1
|
Aoki Y, Ishizawa M, Hirata H. Recent trends in three major unintentional accidental deaths among older people in Japan: Stumbling falls, bathtub drowning and food choking. Geriatr Gerontol Int 2024; 24:182-184. [PMID: 38049960 DOI: 10.1111/ggi.14756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 11/02/2023] [Accepted: 11/09/2023] [Indexed: 12/06/2023]
Affiliation(s)
- Yuji Aoki
- Matsumoto University Graduate School of Health Science, Matsumoto, Japan
| | - Miyoko Ishizawa
- Department of Health and Nutritional Science, Faculty of Human Health Science, Matsumoto University, Matsumoto, Japan
| | - Harumi Hirata
- Department of Health and Nutritional Science, Faculty of Human Health Science, Matsumoto University, Matsumoto, Japan
| |
Collapse
|
2
|
Older drivers are at increased risk of fatal crash involvement: Results of a systematic review and meta-analysis. Arch Gerontol Geriatr 2021; 95:104414. [PMID: 33845418 DOI: 10.1016/j.archger.2021.104414] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 03/28/2021] [Accepted: 03/31/2021] [Indexed: 11/23/2022]
Abstract
Older adults have become a larger part of the driving population, but whether they are at increased risk of being involved in fatal crashes remains unclear. METHODS We performed a systematic review of studies investigating fatal crash involvement of older vs non-older drivers by searching the following databases: PubMed, Cochrane Library, Embase, LILACS, SciELO, Web of Science, and ProQuest. Studies that used fatal crash involvement rates per distance driven as a measure of frequency were selected for meta-analysis. RESULTS We analyzed 14 studies published between 2001 and 2018. Of these, 12 reported a higher rate of fatal crashes involving older drivers than non-older drivers; 9 of them used involvement rates per distance driven, which is considered the most appropriate metric. The meta-analysis revealed high heterogeneity between studies. The meta-regression attributed 40% of the heterogeneity to age (older vs non-older drivers) (p<0.005). CONCLUSION Age appears to be associated with higher driver involvement rates for fatal crashes among older persons.
Collapse
|
3
|
Papalimperi AH, Athanaselis SA, Mina AD, Papoutsis II, Spiliopoulou CA, Papadodima SA. Incidence of fatalities of road traffic accidents associated with alcohol consumption and the use of psychoactive drugs: A 7-year survey (2011-2017). Exp Ther Med 2019; 18:2299-2306. [PMID: 31410180 DOI: 10.3892/etm.2019.7787] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Accepted: 07/15/2019] [Indexed: 11/06/2022] Open
Abstract
Driving under the influence of alcohol and/or psychoactive substances increases the risk of severe, even fatal motor vehicle accidents. The aim of this descriptive study was to present the impact of alcohol and/or psychoactive substances on fatal road traffic accidents (RTAs) during the period 2011-2017. For this purpose, the toxicological investigation reports from the Department of Forensic Medicine and Toxicology of the University of Athens were used. In total, 1,841 (32.2%) of the autopsies conducted by the Department of Forensic Medicine and Toxicology of the National and Kapodistrian University of Athens over a 7-year period (2011-2017) were victims of fatal RTAs. Blood and urine samples were collected and analyzed for the presence of alcohol and psychoactive substances. The results were classified according to sex, age, victim (car driver, motorcyclist, pedestrian, or passenger) and the date the accident occurred (day, month and year). In total, 40.7% of the RTA-related fatalities were associated with alcohol consumption, among which 20.3% were car drivers. Of these, 87.3% were male victims. A higher frequency of RTA-related fatalities associated with a blood alcohol concentration (BAC) >110 mg/dl was encountered in younger compared with older age groups. Psychoactive substances were detected in 348 (18.9%) of the victims (cannabis in 46.6% of these, benzodiazepines in 25.9%, opiates in 16.4% and cocaine in 11.1% of these). The percentage of the RTA-related victims that had consumed alcohol in combination with other psychoactive substances was 4.5%. On the whole, the findings of this study suggest that alcohol and psychoactive substances are probably risk factors for RTA-related fatalities.
Collapse
Affiliation(s)
- Athanasia H Papalimperi
- Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece
| | - Sotirios A Athanaselis
- Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece
| | - Areti D Mina
- Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece
| | - Ioannis I Papoutsis
- Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece
| | - Chara A Spiliopoulou
- Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece
| | - Stavroula A Papadodima
- Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 115 27 Athens, Greece
| |
Collapse
|
4
|
Soori H, Razzaghi A, Kavousi A, Abadi A, Khosravi A, Alipour A. Risk factors of deaths related to road traffic crashes in World Health Organization regions: A systematic review. ARCHIVES OF TRAUMA RESEARCH 2019. [DOI: 10.4103/atr.atr_59_19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
5
|
Azami-Aghdash S, Aghaei MH, Sadeghi-Bazarghani H. Epidemiology of Road Traffic Injuries among Elderly People; A Systematic Review and Meta-Analysis. Bull Emerg Trauma 2018; 6:279-291. [PMID: 30402515 PMCID: PMC6215074 DOI: 10.29252/beat-060403] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Objective: To systematically review the epidemiological patterns and interventions for prevention of road traffic injuries (RTIs) among elderly. Methods: Searching keywords including: accident, trauma, road injury, road traffic injuries, aging, old, elder, strategy, intervention, road traffic crash prevention and traffic accident in databases including, Google scholar, SID, IranMedex, PubMed and Scopus. English and non-Persian articles, articles presented in congresses, articles that considered elderly people to have age under than 60 years were excluded. The reporting quality of articles was assessed by two experts using Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) check list. Results: RTIs compromised 23.6% of total injuries among elderly. The most frequent injuries were about car accidents (51.4%). Pedestrian injuries composed 48.1% of the RTIs. Head and neck (32.1%) were most injured body parts. There was a significant difference between elderly and non-elderly people in terms of RTIs associated mortality (Odd=2.57 [1.2-5.4 CI 95%]). Overall 25 main domains of intervention and 73 subordinate domains were extracted in five categories (human, road and environment, tools and cars, medical, legal and political issues). Conclusion: According to the notable prevalence and fatality of RTIs, lack of sufficient studies and valid evidence of the present study can provide an appropriate evidence for better interventions for RTIs prevention among elderly.
Collapse
Affiliation(s)
- Saber Azami-Aghdash
- Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mir Hossein Aghaei
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | | |
Collapse
|
6
|
Besharati MM, Tavakoli Kashani A. Which set of factors contribute to increase the likelihood of pedestrian fatality in road crashes? Int J Inj Contr Saf Promot 2017; 25:247-256. [DOI: 10.1080/17457300.2017.1363781] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Mohammad Mehdi Besharati
- School of Civil Engineering, Iran University of Science & Technology, Tehran, Iran
- Road Safety Research Centre, Iran University of Science and Technology, Tehran, Iran
| | - Ali Tavakoli Kashani
- School of Civil Engineering, Iran University of Science & Technology, Tehran, Iran
- Road Safety Research Centre, Iran University of Science and Technology, Tehran, Iran
| |
Collapse
|
7
|
Non-traumatic hemorrhage is controlled with REBOA in acute phase then mortality increases gradually by non-hemorrhagic causes: DIRECT-IABO registry in Japan. Eur J Trauma Emerg Surg 2017; 44:503-509. [PMID: 28831501 DOI: 10.1007/s00068-017-0829-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 08/16/2017] [Indexed: 10/19/2022]
Abstract
PURPOSE Resuscitative endovascular balloon occlusion of the aorta (REBOA) is now a feasible and less invasive resuscitation procedure. This study aimed to compare the clinical course of trauma and non-trauma patients undergoing REBOA. METHODS Patient demographics, etiology, bleeding sites, hemodynamic response, length of critical care, and cause of death were recorded. Characteristics and outcomes were compared between non-trauma and trauma patients. Kaplan-Meier survival analysis was then conducted. RESULTS Between August 2011 and December 2015, 142 (36 non-trauma; 106 trauma) cases were analyzed. Non-traumatic etiologies included gastrointestinal bleeding, obstetrics and gynecology-derived events, visceral aneurysm, abdominal aortic aneurysm, and post-abdominal surgery. The abdomen was a common bleeding site (69%), followed by the pelvis or extra-pelvic retroperitoneum. None of the non-trauma patients had multiple bleeding sites, whereas 45% of trauma patients did (P < 0.001). No non-trauma patients required resuscitative thoracotomy compared with 28% of the trauma patients (P < 0.001). Non-trauma patients presented a lower 24-h mortality than trauma patients (19 vs. 51%, P = 0.001). The non-trauma cases demonstrated a gradual but prolonged increased mortality, whereas survival in trauma cases rapidly declined (P = 0.009) with similar hospital mortality (68 vs. 64%). Non-trauma patients who survived for 24 h had 0 ventilator-free days and 0 ICU-free days vs. a median of 19 and 12, respectively, for trauma patients (P = 0.33 and 0.39, respectively). Non-hemorrhagic death was more common in non-trauma vs. trauma patients (83 vs. 33%, P < 0.001). CONCLUSIONS Non-traumatic hemorrhagic shock often resulted from a single bleeding site, and resulted in better 24-h survival than traumatic hemorrhage among Japanese patients who underwent REBOA. However, hospital mortality increased steadily in non-trauma patients affected by non-hemorrhagic causes after a longer period of critical care.
Collapse
|
8
|
Ando T, Sakai H, Uchiyama Y. Association of physical activity and appetite with visual function related to driving competence in older adults. BMC Geriatr 2017; 17:96. [PMID: 28446144 PMCID: PMC5406876 DOI: 10.1186/s12877-017-0484-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2016] [Accepted: 04/10/2017] [Indexed: 11/20/2022] Open
Abstract
Background Older people are at greater risk of traffic accidents, partially because of age-related declines in visual function, including reduced useful field of view (UFOV). However, lifestyle factors which cause age-related decline in UFOV remain poorly understood. We conducted a study to investigate whether physical activity and appetite status were related to UFOV test performance in healthy older adults. Methods Thirty community-dwelling older people (age 68.6 ± 3.1 years, 15 females) were enrolled in this study. Each participant completed the Council on Nutrition appetite questionnaire (CNAQ) and a UFOV test. They then wore a tri-axial accelerometer (Active style Pro HJA-350IT) for 3–6 consecutive days to objectively measure their PA in free-living conditions. Results Longer time spent in vigorous physical activity was significantly associated with better UFOV test performance when adjusted for age and accelerometer wear time (non-locomotive: r = −0.435, locomotive: r = −0.449; n = 25). In addition, male, but not female, participants with a higher CNAQ score had significantly better UFOV test performance in both an unadjusted model (r = −0.560; n = 15) and a model adjusted for age (r = −0.635; n = 15). Conclusions The results suggest that appetite status among males and time spent in high intensity PA are associated with visual function related to driving competence in older adults.
Collapse
Affiliation(s)
- Takafumi Ando
- Human Science Research Domain, Toyota Central R&D Labs., Inc, 41-1 Yokomichi, Nagakute, Aichi, 480-1192, Japan.
| | - Hiroyuki Sakai
- Human Science Research Domain, Toyota Central R&D Labs., Inc, 41-1 Yokomichi, Nagakute, Aichi, 480-1192, Japan
| | - Yuji Uchiyama
- Human Science Research Domain, Toyota Central R&D Labs., Inc, 41-1 Yokomichi, Nagakute, Aichi, 480-1192, Japan.
| |
Collapse
|
9
|
Vanlaar W, Mainegra Hing M, Brown S, McAteer H, Crain J, McFaull S. Fatal and serious injuries related to vulnerable road users in Canada. JOURNAL OF SAFETY RESEARCH 2016; 58:67-77. [PMID: 27620936 DOI: 10.1016/j.jsr.2016.07.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Revised: 06/27/2016] [Accepted: 07/05/2016] [Indexed: 06/06/2023]
Abstract
INTRODUCTION The goals of this study were to analyze possible trends of fatal and serious injuries related to vulnerable road users in Canada (pedestrians, cyclists and motorcyclists) from 1990 to 2012 and the role of alcohol and drugs in these cases. Drugs have rarely been documented with respect to vulnerable road users. METHOD The Traffic Injury Research Foundation's National Fatality and Serious Injury Databases and the Public Health Agency of Canada's Canadian Hospitals Injury Reporting and Prevention Program databases were used. Numbers and rates of fatalities and serious injuries among vulnerable road users were analyzed and regression models were used to assess changes over time. RESULTS The analyses show that while the absolute number of fatalities and the rate per 100,000 population among vulnerable road users may be decreasing, no such trends are apparent when looking at the proportions of these road user fatalities out of all motor-vehicle fatalities. The trend for the proportion of motorcyclist fatalities is significantly increasing (coef.=0.16, p<0.001). The elderly (76years or older) are overrepresented among pedestrian fatalities, and serious injuries (they represent 18.5% of all pedestrian fatalities but only 5.8% of the population), while those 15years or younger are overrepresented among cyclists (they represent 23.3% of cyclist fatalities but 19.5% of the population), and those 16 to 25years old are overrepresented among motorcyclists (27.2% of motorcyclists fatalities and 13.6% of population). Alcohol and drug use among fatally injured vulnerable road users were significant problems, especially among pedestrians. Among fatally injured pedestrians tested for alcohol and drugs, 39.7% and 43.4% tested positive, respectively. CONCLUSIONS With the promotion of walking and cycling as forms of exercise and the popularity of motorcycling, the safety of vulnerable road users is an important issue. The results corroborate previous research and extend our understanding about the influence of alcohol and drugs in vulnerable road user injuries. PRACTICAL APPLICATIONS These findings can help better inform prevention and mitigation initiatives for vulnerable road users.
Collapse
Affiliation(s)
- Ward Vanlaar
- Traffic Injury Research Foundation, 171 Nepean Street, Ottawa, Ontario K2P 0B4, Canada
| | | | - Steve Brown
- Traffic Injury Research Foundation, 171 Nepean Street, Ottawa, Ontario K2P 0B4, Canada
| | - Heather McAteer
- Traffic Injury Research Foundation, 171 Nepean Street, Ottawa, Ontario K2P 0B4, Canada
| | - Jennifer Crain
- The Public Health Agency of Canada, Injury Section, Centre for Chronic Disease Prevention, 785 Carling Avenue, 7th Floor, AL 6807B, Ottawa, Ontario K1A 0K9, Canada
| | - Steven McFaull
- The Public Health Agency of Canada, Injury Section, Centre for Chronic Disease Prevention, 785 Carling Avenue, 7th Floor, AL 6807B, Ottawa, Ontario K1A 0K9, Canada
| |
Collapse
|
10
|
Kashani AT, Besharati MM. Fatality rate of pedestrians and fatal crash involvement rate of drivers in pedestrian crashes: a case study of Iran. Int J Inj Contr Saf Promot 2016; 24:222-231. [DOI: 10.1080/17457300.2016.1166139] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Ali Tavakoli Kashani
- Assistant Professor of civil engineering, School of Civil Engineering, Iran University of Science & Technology, Tehran, Iran
| | - Mohammad Mehdi Besharati
- PHD student in transportation engineering, School of Civil Engineering, Iran University of Science & Technology, Tehran, Iran
| |
Collapse
|