scholarly journals Epidemiological and clinical characteristics of road traffic crashes related thoracic traumas: analysis of 5095 hospitalized chest injury patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shengcao Zhang ◽  
Xiangzhi Xiao ◽  
Jian Wang ◽  
Chengkai Hu ◽  
Qiancheng Du ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Injury Severity ◽  
Road Traffic ◽  
Rib Fractures ◽  
Motor Vehicles ◽  
Trauma Patients ◽  
Thoracic Injuries ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Chest Injuries

Abstract Background Road traffic crashes related (RTCR) chest traumas remain important global public health challenge. The impact of boosting market of automobile vehicles in China during last decade on thoracic injury needs to be defined. This study aimed to review and analyze the demographic and clinical characteristics of RTCR thoracic injuries in China. Methods Clinical records of patients with thoracic trauma admitted to thoracic surgery department between January 2003 and June 2020 were retrospectively retrieved and reviewed. Patients’ profiles and clinical characteristics were comparatively analyzed between road traffic crashes caused injury and other injury mechanisms, and in RTCR chest trauma patients before January 2011 (2003 group), and after January 2011 (2011 group), when is considered as the beginning year of Chinese household vehicle era. Results The study included 5095 thoracic trauma patients with mean age of 50.2 years, of whom 79.4% were male. Most of the patients (70.3%, n = 3583) had rib fractures. Associated injuries were present in 52.0% of the patients, of them 78.5% (n = 2080) were extremity fractures. Road traffic crashes accounted for 41.4% (n = 2108) of the injuries, most of them (98.0%) were related to motor vehicles. In comparison with other chest trauma mechanisms, RTCR chest injuries affected females and older males more frequently, with a higher incidence of rib fractures and sternum fractures, and higher injury severity scores (ISS) (all p < 0.05). Surgeries were required in 1495 (70.9%) patients of the RRTCR chest traumas, while the majority of non-RTCR thoracic injuries were managed conservatively or with tube thoracostomy (30.2%, n = 901). RTCR chest traumas caused longer hospital stay (13.0 ± 9.6 days vs. 11.8 ± 7.4 days, p = 0.001), higher ICU usage (30.7% vs. 19.6%, p = 0.001), higher rate of ventilator support (12.9% vs. 7.5%, p = 0.001), and higher mortalities (3.8% vs. 1.6%, p = 0.005) than that of non-RTRA chest injuries. For RTCR patients, when compared with 2003 group, 2011 group had similar patterns in terms of accident category, associated injury and treatment. However, 2011 group had more females (38.5% vs. 18.0%, p = 0.001) and older males (50.6 ± 9.7 vs. 47.9 ± 17.2, p = 0.001), with a higher ISS (18.3 ± 10.2 vs. 17.1 ± 8.9, p = 0.004), and fewer were managed with chest tubes (25.0% vs. 29.2%, p = 0.031). Clinical outcomes were not significantly different between the groups in terms of hospital length of stay, intensive care unit (ICU) usage, ICU length of stay, duration of ventilator hours and mortality. However, the 2011 group had more patients requiring ventilator support (14.4% vs. 10.6%, p = 0.011). Conclusions Road traffic crashes remain to be the major etiology of thoracic injuries in China, which usually affects middle-aged males, causing rib fractures with concomitant injuries frequently occurring to other organ systems. Treatments mainly include tube thoracotomy and surgical procedures. Although the clinical characteristics and outcomes of traffic accident related chest traumas are largely unchanged in spite of the rapid increasing numbers of motor vehicles, variations in the pattern of injuries by gender, age, injury severity and ventilator usage may still provide important information for targeted management.

scholarly journals Epidemiology and pattern of paediatric injuries in a developing country: an analysis of 170 injuries

2020 ◽  
Vol 32 (2) ◽  
pp. 95-100
Author(s):  
Ndubuisi O Onyemaechi
Keyword(s):  
Teaching Hospital ◽  
Injury Severity ◽  
Road Traffic ◽  
Negative Impact ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Nigeria Teaching Hospital ◽  
Tissue Trauma ◽  
Injured Patients ◽  
Socioeconomic Consequences

BackgroundPaediatric injuries have significant physical, psychological and socioeconomic consequences. This study aimed to determine the epidemiology and pattern of paediatric injuries presenting at a teaching hospital in Enugu South-East Nigeria. MethodsA retrospective study of injured patients less than 18 years who presented to the Accident and Emergency department of University of Nigeria Teaching Hospital Ituku/Ozalla, in Enugu Nigeria, was conducted from 1st January to 31st December 2015. Analysis of data was done using Statistical Package for the Social Sciences version 22.0. ResultsA total of 1191 children presented to the hospital within the study period and 120 injured paediatric patients (10.1%) with 170 injuries were attended to in the A & E. Adolescents (12 -17 years) accounted for 34.2% of injuries and males (70%) were more affected than the females. Road traffic crashes and falls were the most common causes of paediatric injuries. There was a significant correlation between age of the children and the aetiology of the injuries (X2 = 28.08, p = 0.001). Bruises/lacerations/abrasions (27.6%) and fractures (27.1%) were the most common types of injuries sustained. The injury severity score (ISS) of the patients ranged from 1-25 with a mean of 6.4 + 2.8. Roadside/street (35%), school (23.3%) and home (21.7%) were the main locations where injuries occurred. Mean injury-arrival interval was 1.2 + 0.7 days. Majority (67.5%) of children had full recovery and the mortality rate was 5.8%.ConclusionsRoad traffic crashes and falls were the most common cause of paediatric injuries. Soft tissue trauma and fractures were the predominant types of injuries. Roadside, school and home were the leading locations of childhood injuries. Prevention of road traffic crashes and falls, prompt treatment of injuries, and rehabilitation of injured children will reduce the negative impact of paediatric injuries.  

scholarly journals Injury severity of pedestrians involved in road traffic crashes in Addis Ababa, Ethiopia

2017 ◽  
Vol 9 (sup1) ◽  
pp. 47-66 ◽  
Author(s):  
Getu Segni Tulu ◽  
Simon Washington ◽  
Md. Mazharul Haque ◽  
Mark J. King
Keyword(s):  
Injury Severity ◽  
Road Traffic ◽  
Addis Ababa ◽  
Traffic Crashes ◽  
Road Traffic Crashes

scholarly journals Analysis of Road Traffic Crashes—Related Maxillofacial Injuries Severity and Concomitant Injuries in 201 Patients Seen at the UCH, Ibadan

2014 ◽  
Vol 7 (4) ◽  
pp. 284-289 ◽  
Author(s):  
Timothy Aladelusi ◽  
Victor Akinmoladun ◽  
Adeola Olusanya ◽  
Oladimeji Akadiri ◽  
Abiodun Fasola
Keyword(s):  
Emergency Department ◽  
Injury Severity ◽  
Road Traffic ◽  
Maxillofacial Injuries ◽  
Maxillofacial Injury ◽  
Concomitant Injuries ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Accident And Emergency ◽  
Accident And Emergency Department

The objective of this study was to determine the prevalence of road traffic crashes (RTC)–related maxillofacial injuries, the concomitant injuries occurring with them, and to assess the relationship between the severity of maxillofacial and concomitant injuries. This was a prospective study involving 201 victims of RTC seen at the Accident and Emergency Department of the University College Hospital, Ibadan with maxillofacial injuries during the study period. Demographic data of the patients, the types of maxillofacial injuries, and concomitant injuries sustained were recorded. Severity of maxillofacial injury was determined using the maxillofacial injury severity scale (MFISS), while the severity of concomitant injuries was based on the ISS. Correlations between types and severity of maxillofacial injury and types and severity of concomitant injury were conducted to determine the predictability of concomitant injuries based on maxillofacial injury severity. Data were processed using SPSS Statistical software (SPSS, version 20.0 for windows, IBM SPSS Inc, Chicago, IL). Maxillofacial injuries constituted 25.4% of RTC-related admission by the Accident and Emergency Department. A total of 151 (75.1%) patients who presented with concomitant injuries participated in the study. Eighty-one (53.6%) sustained injuries to more than one body region. Head injury was the commonest (99, 65.6%) concomitant injury, followed by orthopedic injury (69, 45.7%). Increasing severity of maxillofacial injury showed a positive correlation with increasing ISS. Also, positive correlation was noted with increasing severity of maxillofacial injury and presence of polytrauma ( p = 0.01), traumatic brain injury ( p = 0.034), and eye injuries ( p = 0.034). There was a high prevalence of maxillofacial injuries in victims of RTC. There was a high incidence of concomitant injuries noted with these maxillofacial injuries. Significantly, this study showed a direct relationship between the severity of maxillofacial injury and head, ocular and polytrauma. This study further emphasizes the need for thorough examination of patients presenting with RTC-related maxillofacial injuries.

The involvement of drugs in drivers of motor vehicles killed in Australian road traffic crashes

2004 ◽  
Vol 36 (2) ◽  
pp. 239-248 ◽  
Author(s):  
Olaf H. Drummer ◽  
Jim Gerostamoulos ◽  
Helen Batziris ◽  
Mark Chu ◽  
John Caplehorn ◽  
...  
Keyword(s):  
Road Traffic ◽  
Motor Vehicles ◽  
Traffic Crashes ◽  
Road Traffic Crashes

scholarly journals Prehospital Intervals and In-Hospital Trauma Mortality: A Retrospective Study from a Level I Trauma Center

2020 ◽  
Vol 35 (5) ◽  
pp. 508-515
Author(s):  
Hassan Al-Thani ◽  
Ahammed Mekkodathil ◽  
Attila J. Hertelendy ◽  
Tim Frazier ◽  
Gregory R. Ciottone ◽  
...  
Keyword(s):  
Trauma Center ◽  
Injury Severity ◽  
Road Traffic ◽  
Trauma Patients ◽  
Golden Hour ◽  
Chest Injuries ◽  
Life Saving ◽  
Level I ◽  
Prehospital Time ◽  
The Impact

AbstractBackground:The increase in mortality and total prehospital time (TPT) seen in Qatar appear to be realistic. However, existing reports on the influence of TPT on mortality in trauma patients are conflicting. This study aimed to explore the impact of prehospital time on the in-hospital outcomes.Methods:A retrospective analysis of data on patients transferred alive by Emergency Medical Services (EMS) and admitted to Hamad Trauma Center (HTC) of Hamad General Hospital (HGH; Doha, Qatar) from June 2017 through May 2018 was conducted. This study was centered on the National Trauma Registry database. Patients were categorized based on the trauma triage activation and prehospital intervals, and comparative analysis was performed.Results:A total of 1,455 patients were included, of which nearly one-quarter of patients required urgent and life-saving care at a trauma center (T1 activations). The overall TPT was 70 minutes and the on-scene time (OST) was 24 minutes. When compared to T2 activations, T1 patients were more likely to have been involved in road traffic injuries (RTIs); experienced head and chest injuries; presented with higher Injury Severity Score (ISS: median = 22); and had prolonged OST (27 minutes) and reduced TPT (65 minutes; P = .001). Prolonged OST was found to be associated with higher mortality in T1 patients, whereas TPT was not associated.Conclusions:In-hospital mortality was independent of TPT but associated with longer OST in severely injured patients. The survival benefit may extend beyond the golden hour and may depend on the injury characteristics, prehospital, and in-hospital settings.

scholarly journals Pediatric Traffic Injuries on Halloween in the United Kingdom: Prevalence and Injury Severity

2021 ◽  
Vol 18 (17) ◽  
pp. 9093
Author(s):  
Li-Min Hsu ◽  
Bayu Satria Wiratama ◽  
Ping-Ling Chen ◽  
Wafaa Saleh ◽  
Hui-An Lin ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Odds Ratio ◽  
Logistic Regression Model ◽  
Injury Severity ◽  
Road Traffic ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
The United Kingdom ◽  
Study Results ◽  
Public Holidays

The study results serve as a reminder for parents, children, and drivers to be alert to the danger of traffic crashes on Halloween. The aim of this study was to examine whether Halloween is associated with a higher incidence of traffic injuries and whether traffic injuries sustained on Halloween are more severe than those sustained on other days. The U.K. STATS19 database, including the data of all road traffic crashes occurring from 1990 to 2017, was employed. A total of 73,587 pediatric traffic casualties (involving pedestrians, cyclists, and moped riders) were included. Between 17:00 and 19:00 (17:00~18:59) on Halloween, the number of casualties was higher than that on other public holidays and usual days. The logistic regression model revealed that, between 17:00 and 18:00 (17:00~17:59), the risk of being killed or seriously injured on Halloween was 34.2% higher (odds ratio = 1.342; 95% CI = 1.065–1.692) than that on other days. Pediatric crashes occurring on Halloween are associated with a higher number of injuries and increased injury severity.

scholarly journals Injury Severity among Young Drivers: A combination of Parametric and Non-parametric Analysis

2020 ◽  
Vol 3 (1) ◽  
pp. 20-30
Author(s):  
Rusdi Bin Rusli
Keyword(s):  
Parametric Analysis ◽  
Injury Severity ◽  
Road Traffic ◽  
Traffic Crashes ◽  
Passenger Car ◽  
Road Traffic Crashes ◽  
Factors Affecting ◽  
Crash Data ◽  
Young Drivers ◽  
Non Parametric

Young drivers among the group recorded highest fatalities index in road traffic crashes. The objective of this study was to identify factors affecting injury severity of young drivers using 5-years crash data (2008-2012) in Sabah, Malaysia. This study used a combination of parametric and non-parametric analysis to allows the specification of nonlinearities and interactions in addition to main effects. The results indicate that crashes on nighttime, federal roads and involved with a single-vehicle are positively associated with injury among young drivers. Interestingly, municipal roads, female drivers, crashes on the roundabout and T/Y junction are less likely to involve injury. A higher-order interaction suggests that not-at-fault young drivers involved with out-of-control or hit the object are more likely to be severe. On the other hand, young passenger car drivers involved in overturn and sideswipe collisions are negatively associated with the injury. It was also found that young drivers with driving too close behaviour are less likely to injure when involved in rear-end collisions for passenger car and four-wheel drive. Findings of this study will help relate authorities to design well-targeted restrictive measures in reducing the severity level of young drivers in traffic crashes.

scholarly journals Collaborative research and knowledge translation on road crashes in Burkina Faso: the police perspective 18 months on

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Christian Dagenais ◽  
Michelle Proulx ◽  
Esther Mc Sween-Cadieux ◽  
Aude Nikiema ◽  
Emmanuel Bonnet ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Burkina Faso ◽  
Road Traffic ◽  
Research Data ◽  
Road Traffic Crash ◽  
Research Project ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Road Crashes

AbstractIn this commentary, we present a follow-up of two articles published in 2017 and 2018 about road traffic crashes, which is an important public health issue in Africa and Burkina Faso. The first article reported on a research project, conducted in partnership with local actors involved in road safety, carried out in Ouagadougou in 2015. Its aim was to test the effectiveness, acceptability, and capacity of a surveillance system to assess the number of road traffic crashes and their consequences on the health of crash victims. Several knowledge translation activities were carried out to maximize its impact and were reported in the 2018 article published in HRPS: monthly reports presenting the research data, large-format printed maps distributed to the city’s police stations, and a deliberative workshop held at the end of the research project. The present commentary presents our efforts to deepen our understanding of the impacts of the knowledge translation strategy, based on follow-up interviews, 18 months after the workshop, with the heads of the road traffic crash units in Ouagadougou police stations (n = 5). Several benefits were reported by respondents. Their involvement in the process prompted them to broaden their knowledge of other ways of dealing with the issue of road crashes. This led them, sometimes with their colleagues, to intervene differently: more rapid response at collision sites, increased surveillance of dangerous intersections, user awareness-raising on the importance of the highway code, etc. However, sustaining these actions over the longer term has proven difficult. Several lessons were derived from this experience, regarding the importance of producing useful and locally applicable research data, of ensuring the acceptability of the technologies used for data collection, of using collaborative approaches in research and knowledge translation, of ensuring the visibility of actions undertaken by actors in the field, and of involving decision-makers in the research process to maximize its impacts.

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