RTIs) during the Coronavirus disease 2019 (COVID-19) pandemic in Suzhou. Methods Pre-hospital records of RTIs from January to May in 2020 and the same period in 2019 were obtained from the database of Suzhou pre-hospital emergency center, Jiangsu, China. Data were extracted for analysis, including demographic characteristics, pre-hospital vital signs, transport, shock index, consciousness, pre-hospital death. A retrospective study comparing epidemiological characteristics of RTIs in Suzhou during the 5-month period in 2020 to the parallel period in 2019 was performed. Results A total of 7288 RTIs in 2020 and 8869 in 2019 met inclusion criteria. The overall volume of RTIs has statistical difference between the 2 years (p < 0.001), with fewer RTIs in 2020 compared with 2019. Electric bicycle related RTIs increased during the pandemic (2641, 36.24% vs 2380, 26.84%, p < 0.001), with a higher incidence of RTIs with disorder of consciousness (DOC) (7.22% vs 6.13%, p = 0.006). Conclusions Under the impact of COVID-19, the total number of RTIs in Suzhou from January to May 2020 decreased. This observation was coupled with a rise in electric bicycle related injuries and an increase in the incidence of RTIs with DOC.

2021 ◽  
Author(s):  
Wenjuan Huang ◽  
Qi Lin ◽  
Feng Xu ◽  
Du Chen

Abstract Background: To present the new trends in epidemiology of road traffic injuries (RTIs) in Suzhou under the impact of Coronavirus disease 2019 (COVID-19) and control measures.Methods: Pre-hospital care records of RTIs in January-May 2020 and January-May 2019 were collected from the database of Suzhou emergency center, Jiangsu, China, and relevant clinical data were extracted for a retrospective study. RTIs in 2020 and 2019 were defined as observation group and control group respectively.Results: There were 7288 RTIs in the observation group, accounting for 82.17% of the control group. The number of RTIs per month from January to May in the observation group were 79.72%, 47.69%, 79.30%, 85.72% and 99.39% of the control group, respectively. Subgroup analysis showed that the number and composition ratio of electric bicycle related RTIs in the observation group were significantly higher than those in the control group (2641, 36.24% vs 2380, 26.84%, P<0.001). We observed a statistically significant increase in proportion of RTIs with consciousness disorder in the observation group compared to the control group (7.22% vs 6.13%, P = 0.006).Conclusions: Under the impact of COVID-19, the total number of RTIs in Suzhou from January to May 2020 decreased obviously. Nevertheless, there was an obvious rise in electric bicycle related RTIs, and the proportion of RTIs with consciousness disorder also increased. It is necessary for electric bicycle riders to wear helmets.


2021 ◽  
Author(s):  
Maria Khan ◽  
Uzair Yaqoob ◽  
Zair Hassan ◽  
Muhammad Muizz Uddin

Abstract Background: Traumatic Brain Injury (TBI) is the leading cause of morbidity and mortality all over the world and the impact is much worse in Pakistan. The objective here is to describe the epidemiological characteristics of patients with TBI in our country and to determine the immediate outcomes of patients with TBI after the presentation.Method: This retrospective study was conducted at the Lady Reading Hospital. Data were extracted from the medical record room from January 1st to December 31st, 2019. The severity of TBI was based on Glasgow Coma Scale (GCS) and was divided into mild (GCS 13-15), moderate (GCS 9-12), and severe TBI (GCS <8) based on the GCS. SPSS v.23 was used for data analysis. Results: Out of 5047 patients, 3689 (73.1%) males and 1358 (26.9%) females. The most commonly affected age group was 0-10 years (25.6%) and 21-30 years (20.1%). Road Traffic accident was the predominant cause of injury (38.8%, n=1960) followed by fall (32.7%, n=1649). Most (93.6%, n=4710) of the TBIs were mild. After the full initial assessment and workup, and completing all first-aid management, the immediate outcome was divided into four, most frequent (67.2%, n=3393) of which was “disposed (discharged)”, and 9.3% (n=470) were admitted for further management.Conclusion: Our study represents a relatively conclusive picture of epidemiological data on the burden of TBI in Pakistan. Although a large proportion of patients had a mild TBI, they may likely be under-diagnosed. This warrants further investigation of MTBI in population-based studies across the globe.


2020 ◽  
Author(s):  
Maria Khan ◽  
Uzair Yaqoob ◽  
Zair Hassan ◽  
Muhammad Muizz Uddin

Abstract Background: Traumatic Brain Injury (TBI) which is the leading cause of morbidity and mortality all over the world and the impact is much worse in Pakistan. The objective of the study is to describe the epidemiological characteristics of patients with TBI in our country and to determine the immediate outcomes of patients with TBI after the presentation.Method: This retrospective study was conducted at the Lady Reading Hospital. Data were extracted from the medical record room from January 1st to December 31st, 2019. The severity of TBI was based on Glasgow Coma Scale (GCS) and was divided into mild (GCS 13-15), moderate (GCS 9-12), and severe TBI (GCS <8) based on the GCS. SPSS v.23 was used for data analysis. Results: Out of 5047 patients, 3689 (73.1%) males and 1358 (26.9%) females. The most commonly affected age group was 0-10 years (25.6%) and 21-30 years (20.1%). was the predominant cause of injury (38.8%, n=1960) followed by fall (32.7%, n=1649). Most (93.6%, n=4710) of the TBIs were mild. After the full initial assessment and workup, and completing all first-aid management, the immediate outcome was divided into four, most frequent (67.2%, n=3393) of which was “disposed (discharged)”, and 9.3% (n=470) were admitted for further management.Conclusion: Our study represents a relatively conclusive picture of epidemiological data on the burden of TBI in Pakistan. Although a large proportion of patients had a mild TBI, they may likely be under-diagnosed. This warrants for further investigation of MTBI in population-based studies across the globe.


2021 ◽  
Author(s):  
Maria Khan ◽  
Uzair Yaqoob ◽  
Zair Hassan ◽  
Muhammad Muizz Uddin

Abstract Background: Traumatic Brain Injury (TBI) is the leading cause of morbidity and mortality all over the world and the impact is much worse in Pakistan. The objective here is to describe the epidemiological characteristics of patients with TBI in our country and to determine the immediate outcomes of patients with TBI after the presentation.Method: This was a cross-sectional study conducted at the Lady Reading Hospital, Peshawar, Pakistan. Data were extracted from the medical records from January 1st to December 31st, 2019. Patient age, sex, type of trauma, and immediate outcome of the referral to the Emergency Department were recorded. The severity of TBI was categorized based on Glasgow Coma Scale (GCS) in mild (GCS 13-15), moderate (GCS 9-12), and severe (GCS <8) classes. The Emergency Department referral profile was classified as admissions, disposed, detained and disposed, referred.Results: Out of 5047 patients, 3689 (73.1%) males and 1358 (26.9%) females. The most commonly affected age group was 0-10 years (25.6%) and 21-30 years (20.1%). Road Traffic accident was the predominant cause of injury (38.8%, n=1960) followed by fall (32.7%, n=1649). Most (93.6%, n=4710) of the TBIs were mild. After the full initial assessment and workup, and completing all first-aid management, the immediate outcome was divided into four, most frequent (67.2%, n=3393) of which was “disposed (discharged)”, and 9.3% (n=470) were admitted for further management.Conclusion: Our study represents a relatively commonplace picture of epidemiological data on the burden of TBI in Pakistan. As a large proportion of patients had a mild TBI, and there is a high risk of mild TBI being under-diagnosed, we warrant further investigation of mild TBI in population-based studies.


2009 ◽  
Vol 65 (3) ◽  
pp. 218-225 ◽  
Author(s):  
A. M. Novoa ◽  
K. Perez ◽  
E. Santamarina-Rubio ◽  
M. Mari-Dell'Olmo ◽  
R. Cozar ◽  
...  

2020 ◽  
Vol 2 (4(106)) ◽  
pp. 74-81
Author(s):  
Т. М. Дженчако

The article, based on the analysis of current legislation, available scientific, journalistic and methodological sources, including foreign experience, clarifies the essence, meaning and content of the principles of administrative and legal prevention of road traffic injuries as important regulators of road safety in the country. The characteristic of prevention of road traffic injuries which is offered to consider, first, as an important means of social regulation of road legal relations is carried out; secondly, as a system of social, economic, ideological, organizational and legal and psychological and pedagogical measures; third, as a combination of different levels of prevention activities carried out by general and special actors. The goals of road traffic injury prevention are to achieve and maintain the trend of reducing accidents, a positive change in its nature and structure. The concept of administrative and legal prevention of road traffic injuries as a methodologically complex social phenomenon, which covers a multilevel system of administrative and legal measures carried out by public authorities, local governments and individual civil society institutions through the use of delegated powers to identify the causes and conditions of administrative torts on road transport, which lead to road traffic injuries, to minimize or neutralize the impact of acts that give rise to such offenses, search for ways, means of effective influence on potential factors that determine road accidents. Emphasis is placed on the importance of principles as fundamental, guiding principles (requirements) of any important public-law activity, expressing the most significant aspects (manifestations) of implementation of measures of administrative and legal prevention of road traffic injuries and acting as official guidelines in the practice of counteracting administrative "road" torts.


2020 ◽  
Author(s):  
Stefano Ciardullo ◽  
Francesca Zerbini ◽  
Silvia Perra ◽  
Emanuele Muraca ◽  
Rosa Cannistraci ◽  
...  

Abstract Purpose. The purpose of this study was to evaluate the impact of pre-existing diabetes on in-hospital mortality in patients admitted for Coronavirus Disease 2019 (COVID-19).Methods. This is a single center, retrospective study conducted at Policlinico di Monza hospital, located in the Lombardy region, Northern Italy. We reviewed medical records of 373 consecutive adult patients who were hospitalized with COVID-19 between February 22 and May 15, 2020. Data were collected on diabetes status, comorbid conditions and laboratory findings. Multivariable logistic regression was performed to evaluate the effect of diabetes on in-hospital mortality after adjustment for potential confounding variables.Results. Mean age of the patients was 72 ± 14 years (range 17-98), 244 (65.4%) were male and 69 (18.5%) had diabetes. The most common comorbid conditions were hypertension (237 [64.8%]), cardiovascular disease (140 [37.7%]) and malignant neoplasms (50 [13.6%]). In-hospital death occurred in 142 (38.0%) patients. In the multivariable model older age (Odds Ratio [OR] 1.07 [1.04-1.10] per year), diabetes (OR 2.2 [1.10-4.73]), chronic obstructive pulmonary disease (OR 3.30 [1.22-8.90]), higher values of lactic dehydrogenase and C-reactive protein were independently associated with in-hospital mortality.Conclusion. In this retrospective single-center study, diabetes was independently associated with a higher in-hospital mortality. More intensive surveillance of patients with this condition is to be warranted.


2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Silvânia Suely Caribé de Araújo Andrade ◽  
Maria Helena Prado de Mello-Jorge

ABSTRACT OBJECTIVE To estimate the potential years of life lost by road traffic injuries three years after the beginning of the Decade of Action for Traffic Safety. METHODS We analyzed the data of the Sistema de Informações sobre Mortalidade (SIM – Mortality Information System) related to road traffic injuries, in 2013. We estimated the crude and standardized mortality rates for Brazil and geographic regions. We calculated, for the Country, the proportional mortality according to age groups, education level, race/skin color, and type or quality of the victim while user of the public highway. We estimated the potential years of life lost according to sex. RESULTS The mortality rate in 2013 was of 21.0 deaths per 100,000 inhabitants for the Country. The Midwest region presented the highest rate (29.9 deaths per 100,000 inhabitants). Most of the deaths by road traffic injuries took place with males (34.9 deaths per 100,000 males). More than half of the people who have died because of road traffic injuries were of black race/skin color, young adults (24.2%), individuals with low schooling (24.0%), and motorcyclists (28.5%). The mortality rate in the triennium 2011-2013 decreased 4.1%, but increased among motorcyclists. Across the Country, more than a million of potential years of life were lost, in 2013, because of road traffic injuries, especially in the age group of 20 to 29 years. CONCLUSIONS The impact of the high mortality rate is of over a million of potential years of life lost by road traffic injuries, especially among adults in productive age (early mortality), in only one year, representing extreme social cost arising from a cause of death that could be prevented. Despite the reduction of mortality by road traffic injuries from 2011 to 2013, the mortality rates increased among motorcyclists.


2009 ◽  
Vol 62 (1-2) ◽  
pp. 17-22 ◽  
Author(s):  
Predrag Djuric ◽  
Marica Miladinov-Mikov

Introduction. Traffic accidents are one of the leading epidemiological problems in developed countries as well as in developing ones. It is estimated that every day in the world 1308 person die in car accidents. Causes of traffic accidents are factors of road, vehicle and human factors, the latter one being the cause of more than 90% car accidents, isolated or linked with other factors. Material and methods .Data from the Ministry of Internal Affairs - Department in Novi Sad were collected for the period 1992 - 2001 and analyzed. All road traffic accidents were divided into those with and without injured persons. All injured were divided in three categories: slightly injured, severely injured and killed. Categorisation was done by the Ministry of Internal Affairs (police). Results. Avarage number of road traffic accidents in AP Vojvodina is 13,191, and 3502 with injured persons per year. Avarage incidence is 174 accidents per 100,000 population, and 301 injured per 100 000 population. Mortality rate is 30.6 per 100 000 population. Number of killed in road traffic accidents per 10,000 vehicles is 6.91. Discussion. During the 1992-2001 period, morbidity and mortality rates of traffic accidents in AP Vojvodina were high. Participating of bicycle drivers, car passengers and pedestrians is higher than in developed countries. Injured persons are mostly 20-29 y.o., but rates of killed persons are the same in all age groups older than 19. Men are more in danger than women. Majority of accidents happen during the early autumn months, on Fridays and Saturdays, in early evening hours. Most persons have been injured or killed in city accidents,along Subotica-Belgrade highway. Conclusion. AP Vojvodina had the highest mortality rate of road traffic injuries per ten thousand vehicles in Europe - 6.91. Effective preventive meausres are needed to decrease rates of road traffic accidents.


Injury ◽  
2016 ◽  
Vol 47 (11) ◽  
pp. 2598-2599
Author(s):  
Ioannis Kyriakidis ◽  
Stergios Katsaris

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