Road safety: serious injuries remain a major unsolved problem

Beck, Ben; Cameron, Peter; Fitzgerald, Mark; Judson, Rodney; Teague, Warwick J.; Lyons, Ronan A; Gabbe, Belinda

doi:10.5694/mja17.00015

Cited by 43 publications

(50 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The specific mechanisms of spinal injury in motor vehicle crashes must be better understood if the incidence of transport‐related cases of TSCI is to be reduced. Protecting vulnerable road users should also be further emphasised, particularly as substantial increases in the number of seriously injured pedal cyclists have been reported . High falls accounted for 17% of all cases of TSCI, nearly half of which were from a ladder or roof.…”

Section: Discussionmentioning

confidence: 99%

Traumatic spinal cord injury in Victoria, 2007–2016

Beck

Cameron

Braaf

et al. 2019

Medical Journal of Australia

Self Cite

View full text Add to dashboard Cite

Objective To investigate trends in the incidence and causes of traumatic spinal cord injury (TSCI) in Victoria over a 10‐year period. Design, setting, participants Retrospective cohort study: analysis of Victorian State Trauma Registry (VSTR) data for people who sustained TSCIs during 2007–2016. Main outcomes and measures Temporal trends in population‐based incidence rates of TSCI (injury to the spinal cord with an Abbreviated Injury Scale [AIS] score of 4 or more). Results There were 706 cases of TSCI, most the result of transport events (269 cases, 38%) or low falls (197 cases, 28%). The overall crude incidence of TSCI was 1.26 cases per 100 000 population (95% CI, 1.17–1.36 per 100 000 population), and did not change over the study period (incidence rate ratio [IRR], 1.01; 95% CI, 0.99–1.04). However, the incidence of TSCI resulting from low falls increased by 9% per year (95% CI, 4–15%). The proportion of TSCI cases classified as incomplete tetraplegia increased from 41% in 2007 to 55% in 2016 (P < 0.001). Overall in‐hospital mortality was 15% (104 deaths), and was highest among people aged 65 years or more (31%, 70 deaths). Conclusions Given the devastating consequences of TSCI, improved primary prevention strategies are needed, particularly as the incidence of TSCI did not decline over the study period. The epidemiologic profile of TSCI has shifted, with an increasing number of TSCI events in older adults. This change has implications for prevention, acute and post‐discharge care, and support.

show abstract

Section: Discussionmentioning

confidence: 99%

Traumatic spinal cord injury in Victoria, 2007–2016

Beck

Cameron

Braaf

et al. 2019

Medical Journal of Australia

Self Cite

View full text Add to dashboard Cite

show abstract

“…And second, the costs of dealing with the fallout of RTAs-to individuals and society as a whole-can be as high as 3% of gross domestic product (GDP) [2] [3]. Despite existing interventions [4] and progress on reducing morbidity and mortality rates, RTAs remain a major public health issue, even in developed countries [5] [6]. Low-income and middle-income countries continue to pay the heaviest price, accounting for more than 90% of all RTA-related deaths and injuries.…”

Section: Introductionmentioning

confidence: 99%

Disability and Related Factors among Road Traffic Accident Victims in Benin: Study from Five Public and Faith-Based Hospitals in Urban and Suburban Areas

Glèlè-Ahanhanzo¹,

Kpozéhouen²,

Paraiso³

et al. 2018

OJEpi

View full text Add to dashboard Cite

Introduction: Road traffic accidents (RTAs) are a major public health issue in developing countries, where roads tend to be built haphazardly and accidents take a heavy toll on victims-including leaving them disabled. This study seeks to identify those factors that cause RTA victims to become disabled as a result of their injuries. Methods: This retrospective community-based study looked at RTA victims treated in five public and faith-based hospitals in Benin. Disability was evaluated using the Washington Group on Disabilities Statistics questionnaire. The independent variables were related to the victim's socio-demographic traits, the circumstances of the accident, and post-crash response mechanisms. The proportions were compared using the chi-squared test, with a threshold of 5%. Results: The prevalence of disability among road traffic accident victims is 9.59% (CI 95%: 6.86%-13.20%). The occurrence of disability is associated with age (p = 0.002), occupational group (p = 0.0077), the mode of transport used to transfer the victim (p < 0.001) and the location of the injuries (p = 0.0035). The study also found that people fail to make sufficient use of post-crash response mechanisms. Conclusion: Public policy-makers should therefore focus on stepping up interventions to get more people using both protective equipment and post-crash response services.

show abstract

“…Road deaths in Australasia have reduced since the peak in the early 1970's. Yet, over the last few years, the long term declines have lessened, and become increasingly difficult to maintain (OECD/ITF, 2016;Beck et al, 2017). The previous target set in the National Road Safety Strategy was a 40% reduction in fatalities, whereas 34% was achieved.…”

Section: Introductionmentioning

confidence: 99%

The Relevance of Australasian Road Safety Strategies in a Future Context

Hughes

Falkmer

Anund

2019

JACRS

View full text Add to dashboard Cite

The improvements to road safety since the 1970’s are becoming increasingly difficult to sustain in many developed countries. This paper analyses ten Australasian Government road safety strategies against two key criteria: 1. a comprehensive framework for road safety, and 2. the anticipated changing, difficult and unpredictable nature of future transport and its context. The analysis concludes that current Australasian road safety strategies are weak in some areas of content and do not address future challenges. Improvements are suggested to strengthen strategies’ thoroughness and robustness, as well as ways that the strategies can be more resilient to future circumstances.

show abstract

Road safety: serious injuries remain a major unsolved problem

Abstract: As serious injury rates have not declined, current road safety targets will be difficult to meet. Greater attention to preventing serious injury is needed, as is further investment in road safety, particularly for pedal cyclists.

Cited by 43 publications

References 17 publications

Traumatic spinal cord injury in Victoria, 2007–2016

Traumatic spinal cord injury in Victoria, 2007–2016

Disability and Related Factors among Road Traffic Accident Victims in Benin: Study from Five Public and Faith-Based Hospitals in Urban and Suburban Areas

The Relevance of Australasian Road Safety Strategies in a Future Context

Contact Info

Product

Resources

About