Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand

Background: Motor vehicle is a major transportation in Southern Thailand as the result of road traffic injury and death. Consequently, severe disability and mortality in pediatric traumatic brain injury (TBI) were observed from traffic accident, particularly motorcycle accident. To identify the risk...

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Main Authors: Thara Tunthanathip, Nakornchai Phuenpathom
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-10-01
Series:Journal of Neurosciences in Rural Practice
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/jnrp.jnrp_381_17
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spelling doaj-6f15f51ffa4342aa85ac166ac59728342021-04-02T17:32:13ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552017-10-01080460160810.4103/jnrp.jnrp_381_17Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern ThailandThara Tunthanathip0Nakornchai Phuenpathom1Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, Songkhla, ThailandDivision of Neurosurgery, Department of Surgery, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, Songkhla, ThailandBackground: Motor vehicle is a major transportation in Southern Thailand as the result of road traffic injury and death. Consequently, severe disability and mortality in pediatric traumatic brain injury (TBI) were observed from traffic accident, particularly motorcycle accident. To identify the risk of intracranial injury in children, the association of treatment outcome with various factors including mechanisms of injury, clinical characteristics, and intracranial pathology can be assessed. Materials and Methods: This was a retrospective study conducted on children, who were younger than 15 years old with TBI and were enrolled from 2004 to 2015. Several clinically relevant issues were reviewed and statistically analyzed. Results: A total of 948 casualties were enrolled. Compared with falling down, the motorcycle accident was significantly associated with intracranial injury (odds ratio 1.73, 95% confidence interval [CI] 1.08–2.76). Other factors associated with intracranial injury were hemiparesis (odds ratio 5.69, 95% CI 1.44–22.36), positive of basal skull fracture signs (odds ratio 15.66, 95% CI 3.44-71.28), and fixed reaction to light of both pupils (odds ratio 5.74, 95% CI 1.71–19.23). Mortality found in thirty cases (3.2%). Furthermore, the risk of death correlated with motorcycle accident (P = 0.02) and severe head injury (P < 0.001). Neurosurgical intervention was not associated with outcome, but severe head injury, hemorrhagic shock, epidural, and subdural hematoma were impact factors. Conclusion: The findings demonstrate road traffic injury, especially motorcycle accident leading to brain injury and death. Prevention program is a necessary key to decrease mortality and disability in pediatric TBI.http://www.thieme-connect.de/DOI/DOI?10.4103/jnrp.jnrp_381_17 mechanism of injury motorcycle accident outcome pediatric head injury traffic injury traumatic brain injury
collection DOAJ
language English
format Article
sources DOAJ
author Thara Tunthanathip
Nakornchai Phuenpathom
spellingShingle Thara Tunthanathip
Nakornchai Phuenpathom
Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand
Journal of Neurosciences in Rural Practice
mechanism of injury
motorcycle accident
outcome
pediatric head injury
traffic injury
traumatic brain injury
author_facet Thara Tunthanathip
Nakornchai Phuenpathom
author_sort Thara Tunthanathip
title Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand
title_short Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand
title_full Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand
title_fullStr Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand
title_full_unstemmed Impact of Road Traffic Injury to Pediatric Traumatic Brain Injury in Southern Thailand
title_sort impact of road traffic injury to pediatric traumatic brain injury in southern thailand
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series Journal of Neurosciences in Rural Practice
issn 0976-3147
0976-3155
publishDate 2017-10-01
description Background: Motor vehicle is a major transportation in Southern Thailand as the result of road traffic injury and death. Consequently, severe disability and mortality in pediatric traumatic brain injury (TBI) were observed from traffic accident, particularly motorcycle accident. To identify the risk of intracranial injury in children, the association of treatment outcome with various factors including mechanisms of injury, clinical characteristics, and intracranial pathology can be assessed. Materials and Methods: This was a retrospective study conducted on children, who were younger than 15 years old with TBI and were enrolled from 2004 to 2015. Several clinically relevant issues were reviewed and statistically analyzed. Results: A total of 948 casualties were enrolled. Compared with falling down, the motorcycle accident was significantly associated with intracranial injury (odds ratio 1.73, 95% confidence interval [CI] 1.08–2.76). Other factors associated with intracranial injury were hemiparesis (odds ratio 5.69, 95% CI 1.44–22.36), positive of basal skull fracture signs (odds ratio 15.66, 95% CI 3.44-71.28), and fixed reaction to light of both pupils (odds ratio 5.74, 95% CI 1.71–19.23). Mortality found in thirty cases (3.2%). Furthermore, the risk of death correlated with motorcycle accident (P = 0.02) and severe head injury (P < 0.001). Neurosurgical intervention was not associated with outcome, but severe head injury, hemorrhagic shock, epidural, and subdural hematoma were impact factors. Conclusion: The findings demonstrate road traffic injury, especially motorcycle accident leading to brain injury and death. Prevention program is a necessary key to decrease mortality and disability in pediatric TBI.
topic mechanism of injury
motorcycle accident
outcome
pediatric head injury
traffic injury
traumatic brain injury
url http://www.thieme-connect.de/DOI/DOI?10.4103/jnrp.jnrp_381_17
work_keys_str_mv AT tharatunthanathip impactofroadtrafficinjurytopediatrictraumaticbraininjuryinsouthernthailand
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