The changing pattern of head injury in Thailand
Objective: To determine whether patterns of head injury are changing with time. Materials and methods: A total of 3194 and 4217 consecutive trauma patients who attended the emergency room in 1985–86 and 1996 respectively were studied with respect to age, sex, cause of injury, injury severity, pathol...
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| Veröffentlicht in: | Journal of clinical neuroscience 2000-05, Vol.7 (3), p.223-225 |
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| creator | Phuenpathom, Nakornchai Tiensuwan, Montip Ratanalert, Sanguansin Saeheng, Sakchai Sripairojkul, Boonlert |
| description | Objective: To determine whether patterns of head injury are changing with time.
Materials and methods: A total of 3194 and 4217 consecutive trauma patients who attended the emergency room in 1985–86 and 1996 respectively were studied with respect to age, sex, cause of injury, injury severity, pathology, and outcome.
Results: The number of patients with head injury in 1996 nearly doubled (1224/4,217:29.03%) when compared to the 1985–86 study (504/3, 194; 15.78%). This was due to an increase in the outpatient subgroup (1009/1224). The admitted patients with head injury showed a pattern of less severe injury. Severe head injury decreased from 12.4 to 7.9%. However, acute subdural haematoma and diffuse brain injury increased from 12.2% and 9% to 32% and 16.8% respectively. The mortality rate of admitted patients increased statistically significantly from 14.4% to 21.8% between the 1985–86 and 1996 studies.
Conclusions: This comparative study showed attend toward less severe injury. This may be due to multiple factors. The predominant factor may be the compulsory use of motorcycle helmets. The limitation of this study was that it utilised tertiary hospital based data only. Tertiary hospital receive more and serious head injured patients from surrounding provincial hospitals this may be the major cause of the increased the mortality rate. |
| doi_str_mv | 10.1054/jocn.1999.0203 |
| format | Article |
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Materials and methods: A total of 3194 and 4217 consecutive trauma patients who attended the emergency room in 1985–86 and 1996 respectively were studied with respect to age, sex, cause of injury, injury severity, pathology, and outcome.
Results: The number of patients with head injury in 1996 nearly doubled (1224/4,217:29.03%) when compared to the 1985–86 study (504/3, 194; 15.78%). This was due to an increase in the outpatient subgroup (1009/1224). The admitted patients with head injury showed a pattern of less severe injury. Severe head injury decreased from 12.4 to 7.9%. However, acute subdural haematoma and diffuse brain injury increased from 12.2% and 9% to 32% and 16.8% respectively. The mortality rate of admitted patients increased statistically significantly from 14.4% to 21.8% between the 1985–86 and 1996 studies.
Conclusions: This comparative study showed attend toward less severe injury. This may be due to multiple factors. The predominant factor may be the compulsory use of motorcycle helmets. The limitation of this study was that it utilised tertiary hospital based data only. Tertiary hospital receive more and serious head injured patients from surrounding provincial hospitals this may be the major cause of the increased the mortality rate.</description><identifier>ISSN: 0967-5868</identifier><identifier>EISSN: 1532-2653</identifier><identifier>DOI: 10.1054/jocn.1999.0203</identifier><identifier>PMID: 10833620</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Accidents, Traffic - trends ; Adolescent ; Adult ; Biological and medical sciences ; Child ; Craniocerebral Trauma - diagnosis ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - etiology ; Craniocerebral Trauma - mortality ; Emergency Service, Hospital - statistics & numerical data ; Female ; Glasgow Coma Scale ; head injury helmet, motorcycle ; Head Protective Devices - utilization ; Hospitals, University - statistics & numerical data ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Mortality - trends ; Motorcycles - legislation & jurisprudence ; Retrospective Studies ; Survival Rate ; Thailand - epidemiology ; Traumas. Diseases due to physical agents ; Tropical medicine</subject><ispartof>Journal of clinical neuroscience, 2000-05, Vol.7 (3), p.223-225</ispartof><rights>2000</rights><rights>2000 INIST-CNRS</rights><rights>Copyright 2000 Harcourt Publishers Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-de0d24cca6c08a9c7a98cbf62f9db76f6d55e0b11e4b06ba0cbb817255aa1ff43</citedby><cites>FETCH-LOGICAL-c369t-de0d24cca6c08a9c7a98cbf62f9db76f6d55e0b11e4b06ba0cbb817255aa1ff43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0967586899902035$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1357513$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10833620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phuenpathom, Nakornchai</creatorcontrib><creatorcontrib>Tiensuwan, Montip</creatorcontrib><creatorcontrib>Ratanalert, Sanguansin</creatorcontrib><creatorcontrib>Saeheng, Sakchai</creatorcontrib><creatorcontrib>Sripairojkul, Boonlert</creatorcontrib><title>The changing pattern of head injury in Thailand</title><title>Journal of clinical neuroscience</title><addtitle>J Clin Neurosci</addtitle><description>Objective: To determine whether patterns of head injury are changing with time.
Materials and methods: A total of 3194 and 4217 consecutive trauma patients who attended the emergency room in 1985–86 and 1996 respectively were studied with respect to age, sex, cause of injury, injury severity, pathology, and outcome.
Results: The number of patients with head injury in 1996 nearly doubled (1224/4,217:29.03%) when compared to the 1985–86 study (504/3, 194; 15.78%). This was due to an increase in the outpatient subgroup (1009/1224). The admitted patients with head injury showed a pattern of less severe injury. Severe head injury decreased from 12.4 to 7.9%. However, acute subdural haematoma and diffuse brain injury increased from 12.2% and 9% to 32% and 16.8% respectively. The mortality rate of admitted patients increased statistically significantly from 14.4% to 21.8% between the 1985–86 and 1996 studies.
Conclusions: This comparative study showed attend toward less severe injury. This may be due to multiple factors. The predominant factor may be the compulsory use of motorcycle helmets. The limitation of this study was that it utilised tertiary hospital based data only. Tertiary hospital receive more and serious head injured patients from surrounding provincial hospitals this may be the major cause of the increased the mortality rate.</description><subject>Accidents, Traffic - trends</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Craniocerebral Trauma - diagnosis</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - etiology</subject><subject>Craniocerebral Trauma - mortality</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Glasgow Coma Scale</subject><subject>head injury helmet, motorcycle</subject><subject>Head Protective Devices - utilization</subject><subject>Hospitals, University - statistics & numerical data</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mortality - trends</subject><subject>Motorcycles - legislation & jurisprudence</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><subject>Thailand - epidemiology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Tropical medicine</subject><issn>0967-5868</issn><issn>1532-2653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAURS0EoqWwMqIMiC3tcxw79ogqvqRKLGW2HPu5ddUmxU6R-PckaiVYmO5y7tXVIeSWwpQCL2eb1jZTqpSaQgHsjIwpZ0VeCM7OyRiUqHIuhRyRq5Q2AKBKBpdkREEyJgoYk9lyjZldm2YVmlW2N12Hsclan63RuCw0m0P87iNbrk3YmsZdkwtvtglvTjkhH89Py_lrvnh_eZs_LnLLhOpyh-CK0lojLEijbGWUtLUXhVeuroQXjnOEmlIsaxC1AVvXklYF58ZQ70s2IQ_H3X1sPw-YOr0LyeK2_4DtIemKUi6lHMDpEbSxTSmi1_sYdiZ-awp6UKQHRXpQpAdFfeHutHyod-j-4EcnPXB_AkyyZuujaWxIvxzjFafDjjxi2Gv4Chh1sgEbiy5EtJ12bfjvwg9-HoGl</recordid><startdate>20000501</startdate><enddate>20000501</enddate><creator>Phuenpathom, Nakornchai</creator><creator>Tiensuwan, Montip</creator><creator>Ratanalert, Sanguansin</creator><creator>Saeheng, Sakchai</creator><creator>Sripairojkul, Boonlert</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000501</creationdate><title>The changing pattern of head injury in Thailand</title><author>Phuenpathom, Nakornchai ; Tiensuwan, Montip ; Ratanalert, Sanguansin ; Saeheng, Sakchai ; Sripairojkul, Boonlert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-de0d24cca6c08a9c7a98cbf62f9db76f6d55e0b11e4b06ba0cbb817255aa1ff43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Accidents, Traffic - trends</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Craniocerebral Trauma - diagnosis</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Craniocerebral Trauma - etiology</topic><topic>Craniocerebral Trauma - mortality</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Glasgow Coma Scale</topic><topic>head injury helmet, motorcycle</topic><topic>Head Protective Devices - utilization</topic><topic>Hospitals, University - statistics & numerical data</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mortality - trends</topic><topic>Motorcycles - legislation & jurisprudence</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><topic>Thailand - epidemiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Phuenpathom, Nakornchai</creatorcontrib><creatorcontrib>Tiensuwan, Montip</creatorcontrib><creatorcontrib>Ratanalert, Sanguansin</creatorcontrib><creatorcontrib>Saeheng, Sakchai</creatorcontrib><creatorcontrib>Sripairojkul, Boonlert</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Phuenpathom, Nakornchai</au><au>Tiensuwan, Montip</au><au>Ratanalert, Sanguansin</au><au>Saeheng, Sakchai</au><au>Sripairojkul, Boonlert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The changing pattern of head injury in Thailand</atitle><jtitle>Journal of clinical neuroscience</jtitle><addtitle>J Clin Neurosci</addtitle><date>2000-05-01</date><risdate>2000</risdate><volume>7</volume><issue>3</issue><spage>223</spage><epage>225</epage><pages>223-225</pages><issn>0967-5868</issn><eissn>1532-2653</eissn><abstract>Objective: To determine whether patterns of head injury are changing with time.
Materials and methods: A total of 3194 and 4217 consecutive trauma patients who attended the emergency room in 1985–86 and 1996 respectively were studied with respect to age, sex, cause of injury, injury severity, pathology, and outcome.
Results: The number of patients with head injury in 1996 nearly doubled (1224/4,217:29.03%) when compared to the 1985–86 study (504/3, 194; 15.78%). This was due to an increase in the outpatient subgroup (1009/1224). The admitted patients with head injury showed a pattern of less severe injury. Severe head injury decreased from 12.4 to 7.9%. However, acute subdural haematoma and diffuse brain injury increased from 12.2% and 9% to 32% and 16.8% respectively. The mortality rate of admitted patients increased statistically significantly from 14.4% to 21.8% between the 1985–86 and 1996 studies.
Conclusions: This comparative study showed attend toward less severe injury. This may be due to multiple factors. The predominant factor may be the compulsory use of motorcycle helmets. The limitation of this study was that it utilised tertiary hospital based data only. Tertiary hospital receive more and serious head injured patients from surrounding provincial hospitals this may be the major cause of the increased the mortality rate.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>10833620</pmid><doi>10.1054/jocn.1999.0203</doi><tpages>3</tpages></addata></record> |
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| subjects | Accidents, Traffic - trends Adolescent Adult Biological and medical sciences Child Craniocerebral Trauma - diagnosis Craniocerebral Trauma - epidemiology Craniocerebral Trauma - etiology Craniocerebral Trauma - mortality Emergency Service, Hospital - statistics & numerical data Female Glasgow Coma Scale head injury helmet, motorcycle Head Protective Devices - utilization Hospitals, University - statistics & numerical data Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Mortality - trends Motorcycles - legislation & jurisprudence Retrospective Studies Survival Rate Thailand - epidemiology Traumas. Diseases due to physical agents Tropical medicine |
| title | The changing pattern of head injury in Thailand |
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