Changes in motorcycle-related injuries and deaths after mandatory motorcycle helmet law in a district of Vietnam

Ha, Ngoc San; Ederer, David; Vo, Van Anh Ha; Pham, An Van; Mounts, Anthony W.; Nolen, Leisha D.; Sugerman, David

doi:10.1080/15389588.2017.1322203

Cited by 29 publications

(28 citation statements)

References 24 publications

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“…20,41 In terms of primary prevention of traumatic brain injury, multiple in-vestigators have found interventions aimed at increasing helmet use successful. 19,32,36 Among practices aimed at improving advanced, technical capacity, the Direction of Healthcare Activities (DOHA) program has been developed over the past 50 years to accelerate the transfer of technical skills to community hospitals. While these reforms are considered anecdotally successful and have been described as a model for nations with limited healthcare resources, our search did not detect any reliable systematic assessment of the impact of DOHA activities.…”

Section: Resultsmentioning

confidence: 99%

“…24 A high prevalence of motorized scooters has resulted in a disproportionate rate of traumatic brain injury following motor vehicle accidents (previously estimated at roughly 70% of all road injuries). 19,21 As studies have shown superior outcomes with improved neurosurgical and neurocritical care, this compels additional investments in such neurosurgical capital. 11,28,39 Similar to the rest of the world, low-back and neck pain is the number one cause of disability in Vietnam (http://www.healthdata.org/vietnam); its prevalence has increased 29.4% since 2005.…”

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confidence: 99%

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The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

Carr

Kahn

Mathkour

et al. 2018

Neurosurgical Focus

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OBJECTIVEThe Global Burden of Disease (GBD) is an international collaboration and the largest comprehensive investigation of global health disease burden ever conducted. It has been particularly insightful for understanding disease demographics in middle-income nations undergoing rapid development, such as Vietnam, where 6 of the top 10 causes of death are relevant to the neurosurgeon. The burden of stroke—the number one cause of death in Vietnam—is particularly impressive. Likewise, road injuries, with a disproportionate rate of traumatic brain injury, continue to increase in Vietnam following economic development. Low-back and neck pain is the number one cause of disability. Simultaneously, more patients have access to care, and healthcare spending is increased.METHODSIt is imperative that neurosurgical capital and infrastructure keep pace with Vietnam’s growth. The authors searched the existing literature for assessments of neurosurgical infrastructure or initiatives to address neurosurgical disease burden. Using GBD data, the authors also abstracted data for death by cause and prevalence of years of life lost due to disability (YLD) for common neurosurgical pathologies for Vietnam and comparison nations.RESULTSInterventions aimed at primary prevention of risk factors for neurosurgical disease and focused on the transference of self-sustainable technical skills were found to be analogous to those that have been successful in other regions. Efforts toward stroke prevention have been focused on causal risk factors. Multiple investigators have found that interventions aimed at increasing helmet use were successful in preventing traumatic brain injury. Government-led reforms and equipment donation programs have improved technical capacity. Nevertheless, Vietnam lags behind other nations in neurosurgeons per capita; cause-attributable death and YLD attributable to neurosurgical disease are considerably higher in Vietnam and middle-income nations compared to both lower-income nations and upper-income nations.CONCLUSIONSMore than two-thirds of deaths attributable to neurosurgical pathologies in Vietnam and other middle-income nations were due to stroke, and one-fifth of both cause-attributable death and YLD was associated with neurosurgical pathologies. Vietnam and other middle-income nations continue to assume a global burden of disease profile that ever more closely resembles that of developed nations, with particular cerebrovascular, neurotrauma, and spinal disease burdens, leading to exponentially increased demand for neurosurgeons that threatens to outpace the training of neurosurgeons.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

Carr

Kahn

Mathkour

et al. 2018

Neurosurgical Focus

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“…First, in measuring outcome in terms of PYLLs, the burden of mortality could also take into account the age of death in addition to the number of deaths, commonly reported in previous studies. 6 18 34 Second, the study reported the changes in the PYLLs before and after the helmet law and the trend of PYLL over 6 months following the effective date of the law. Third, the study examined the impacts of the helmet law across all provinces and then pooled estimates of the impact at the national level; whereas the previous work did the evaluation at the sample locations but not throughout the country.…”

Section: Discussionmentioning

confidence: 99%

“…17 Ha et al 6 found that motorcycle-related injuries and deaths reduced by 47% and 31%, respectively, in a district in Vietnam after the implementation of the 2007 mandatory helmet law. 6 Olson et al indicated that the introduction of helmet policy was likely preventing 2200 deaths and 29 000 head injuries, saved US$18 million in acute care costs and averted US$31 million in income losses in Vietnam. 18 While prior studies provided valuable information on the effect of the 2007 helmet law, the temporal trend of changes in traffic injuries following the effective date of the law and the variability of changes across provinces has been unknown.…”

Section: Introductionmentioning

confidence: 99%

Impacts of helmet law on the changes in potential years of life lost due to traffic injury: a multiple-province evaluation in Vietnam

et al. 2019

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IntroductionThis study aimed to evaluate the impact of the helmet law on the changes in potential years of life lost (PYLL) due to traffic mortality and to examine modification effects of socioeconomic factors on the impacts in Vietnam.MethodsWe applied an interrupted time series design using the Bayesian framework to estimate the impact of the law at the provincial level. Then, we used random effects meta-analysis to estimate the impact of the law at the country level and to examine the modification effects of socioeconomic factors.ResultsThe results indicate that the impacts varied among the provinces. These impacts could be classified by four main groups comprising positive impact, and positive impact without sustainability, possible positive impact, negative or inconsistent impact. For the country-level impact, the results reveal a significantly consistent change in monthly PYLLs at the level of 18 per 100 000 persons, and the post-trend was stable without significant change. The results of meta-regression show that 1 unit increase in the population density (persons/km2), migration rate (%) and income (×1000 dong) are non-significantly associated with increases of PYLLs at 1.3, 27 and 27 per 100 000 person-months, respectively, whereas 1% increase in literacy associated with a decrease of PYLL at 44 per 100 000 person-months.DiscussionFurther studies should be warranted to provide a comprehensive evaluation of the law implementation, including its acceptability, adoption, appropriateness, feasibility, cost-effectiveness and sustainability.

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“…La mayor gravedad encontrada entre los conductores que no usaban casco en el momento del accidente concuerda con lo encontrado en numerosas investigaciones que señalan como la utilización del casco reduce el riesgo de lesiones en la cabeza y la cara, así como de fallecimiento en caso de accidente (Ha et al, 2018;Moskal, Martin & Laumon, 2008;Rice et al, 2016).…”

Section: Discussionunclassified

Factores asociados a los accidentes de motocicleta en Barcelona, España

Hidalgo-Fuentes

Sospedra-Baeza

2019

CienciasPsi

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Este estudio analizó los accidentes de motocicleta y ciclomotor en Barcelona (España). 53.190 informes de conductores de motocicleta y ciclomotor involucrados en accidentes entre los años 2006 y 2011 fueron extraídos de la base de datos de accidentes con víctimas de la Dirección General de Tráfico. Estos datos fueron analizados en términos de sexo, grupos de edad, motivo del desplazamiento, día de la semana, infracciones de velocidad, uso del casco y lesividad, con el objetivo de estudiar las características de los accidentes de motocicleta y ciclomotor en Barcelona y evaluar las diferencias entre conductores varones y mujeres en estos accidentes. La gravedad de los accidentes sufridos por conductores varones es superior a la de las mujeres. Se encontraron diferencias significativas en todas las variables consideradas en el estudio, lo que implica diferencias en el perfil del conductor de accidentado.

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Changes in motorcycle-related injuries and deaths after mandatory motorcycle helmet law in a district of Vietnam

Cited by 29 publications

References 24 publications

The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

The shifting burden of neurosurgical disease: Vietnam and the middle-income nations

Impacts of helmet law on the changes in potential years of life lost due to traffic injury: a multiple-province evaluation in Vietnam

Factores asociados a los accidentes de motocicleta en Barcelona, España

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