The Epidemiology of Traumatic Brain Injury Due to Traffic Accidents in Latin America: A Narrative Review

Dunne, J. A.; Quiñones-Ossa, Gabriel Alexander; Still, Ethne Grey; Suárez, M.; González-Soto, José A.; Vera, David S.; Rubiano, Andrés M.

doi:10.1055/s-0040-1709363

Cited by 42 publications

(36 citation statements)

References 15 publications

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“…It has been shown that in lowmiddle income countries in the past 17 years, violence and road traffic accidents (RTAs) have been the main causes of TBI and have associated high mortality (13) . Similarly, Dunne et al (14) revealed that, RTA is a common cause of TBI in Latin America. They demonstrated that, TBI due to RTAs is more frequent in males between the ages of 15 and 35 years, and patients in motor vehicles accounted for most cases, followed by pedestrians, motorcyclists, and cyclists.…”

Section: Discussionmentioning

confidence: 91%

Incidence and Risk Factors of Venous Thromboembolism in Patients with Severe Traumatic Brain Injury in Emergency Hospital Mansoura University

Attia¹,

Selim²,

Ibraheim³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Every year more than 10 million people are affected by traumatic brain injuries (TBIs). Despite efforts being made to improve TBI care, it remains a public health problem. Deep venous thrombosis (DVT) is common among trauma patients. If left untreated it may result in lethal pulmonary thromboembolism. Objective: The aim of the current study was to determine the incidence and risk factors of venous thromboembolism in traumatic brain injury patients. Patients and methods: This was a prospective study, which was conducted over 200 patients with severe traumatic brain injury admitted to Emergency Hospital Mansoura University over a year from January 2020 to January 2021. Emergency Hospital Mansoura University is a level one trauma center with about 250,000 visit and 25,000 trauma cases per year. Results: RTA and MCA were demonstrated to be the most common modes followed by FFH ad lastly direct trauma. The average Glasgow Coma Scale (GCS) was 6.12 ± 1.937 and 69.5% of the studied cases required intubation. There were no statistically significant differences among both groups (Non-VTE versus VTE) regarding GCS as well as the need for intubation. There were no statistically significant differences among both groups concerning EDH, SDH, ICH and brain contusion, while SAH and brain edema demonstrated significant increase in non-VTE cases compared to VTE cases. Conclusion:The current study demonstrated that, TBI is a life-threatening condition with a high mortality rate and seems to be associated with significant increase in the possibility of DVT development.

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Section: Discussionmentioning

confidence: 91%

Incidence and Risk Factors of Venous Thromboembolism in Patients with Severe Traumatic Brain Injury in Emergency Hospital Mansoura University

Attia¹,

Selim²,

Ibraheim³

et al. 2021

The Egyptian Journal of Hospital Medicine

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“…Several studies reported that head injury was found to be most common injuries during traffic accidents (34) ,being 42.1% making a substantial contribution to RTA cases (35) , the main reasons of the fatality is severe traumatic brain injury (TBI) produced by head dullpowers (36,37) . In low-and middle-income countries 43% of individuals with TBI that cause by cars accidents (39) . Although numerous studies have been done, the consequence of skull fracture on TBIs has not been obviously assumed (14) .…”

Section: Discussionmentioning

confidence: 99%

Road Traffic Accidents and the Traumatic Brain Injuries: A Cross- Sectional Study

2021

MLU

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Background: Street traffic accidents were a main community healthiness problematic particularly in low and middle-income countries, head injuries were found to be the most common injuries. Objectives: to identify the relationship of road traffic injuries with different associated factors.Methodology: This was a cross sectional study conducted on 500 Road Traffic Accidents victims admitted to the emergency unit at Al-Sader Teaching General Hospital in Al Najaf Holy province-Iraq. Data collection was done using a pretested questionnaire. A medical team including neurosurgeon, medical, and orthopedics to identify the types (pattern) of cranio-cerebral injuries evaluated outcomes of the injury cases.Results: Most of the victims are males in their productive age, motorcycle is the most common cause of accidents, head injuries constituted the highest proportion (39.6%), the mortality rate was (13.6%), and unhealthy behaviors during driving were dominated. Conclusion:Cerebral contusions and skull fractures were the most common lesions among head injuries and trauma brain injuries victims.

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“…Dunne J et al in their narrative review concluded that males have a higher tendency of getting involved in traumatic outcomes as they found a higher prevalence of males (77%) in their compilation of eight studies on RTAs. 23 On the other hand, females are believed to be more prone to fall from balconies, rooftops, and stairs.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Outcome of Patients with Traumatic Brain Injury – A Retrospective Study from Pakistan.

et al. 2021

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Introduction: Traumatic brain injury (TBI) is a leading cause of global morbidity and mortality in both adults and children. As with other severe injuries, the outcome of TBIs is also gravely related to the quality of emergency care. Effective emergency care significantly contributes to reduced morbidity and mortality. This study was ensued to evaluate the characteristics of TBIs in Pakistan and their outcomes in the emergency department (ED). Methods: This retrospective review included records of all TBI patients seen in the Neurosurgical ED of Jinnah Postgraduate Medical Centre, Karachi, Pakistan from 1st September 2019 till 7th December 2019. Results: During the study period, 5,546 patients with TBI were seen in the ED; an estimated 56.5 patients per day. There were 4,054 (73.1%) male and 1,492 (26.9%) female patients. Most of these (26%) were of age <10 years. The most common culprit of TBI was road traffic accidents (RTAs) (n=2,163; 39%) followed by accidental fall (n=1,785; 32.2%). Head injury was mostly mild (n=4,034; 72.8%) and only 265 (4.7%) had a severe injury. Only 10% (n=549) patients were admitted for further treatment, 16% were managed in the ED then discharged, and 67% were immediately discharged from the ED after the first examination and necessary management. The ED mortality rate of TBIs was 2.2% (n=123/5,546) in our study. All of these cases had severe head injuries. Conclusion: Major culprits of TBI are RTAs and accidental falls. TBIs are mostly mild-to-moderate and the ED mortality rate is low.

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The Epidemiology of Traumatic Brain Injury Due to Traffic Accidents in Latin America: A Narrative Review

Cited by 42 publications

References 15 publications

Incidence and Risk Factors of Venous Thromboembolism in Patients with Severe Traumatic Brain Injury in Emergency Hospital Mansoura University

Incidence and Risk Factors of Venous Thromboembolism in Patients with Severe Traumatic Brain Injury in Emergency Hospital Mansoura University

Road Traffic Accidents and the Traumatic Brain Injuries: A Cross- Sectional Study

Emergency Department Outcome of Patients with Traumatic Brain Injury – A Retrospective Study from Pakistan.

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