Document Detail

Serious brain injury from traffic-related causes: priorities for primary prevention.
MedLine Citation:
PMID:  9370017     Owner:  NLM     Status:  MEDLINE    
This study evaluated the incidence and outcome of serious brain injury from traffic-related causes in 695 patients admitted to the Department of Neurosurgery at Karolinska Hospital during 1981-1992. A total of 37.3% of patients were car occupants, 28.1% pedestrians, 12.9% bicyclists, 12.2% car-bicycle/car-moped and 9.5% motorcycle riders. The dominating injury was brain contusion (61.6%) verified with computerized tomography. The level of consciousness was evaluated by the Glasgow Coma Scale (GCS) and outcome by the Glasgow Outcome Scale (GOS) at discharge and 6-36 months thereafter. The final outcome was 67.5% good recovery (GOS 4-5), 11.5% severely disabled (GOS 2-3) and 21.0% GOS 1 or brain dead. Patients with GOS < 4 (32.5%) were severely disabled and motivate priorities for injury prevention. Car occupants represent 40.7% of the total, followed by pedestrians at 33.6% and bicyclists at 18.2%. Much remains to be done in the primary prevention of disabling brain injury to car occupants and pedestrians. In order to achieve a more-effective primary prevention, future research should be directed toward biomechanical aspects of brain contusion as a dominating brain injury.
D Viano; H von Holst; E Gordon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Accident; analysis and prevention     Volume:  29     ISSN:  0001-4575     ISO Abbreviation:  Accid Anal Prev     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1997-12-17     Completed Date:  1997-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1254476     Medline TA:  Accid Anal Prev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  811-6     Citation Subset:  IM    
Department of Neurosurgery, Karolinska Hospital, Stockholm, Sweden.
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MeSH Terms
Accidents, Traffic* / statistics & numerical data
Brain Concussion / etiology*
Brain Injuries / etiology*
Glasgow Coma Scale
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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