Factors and Their Correlation with Injury Severity of Elderly Pedestrian Traffic Accidents

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)

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PEDESTRIAN TRAFFIC CONDITIONS OF RURAL ROADS AND BUILT-UP AREAS: THE ANALYSIS OF THE EXISTING SITUATION AND POSSIBILITIES OF IMPROVING TRAFFIC CONDITIONS

Mokslas - Lietuvos ateitis ◽

10.3846/mla.2010.054 ◽

2010 ◽

Vol 2 (3) ◽

pp. 60-66

Author(s):

Nemunas Abukauskas ◽

Egidijus Skrodenis

Keyword(s):

Traffic Safety ◽

Road Safety ◽

Traffic Accidents ◽

Road Traffic ◽

Rural Roads ◽

Traffic Conditions ◽

Foreign Countries ◽

Pedestrian Traffic ◽

Main Activity

The results of lengthy thorough investigations into traffic safety situation show that the percentage of pedestrians getting involved in road traffic accidents on Lithuanian roads is significantly higher (more than 33 % of the total number of injury and fatal accidents) than that compared to the other European Union member-states. The article studies traffic safety problems and their factors causing the largest influence on the occurrence of these accidents. Considering valuable experience gained by foreign countries, investigation was carried out to establish general and main factors causing insufficient road safety conditions and significance of these factors to road safety. The article also shows the main activity improving road safety in Lithuania and discusses the effectiveness of strategic and local (temporary and long term) measures to improve conditions for pedestrian road safety.

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Motorcyclist Traffic Accidents and Risk Factors: A Singapore Study

Asia Pacific Journal of Public Health ◽

10.1177/101053959000400106 ◽

1990 ◽

Vol 4 (1) ◽

pp. 34-38 ◽

Cited By ~ 20

Author(s):

Tze Wai Wong ◽

Wai-On Phoon ◽

James Lee ◽

Ivy Po Chu Yiu ◽

Kam Pui Fung ◽

...

Keyword(s):

Public Education ◽

Traffic Accidents ◽

Injury Severity ◽

Driving Experience ◽

Factors Associated ◽

Singapore General Hospital ◽

Breath Testing ◽

Severity Scores ◽

One Year ◽

Drunken Driving

Motorcyclist accidents cause significant morbidity and mortality in Singapore. To elucidate personal and environmental factors associated with such accidents, we studied 198 motorcyclists who were hospitalized in Singapore General Hospital between April 1986 and June 1987. The patients were mostly young and almost exclusively male with a high proportion of Malays. Most accidents occurred on Sundays and at night. Ten percent of the victims took alcohol before the accident. Most had low injury severity scores (ISS). Less experienced drivers had a significantly higher ISS than those with one year or longer of driving experience. Vigorous control of drunken driving, through public education and intensive breath testing, should reduce the incidence of traffic accidents.

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Exploring Factors Influencing Injury Severity of Vehicle At-Fault Accidents: A Comparative Analysis of Passenger and Freight Vehicles

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17041146 ◽

2020 ◽

Vol 17 (4) ◽

pp. 1146 ◽

Cited By ~ 1

Author(s):

Jianyu Wang ◽

Huapu Lu ◽

Zhiyuan Sun ◽

Tianshi Wang

Keyword(s):

Influencing Factors ◽

Traffic Accidents ◽

Injury Severity ◽

Vehicle Accidents ◽

Passenger Vehicles ◽

Factors Influencing ◽

Administrative Division ◽

Hit And Run ◽

Side Collision ◽

Freight Vehicles

The objective of this study is to find factors influencing the injury severity of vehicle at-fault accidents in Shenyang (China), and discuss the commonalities and differences between passenger and freight vehicle accidents. We analyzed 1647 traffic accidents from 2015 to 2017, in which motor vehicles were fully or mainly responsible, including 1164 traffic accidents caused by passenger vehicles and 483 traffic accidents caused by freight vehicles. Twenty influencing factors from the aspects of accident, driver, time, space and environmental attributes are analyzed to find their statistical connection with injury severity using the binary logistic regression model. For passenger vehicles, five influencing factors (side collision; illegal act while driving; hit-and-run; season and administrative division), showed statistically significant correlations with the injury severity. For freight vehicles, three influencing factors (illegal act while driving; season and administrative division), showed statistically significant correlations with the injury severity. Illegal act while driving is the only common influencing factor for the injury severity of both passenger and freight vehicle accidents. Side collision and hit-and-run are significant influencing factors for the injury severity of passenger vehicle accidents, but not for freight vehicle accidents. Season and administrative division present different results on influencing passenger and freight vehicle accidents. Based on these results, measures including driver education and road infrastructure improvement could be implemented to reduce the injury severity of accidents in passenger and freight vehicles.

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

Sustainability ◽

10.3390/su12062237 ◽

2020 ◽

Vol 12 (6) ◽

pp. 2237 ◽

Cited By ~ 9

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.

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

Scandinavian Journal of Surgery ◽

10.1177/1457496919863944 ◽

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.

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