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Yoonji Yoo - One of the best experts on this subject based on the ideXlab platform.
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elderly road collision Injury outcomes associated with seat positions and seatbelt use in a rapidly aging society a case study in south korea
PLOS ONE, 2017Co-Authors: Yuna Noh, Yoonji YooAbstract:Introduction Aging has long been regarded as one of the most critical factors affecting crash Injury outcomes. In South Korea, where the elderly population is projected to reach 35.9% by 2050, the implications of an increasing number of elderly vehicle users on road safety are evident. In this research, the confounding effect of occupant age in a vehicle in terms of seat position and seatbelt use was investigated. In addition, elderly occupants were divided into a younger-old group aged between 65 and 74 years and an older-old group aged 75 years and older in an effort to assess whether the conventional elderly age standard of 65 years should be reconsidered. Methods A multinomial logit framework was adopted to predict two-Level Injury severity using collision data between 2008 and 2015. Predictor variables included gender, age group, seat position, seatbelt, road type, road slope, road surface, road line, and type of vehicle. Five models, a base model with no interactions and four interaction models which were combinations of age group, seatbelt use and seat position, were devised and evaluated. Results With no interacting term, age was the most prominent predictor. Elderly occupants were most likely to suffer from severe Injury without a seatbelt in all seat positions, and the use of a seatbelt reduced this likelihood the most in the elderly group as well. Front passenger seats had the highest risk to elderly occupants, while the driver seat was statistically insignificant. When the elderly group was divided into the younger-old group and the older-old group, the older-olds were found to be much more vulnerable compared to the younger-olds. In particular, older drivers were five times more likely to suffer a severe Injury without a seatbelt. Conclusions The degree of Injury severity of elderly occupants was reduced the most with the use of a seatbelt, demonstrating the importance of using seat restraints. The sharp increase in the risk of Injury of the older-old group suggests that the age standard of 65 years as the elderly group with regard to traffic safety may require reconsideration due to the growing number of elderly vehicle users on the road. Our results provide practical evidence with which to formulate new safety policies, including mandatory seatbelt use, driving age limits and insurance pricing.
Caroline F Finch - One of the best experts on this subject based on the ideXlab platform.
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time to add a new priority target for child Injury prevention the case for an excess burden associated with sport and exercise Injury population based study
BMJ Open, 2014Co-Authors: Caroline F Finch, Anna Wong Shee, Angela Jayne ClappertonAbstract:Objective To determine the population-Level burden of sports injuries compared with that for road traffic Injury for children aged Design Retrospective observational study. Setting Analysis of routinely collected data relating to non-fatal hospital-treated sports Injury and road traffic Injury cases for children aged Participants 75 413 non-fatal hospital-treated sports Injury and road traffic Injury cases in children aged Main outcome measures Trends in Injury frequency and rate were analysed by log-linear Poisson regression and the population-Level Injury burden was assessed in terms of years lived with disability (YLD), hospital bed-days and direct hospital costs. Results Over the 7-year period, the annual frequency of non-fatal hospital-treated sports Injury increased significantly by 29% (from N=7405 to N=9923; p Conclusions The significant 7-year increase in the frequency of hospital-treated sports Injury and the substantially higher Injury population-health burden (direct hospital costs, bed-day usage and YLD impacts) for sports Injury compared with road traffic Injury for children aged
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time to add a new priority target for child Injury prevention the case for an excess burden associated with sport and exercise related Injury
British Journal of Sports Medicine, 2014Co-Authors: Wong A Shee, Angela Jayne Clapperton, Caroline F FinchAbstract:Background Recent Global Burden of Disease estimates highlight the high burden associated with Injury, especially road trauma. However, these estimates, based on the International Classification of Diseases (ICD-9/ICD-10), did not specifically identify sports injuries. Objective To compare the public health burden of sport and road traffic Injury, for children Design Analysis of data for non-fatal hospital-treated sports injuries and road traffic Injury cases for children aged Main outcome Mmeasurements Trends in Injury frequency were analysed by log-linear Poisson regression. Population-Level Injury burden was assessed in terms of years lived with disability (YLDs), hospital bed-days and direct hospital costs. Results Over the 7-year period, the annual frequency of hospital-treated sports Injury increased significantly by 29% (N=7405 to N=9923; P Conclusions The significant 7-year increase in frequency of hospital-treated sports Injury and significantly higher Injury population-health burden for sports Injury, compared with road traffic Injury, for children aged
Angela Jayne Clapperton - One of the best experts on this subject based on the ideXlab platform.
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time to add a new priority target for child Injury prevention the case for an excess burden associated with sport and exercise Injury population based study
BMJ Open, 2014Co-Authors: Caroline F Finch, Anna Wong Shee, Angela Jayne ClappertonAbstract:Objective To determine the population-Level burden of sports injuries compared with that for road traffic Injury for children aged Design Retrospective observational study. Setting Analysis of routinely collected data relating to non-fatal hospital-treated sports Injury and road traffic Injury cases for children aged Participants 75 413 non-fatal hospital-treated sports Injury and road traffic Injury cases in children aged Main outcome measures Trends in Injury frequency and rate were analysed by log-linear Poisson regression and the population-Level Injury burden was assessed in terms of years lived with disability (YLD), hospital bed-days and direct hospital costs. Results Over the 7-year period, the annual frequency of non-fatal hospital-treated sports Injury increased significantly by 29% (from N=7405 to N=9923; p Conclusions The significant 7-year increase in the frequency of hospital-treated sports Injury and the substantially higher Injury population-health burden (direct hospital costs, bed-day usage and YLD impacts) for sports Injury compared with road traffic Injury for children aged
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time to add a new priority target for child Injury prevention the case for an excess burden associated with sport and exercise related Injury
British Journal of Sports Medicine, 2014Co-Authors: Wong A Shee, Angela Jayne Clapperton, Caroline F FinchAbstract:Background Recent Global Burden of Disease estimates highlight the high burden associated with Injury, especially road trauma. However, these estimates, based on the International Classification of Diseases (ICD-9/ICD-10), did not specifically identify sports injuries. Objective To compare the public health burden of sport and road traffic Injury, for children Design Analysis of data for non-fatal hospital-treated sports injuries and road traffic Injury cases for children aged Main outcome Mmeasurements Trends in Injury frequency were analysed by log-linear Poisson regression. Population-Level Injury burden was assessed in terms of years lived with disability (YLDs), hospital bed-days and direct hospital costs. Results Over the 7-year period, the annual frequency of hospital-treated sports Injury increased significantly by 29% (N=7405 to N=9923; P Conclusions The significant 7-year increase in frequency of hospital-treated sports Injury and significantly higher Injury population-health burden for sports Injury, compared with road traffic Injury, for children aged
Yuna Noh - One of the best experts on this subject based on the ideXlab platform.
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elderly road collision Injury outcomes associated with seat positions and seatbelt use in a rapidly aging society a case study in south korea
PLOS ONE, 2017Co-Authors: Yuna Noh, Yoonji YooAbstract:Introduction Aging has long been regarded as one of the most critical factors affecting crash Injury outcomes. In South Korea, where the elderly population is projected to reach 35.9% by 2050, the implications of an increasing number of elderly vehicle users on road safety are evident. In this research, the confounding effect of occupant age in a vehicle in terms of seat position and seatbelt use was investigated. In addition, elderly occupants were divided into a younger-old group aged between 65 and 74 years and an older-old group aged 75 years and older in an effort to assess whether the conventional elderly age standard of 65 years should be reconsidered. Methods A multinomial logit framework was adopted to predict two-Level Injury severity using collision data between 2008 and 2015. Predictor variables included gender, age group, seat position, seatbelt, road type, road slope, road surface, road line, and type of vehicle. Five models, a base model with no interactions and four interaction models which were combinations of age group, seatbelt use and seat position, were devised and evaluated. Results With no interacting term, age was the most prominent predictor. Elderly occupants were most likely to suffer from severe Injury without a seatbelt in all seat positions, and the use of a seatbelt reduced this likelihood the most in the elderly group as well. Front passenger seats had the highest risk to elderly occupants, while the driver seat was statistically insignificant. When the elderly group was divided into the younger-old group and the older-old group, the older-olds were found to be much more vulnerable compared to the younger-olds. In particular, older drivers were five times more likely to suffer a severe Injury without a seatbelt. Conclusions The degree of Injury severity of elderly occupants was reduced the most with the use of a seatbelt, demonstrating the importance of using seat restraints. The sharp increase in the risk of Injury of the older-old group suggests that the age standard of 65 years as the elderly group with regard to traffic safety may require reconsideration due to the growing number of elderly vehicle users on the road. Our results provide practical evidence with which to formulate new safety policies, including mandatory seatbelt use, driving age limits and insurance pricing.
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Elderly road collision Injury outcomes associated with seat positions and seatbelt use in a rapidly aging society—A case study in South Korea
2017Co-Authors: Yuna Noh, Yoonjin YoonAbstract:IntroductionAging has long been regarded as one of the most critical factors affecting crash Injury outcomes. In South Korea, where the elderly population is projected to reach 35.9% by 2050, the implications of an increasing number of elderly vehicle users on road safety are evident. In this research, the confounding effect of occupant age in a vehicle in terms of seat position and seatbelt use was investigated. In addition, elderly occupants were divided into a younger-old group aged between 65 and 74 years and an older-old group aged 75 years and older in an effort to assess whether the conventional elderly age standard of 65 years should be reconsidered.MethodsA multinomial logit framework was adopted to predict two-Level Injury severity using collision data between 2008 and 2015. Predictor variables included gender, age group, seat position, seatbelt, road type, road slope, road surface, road line, and type of vehicle. Five models, a base model with no interactions and four interaction models which were combinations of age group, seatbelt use and seat position, were devised and evaluated.ResultsWith no interacting term, age was the most prominent predictor. Elderly occupants were most likely to suffer from severe Injury without a seatbelt in all seat positions, and the use of a seatbelt reduced this likelihood the most in the elderly group as well. Front passenger seats had the highest risk to elderly occupants, while the driver seat was statistically insignificant. When the elderly group was divided into the younger-old group and the older-old group, the older-olds were found to be much more vulnerable compared to the younger-olds. In particular, older drivers were five times more likely to suffer a severe Injury without a seatbelt.ConclusionsThe degree of Injury severity of elderly occupants was reduced the most with the use of a seatbelt, demonstrating the importance of using seat restraints. The sharp increase in the risk of Injury of the older-old group suggests that the age standard of 65 years as the elderly group with regard to traffic safety may require reconsideration due to the growing number of elderly vehicle users on the road. Our results provide practical evidence with which to formulate new safety policies, including mandatory seatbelt use, driving age limits and insurance pricing.
J. O’byrne - One of the best experts on this subject based on the ideXlab platform.
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Evaluation of morbidity, mortality and outcome following cervical spine injuries in elderly patients
European Spine Journal, 2008Co-Authors: S. A. Malik, M. Murphy, P. Connolly, J. O’byrneAbstract:We analysed the morbidity, mortality and outcome of cervical spine injuries in patients over the age of 65 years. This study was a retrospective review of 107 elderly patients admitted to our tertiary referral spinal injuries unit with cervical spine injuries between 1994 and 2002. The data was acquired by analysis of the national spinal unit database, hospital inpatient enquiry system, chart and radiographic review. Mean age was 74 years (range 66–93 years). The male to female ratio was 2.1:1 (M = 72, F = 35). The mean follow-up was 4.4 years (1–9 years) and mean in-hospital stay was 10 days (2–90 days). The mechanism of Injury was a fall in 75 and road traffic accident in the remaining 32 patients. The Level involved was atlanto-axial in 44 cases, sub-axial in 52 cases and the remaining 11 had no bony Injury. MultiLevel involvement occurred in 48 patients. C2 dominated the single Level Injury and most of them were type II odontoid fractures. Four patients had complete neurology, 27 had incomplete neurology, and the remaining 76 had no neurological deficit. Treatment included cervical orthosis in 67 cases, halo immobilization in 25, posterior stabilization in 12 patients and anterior cervical fusion in three patients. The overall complication rate was 18.6% with an associated in-hospital mortality of 11.2%. The complications included loss of reduction due to halo and Minerva loosening, non-union and delayed union among conservatively treated patients, pin site and wound infection, gastrointestinal bleeding and complication due to associated injuries. Among the 28.9% patients with neurological involvement, 37.7% had significant neurological recovery. Outcome was assessed using a cervical spine outcome questionnaire from Johns Hopkins School of Medicine. Sixty-seven patients (70%) completed the form, 20 patients (19%) were deceased at review and 8 patients (7%) were uncontactable. Functional disability was more marked in the patients with neurologically deficit at time of Injury. Outcome of the Injury was related to increasing age, co-morbidity and the severity of neurological deficit. Injuries of the cervical spine are not infrequent occurrence in the elderly and occur with relatively minor trauma. Neck pain in the elderly patients should be thoroughly evaluated to exclude C2 injuries. Most patients can be managed in an orthosis but unstable injuries require rigid external immobilization or surgical stabilization.