Document Detail


Serious brain injury from traffic-related causes: priorities for primary prevention.
MedLine Citation:
PMID:  9370017     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
D Viano; H von Holst; E Gordon
Related Documents :
16198967 - A study of homicidal deaths in medico-legal autopsies at ummc, kuala lumpur.
6777877 - Progressive hepatic injury in prolonged parenteral alimentation.
2919867 - Hypoxic-ischemic spinal cord injury following perinatal asphyxia.
10494477 - Postasphyxial management of the newborn.
7675557 - Successful treatment of severe neonatal lobar emphysema by high-frequency oscillatory v...
7228187 - Infant feeding practices of working mothers in an urban area.
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    
Affiliation:
Department of Neurosurgery, Karolinska Hospital, Stockholm, Sweden. DViano@cmsa.gmr.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic* / statistics & numerical data
Adolescent
Adult
Aged
Brain Concussion / etiology*
Brain Injuries / etiology*
Child
Glasgow Coma Scale
Humans
Middle Aged

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


Previous Document:  Crash reductions related to traffic signal removal in Philadelphia.
Next Document:  Crash characteristics and injuries of victims impaired by alcohol versus illicit drugs.