International journal of injury control and safety promotion
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Int J Inj Contr Saf Promot · Jan 2016
Effect of driver, roadway, collision, and vehicle characteristics on crash severity: a conditional logistic regression approach.
The aim of the study is to examine the factors that appear to have a higher potential for serious injury or death of drivers in traffic accidents in Turkey, such as collision type, roadway surface, vehicle speed, alcohol/drug use, and restraint use. Driver crash severity is the dependent variable of this study with two categories, fatal and non-fatal. ⋯ They are age, education level, restraint use, roadway condition, roadway type, time of day, collision location, collision type, number and direction of vehicles, vehicle speed, and alcohol/drug use. This study found that belted drivers aged 18-25 years involving two vehicles travelling in the same direction, in an urban area, during the daytime, and on an avenue or a street have better chances of survival in traffic accidents.
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We aimed to study the anatomical distribution, severity, and outcome of hospitalised trauma pedestrian patients in Al Ain, United Arab Emirates (UAE), so as to improve preventive measures. All pedestrian trauma patients who were involved with a road traffic collision and admitted to Al Ain Hospital for more than 24 hours or who died in the hospital were included in the study. Data were prospectively collected during March 2003-October 2007. ⋯ Severe head injury was the main cause of death. Measures to improve pedestrian safety should be adopted so as to reduce morbidity and mortality. These include educating drivers and pedestrians on road safety and enforcement of traffic safety laws.
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Our aim was to study the demography, anatomical regions injured, severity, and outcome of hospitalised trauma patients who were injured by falling objects in order to give recommendations regarding their prevention in the UAE. All trauma patients who were injured by falling objects and were admitted to Al Ain Hospital for more than 24 hours, or died after arrival to the hospital were studied for over 3 years. One hundred forty nine patients having a mean age (SD) > 34 (12.1) years were studied. ⋯ Extremities and head/neck were the most common injured regions; 1.3% of patients died. Males from the Indian subcontinent are at a higher risk of being injured by falling objects especially at work. Safety education and programs, environmental changes, use of protective devices including helmets or special shoes, and proper enforcement of the safety guidelines could reduce hospitalisations, disability, and death from these injuries.
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Int J Inj Contr Saf Promot · Jan 2015
A standardised mortuary-based injury surveillance system: lessons learned from the Ibadan Nigerian trial.
This study explored the challenges in establishing a mortuary-based injury surveillance system in a resource-constrained setting of Ibadan, Nigeria. To quantify and detail fatal injuries, in September 2010 to February 2011, a prospective data collection utilised the World Health Organization-Monash draft surveillance system. Findings were compared with other low- and middle-income settings, and surveillance system attributes were assessed. ⋯ Fire-related injury was the second unintentional cause in the Ibadan pilot, unlike Global Burden of Disease estimates for Nigeria, Mauritius and Mexico, where drowning was the second cause. Positive system attributes included timeliness, data field completeness, specificity, flexibility and sensitivity. Despite apparent under-reporting of eligible deaths and questionable representativeness, this study illustrates potential for mortuary data to inform injury prevention policies and programmes in resource-constrained settings.
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Int J Inj Contr Saf Promot · Jan 2015
Comparative StudyA comparison of urban-rural injury mortality rates across two South African provinces, 2007.
This study explored urban-rural variations in the magnitude and patterns of fatal injuries in South Africa. The National Injury Mortality Surveillance System was utilised to select South African mortality cases for the 2007 period and a cross-sectional methodology was employed in order to comparatively analyse injury mortality rates in the urban province of Gauteng and the rural province of Mpumalanga. ⋯ Overall, homicide and unintentional (non-transport) injury death rates were significantly higher in the urban province (40.28/100,000 versus 28.48/100,000; (RR = 1.41 [1.32-1.51]) and 18.30/100,000 versus 13.19/100,000; (RR = 1.39 [1.25-1.54]), respectively), whilst transport-related injury mortality rates were significantly higher in the rural province (66.57/100,000 versus 45.83/100,000; (RR = 0.69 [0.66-0.71])). Such results could be attributed to economical, environmental, and infrastructural differences between urban-rural locations and suggest that injury control strategies could be better targeted to the needs of specific geographic populations in South Africa.