Remarks on patients with traumatic brain injury due to traffic accident related to alcohol comsumption treated in Vietduc hospital after implementing the decree 100

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Nguyen Duc Chinh ◽  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
Hospital Death ◽  
Risk Of Death

Purpose: Traumatic Brain Injury (TBI) is still considered as a leading cause of morbidity and mortality of victims by traffic accident. Despite a fact that many measurements and preventions have been applied, the rate of TBI is remained high. Aim of this study was to investigate treatment process of TBI caused by road traffic accident at Viet Duc Hospital after the Decree 100 which has been issued in Vietnam in early 2020. Materials and method: A retrospective and prospective study has been conducted in Viet Duc Hospital from Dec, 2020 to March, 2021. All the patients with TBI by road traffic accident were enrolled. Severity of TBI was identified by Glasgow Scale (GCS) and BAC (Blood Alcohol Concentration) test taken on arrival. The data was collected from medical record as well as autopsy report and analysed by SPSS.20.0 Results: A total of 150 patients with TBI by road traffic accidents were enrolled, age group from 21 to 60 years old accounted for 64%, male accounted for 86.7%. Associated injuries were maxillofacial lesions 48%, extremities 24.7%, chest accounted for 20%. Severity of TBI with GCS 6 - 8 was the highest rate 52%, from 3 - 5 GCS accounted for 30%. 40% were operated on emergency; BAC was positive 46.7%, of which over from 50 mg/L accounted for 32.6%. The patients with GCS from 6 to 8 were BAC positive accounted for a higher rate than groups with GCS above 9 or below 5. The most common TBI lesions were subarachnoid hemorrhage, subdural hematoma and cerebral edema accounted for 67.3%, 60% and 58% respectively. Overall mortality was 26% including in-hospital death and discharged to die. Conclusions and recommendations: Data from the study has shown that many young men with severe TBI by road traffic accident were BAC positive which can results in the high risk of death and disability. Thus, we highly recommend counterparts should constantly strengthen the propaganda and enforcement measures in order to reduce traffic accidents and TBI patients. Keywords: traffic accidents; injury; brain trauma severity.

scholarly journals PIT10 THE INCREMENTAL COST OF TRAUMATIC BRAIN INJURY DURING THE FIRST YEAR AFTER A ROAD TRAFFIC ACCIDENT IN BELGIUM

2019 ◽  
Vol 22 ◽  
pp. S667
Author(s):  
H. Van Deynse ◽  
G. Van Belleghem ◽  
D. Lauwaert ◽  
M. Moens ◽  
K. Pien ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Incremental Cost ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
First Year

Unconsciousness, amnesia and psychiatric symptoms following road traffic accident injury

2000 ◽  
Vol 177 (6) ◽  
pp. 540-545 ◽  
Author(s):  
Richard A. Mayou ◽  
John Black ◽  
Bridget Bryant
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Psychiatric Symptoms ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Accident Injury ◽  
Psychiatric Complications

BackgroundAlthough road traffic accident injury is the most common cause of traumatic brain injury, little is known of the prevalence of psychiatric complications or the significance of unconsciousness and amnesia.AimsTo describe amnesia and unconsciousness following a road traffic accident and to determine whether they are associated with later psychological symptoms.MethodInformation was obtained from medical and ambulance records for 1441 consecutive attenders at an emergency department aged 17–69 who had been involved in a road traffic accident. A total of 1148 (80%) subjects completed a self-report questionnaire at baseline and were followed up at 3 months and 1 year.ResultsAltogether, 1.5% suffered major head (and traumatic brain) injury and 21% suffered minor head injury. Post-traumatic stress disorder (PTSD) and anxiety and depression were more common at 3 months in those who had definitely been unconscious than in those who had not, but there were no differences at 1 year.ConclusionsPTSD and other psychiatric complications are as common in those who were briefly unconscious as in those who were not.

scholarly journals Prevalence of Traumatic Brain Injury Among Trauma Patients in Ethiopia: Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (1) ◽  
pp. 10-17
Author(s):  
Semagn Mekonnen Abate ◽  
Bedru Jemal Abafita ◽  
Tesfanew Bekele
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Meta Analysis ◽  
Grey Literature ◽  
Trauma Patients ◽  
Medical Care System

Background: Traumatic brain injury (TBI) is a common cause of mortality and disability in young age populations, particularly in children and adolescents. The objective of this systematic review and metaanalysis was to assess the prevalence of TBI among trauma patients in Ethiopia. Methods: A three-stage search strategy was conducted on PubMed/Medline, Science Direct and African Journals Online, and a grey literature search was conducted on Google Scholar. Data were analyzed with R version 3.6.1. Results: The pooled prevalence of TBI in Ethiopia was 20% (95% confidence interval (CI), 11–32). Subgroup analysis revealed that road traffic accident was the commonest mechanism of injury in Ethiopia at 21% (95% IC, 15– 30), next was assault at 18% (95% CI, 5–48). Conclusion: This review shows a high prevalence of TBI among trauma patients in Ethiopia when compared with continental and global reports. Policymakers and stakeholders should work on regulatory laws on transportation; pre-hospital emergency medical care system is also in high demand.Keywords: Head injury, Road traffic accident, Assault, Ethiopia

The incremental cost of traumatic brain injury during the first year after a road traffic accident

Brain Injury ◽  
2019 ◽  
Vol 33 (9) ◽  
pp. 1234-1244 ◽  
Author(s):  
Helena Van Deynse ◽  
Griet Van Belleghem ◽  
Door Lauwaert ◽  
Maarten Moens ◽  
Karen Pien ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Incremental Cost ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
First Year

scholarly journals CONSERVATIVE MANAGEMENT OF SIGNIFICANT EXTRA-DURAL HAEMATOMA : CASES AND LITERATURE REVIEW

2019 ◽  
pp. 1-3
Author(s):  
Dilraj Kadlas ◽  
Meghna Kinjalk
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Ct Scan ◽  
Conservative Management ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
History Of

OBJECTIVE: Study of natural history of significant extra dural haematoma resolution. BACKGROUND: Traumatic brain injury is one of the leading causes of death. There are various modes of injury like road traffic accident, assault, fall and others.The traumatic brain injury can range from scalp laceration to intracranial haemorrhage.The line of management is decided upon considering several factors like age, co morbidities, Glasgow coma scale neurodeficiency,CT scan findings,other associated injury. CASE REPORT: A 24-year-old gentleman sustained head injury following road traffic accident. CT scan (head) was suggestive of extradural haematoma.Patient was subjected to decompressive craniotomy and evacuation of extra dural haematoma. On 2nd post-operative day, CT Scan (head) was done which was suggestive of right frontal and right posterior parietal extra dural haematoma. The relatives did not give consent for surgery .Conservative management was done. Patient improved and haematoma resolved. A 42 year old male presented to the emergency with history of head injury . CT Scan was suggestive of extra dural haematoma. Conservative management was done as surgery was refused by the relatives.Patient was monitored.Patient was asymptomatic after discharge and during follow up period. CONCLUSION:We report two unusual cases of extradural haematoma with a good outcome and uneventful follow up period.

scholarly journals Morphological Analysis of Brain Damage Due to Accident Injury Through Forensic Examination

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Nguyen Tuan Anh ◽  
Luu Sy Hung ◽  
Duong Dai Ha
Keyword(s):  
Brain Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Skull Fracture ◽  
Forensic Examination ◽  
National University ◽  
Post Traumatic ◽  
Medical University

In forensic examination injury is a noun to refer to injury caused by external forces and reactions of the body. There are many causes of injury (self-generated accidents) such as traffic accidents, work accidents, domestic accidents, self-inflicted accidents…. The form of damage is heavy, light, shallow, and deep depending on the characteristics, weight, direction and force of the impacted object. In accidents, traumatic brain injury is a serious injury that has many consequences for the victim such as mental disorder, post-traumatic depression syndrome, post-traumatic brain disease, epilepsy, dementia… More severely, brain stamping can be fatal. The study was conducted from 01/01/2015 to 30/09/2019 We collected 98 cases of victims who died with brain damage. According to our research, brain stamping at the affected place accounted for the highest percentage (76.5%), followed by fracture of skull fracture (38.8%), opposing brain stamping on the opposite side (18.4 %), cerebral suppression due to hernia (10.2%), cerebral suppression due to sudden increase and decrease in speed (4.1%), intermediate cerebral suppression (3.1%). Combined intracranial lesions accounted for the majority (56.3%). Keywords Accident, Road trafic accident, head injurie, skull fracture, contre – coup fractures, forensic exam. References [1] Wikipedia Wikipedia The free encyclophedia. Cerebral contusion, accessed October 1, 2015, web https://en.wikipedia.org/wiki/Cerebral_contusion[2] N.N. Chung, Brain stamping, hematoma in the brain, Graduation thesis of Doctor CKI, Hanoi Medical University, accessed 15/8/2014(in Vietnamese).[3] Hideo Itabashi, John Andrews, Uwamie Tomiyasu, Stephanie Erlich, Lakshmanan Sathyavagiswaran, Forensic Neuropathology, Contusional brain injury and intracerebral haemorrhage, 2005.[4] Di Maio V,J, Di Maio D, Trauma to the skull and brain: crainiocerebral injuries, Forensic Pathology, Boca Raton, 2001.[5] National Accidental Injury Survey, Ministry of Health, 2010.[6] C.W. Runyan, Introduction: Back to the future – Revisitin Haddon's conceptualization of injury epidemiology and prevention, Epidemiology and Prevention 25(1) (2003) 60-64. https://doi.org/10.1093/epirev/mxg005.[7] Decision on the issuance of guidelines for building safe communities, prevention of accidents and injuries, Ministry of Health, 2006.[8] T.X. Ha, Morphology study of brain crushing injury caused by road traffic accident through forensic examination, Science Journal, Hanoi National University 33 (1) (2017) (in Vietnamese).[9] N.C. Cuong, Research on traumatic brain injury due to road traffic accident through forensic examination, Master's thesis, Hanoi Medical University, 2014 (in Vietnamese).[10] L.S. Hung, Research morphological characteristics of skull fracture caused by road traffic accident through forensic examination at Viet Duc Hospital, Scientific Journal of Hanoi National University, 33(1) ( 2017) 1-5 (in Vietnamese).[11] N.H. Long, D.G. Duc, Research on blood lcohol concentration and injury characteristics of road traffic deaths, Journal of Medical Research 74(3) (2011) (in Vietnamese).[12] B.R Sharma, Patterns of Fatal Head Injury in Road Traffic Accidents, Bahrain Medical Bulletin 25(1) (2003).[13] American Medical Forensic Specialists Inc Epidural hematoma, accessed October 1 (2015) http://www.baileylaw.com/docts/epidurahematoma.htm        

ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

2018 ◽  
Vol 9 (08) ◽  
pp. 20531-20536
Author(s):  
Nusrat Shamima Nur ◽  
M. S. l. Mullick ◽  
Ahmed Hossain
Keyword(s):  
Risk Factor ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Fatality Rate ◽  
Road Traffic Accidents ◽  
Road Crashes ◽  
Road Crash ◽  
Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

scholarly journals Moderate and severe traumatic brain injury: effect of blood alcohol concentration on Glasgow Coma Scale score and relation to computed tomography findings

2015 ◽  
Vol 122 (1) ◽  
pp. 211-218 ◽  
Author(s):  
Nils Petter Rundhaug ◽  
Kent Gøran Moen ◽  
Toril Skandsen ◽  
Kari Schirmer-Mikalsen ◽  
Stine B. Lund ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Injury Severity ◽  
Blood Alcohol Concentration ◽  
Alcohol Concentration ◽  
Dependent Manner ◽  
Blood Alcohol ◽  
Severe Tbi ◽  
Gcs Score ◽  
Dose Dependent

OBJECT The influence of alcohol is assumed to reduce consciousness in patients with traumatic brain injury (TBI), but research findings are divergent. The aim of this investigation was to study the effects of different levels of blood alcohol concentration (BAC) on the Glasgow Coma Scale (GCS) scores in patients with moderate and severe TBI and to relate the findings to brain injury severity based on the admission CT scan. METHODS In this cohort study, 265 patients (age range 16–70 years) who were admitted to St. Olavs University Hospital with moderate and severe TBI during a 7-year period were prospectively registered. Of these, 217 patients (82%) had measured BAC. Effects of 4 BAC groups on GCS score were examined with ordinal logistic regression analyses, and the GCS scores were inverted to give an OR > 1. The Rotterdam CT score based on admission CT scan was used to adjust for brain injury severity (best score 1 and worst score 6) by stratifying patients into 2 brain injury severity groups (Rotterdam CT scores of 1–3 and 4–6). RESULTS Of all patients with measured BAC, 91% had intracranial CT findings and 43% had BAC > 0 mg/dl. The median GCS score was lower in the alcohol-positive patients (6.5, interquartile range [IQR] 4–10) than in the alcohol-negative patients (9, IQR 6–13; p < 0.01). No significant differences were found between alcohol-positive and alcohol-negative patients regarding other injury severity variables. Increasing BAC was a significant predictor of lower GCS score in a dose-dependent manner in age-adjusted analyses, with OR 2.7 (range 1.4–5.0) and 3.2 (range 1.5–6.9) for the 2 highest BAC groups (p < 0.01). Subgroup analyses showed an increasing effect of BAC group on GCS scores in patients with Rotterdam CT scores of 1–3: OR 3.1 (range 1.4–6.6) and 6.7 (range 2.7–16.7) for the 2 highest BAC groups (p < 0.01). No such relationship was found in patients with Rotterdam CT scores of 4–6 (p = 0.14–0.75). CONCLUSIONS Influence of alcohol significantly reduced the GCS score in a dose-dependent manner in patients with moderate and severe TBI and with Rotterdam CT scores of 1–3. In patients with Rotterdam CT scores of 4–6, and therefore more CT findings indicating increased intracranial pressure, the brain injury itself seemed to overrun the depressing effect of the alcohol on the CNS. This finding is in agreement with the assumption of many clinicians in the emergency situation.

Alcohol and Fatal Road Traffic Accidents

1982 ◽  
Vol 22 (3) ◽  
pp. 189-194 ◽  
Author(s):  
M. Rufus Crompton
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Blood Alcohol ◽  
Road Traffic Accidents ◽  
Characteristic Distribution ◽  
Road Users ◽  
Blood Alcohol Levels ◽  
Age And Sex

An analysis of 208 cases of immediate death in a road traffic accident in which the blood alcohol was estimated, showed a definite characteristic distribution of varying blood alcohol levels in the various types of road users of differing age and sex.

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