Cargando…

Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study

BACKGROUND: A motor vehicle seat belt use law for the driver and front-seat passenger was implemented in Taiwan on June 1, 2001. The purpose of this study was to determine the effect of motor vehicle seat belt use on the severity of traumatic brain injuries because of motor vehicle accidents. METHOD...

Descripción completa

Detalles Bibliográficos
Autores principales: KUO, Chia-Ying, CHIOU, Hung-Yi, LIN, Jia-Wei, TSAI, Shin-Han, CHIANG, Yung-Hsiao, LIN, Chien-Min, CHIU, Wen-Ta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441959/
https://www.ncbi.nlm.nih.gov/pubmed/26056665
_version_ 1782372842844717056
author KUO, Chia-Ying
CHIOU, Hung-Yi
LIN, Jia-Wei
TSAI, Shin-Han
CHIANG, Yung-Hsiao
LIN, Chien-Min
CHIU, Wen-Ta
author_facet KUO, Chia-Ying
CHIOU, Hung-Yi
LIN, Jia-Wei
TSAI, Shin-Han
CHIANG, Yung-Hsiao
LIN, Chien-Min
CHIU, Wen-Ta
author_sort KUO, Chia-Ying
collection PubMed
description BACKGROUND: A motor vehicle seat belt use law for the driver and front-seat passenger was implemented in Taiwan on June 1, 2001. The purpose of this study was to determine the effect of motor vehicle seat belt use on the severity of traumatic brain injuries because of motor vehicle accidents. METHODS: Data were collected from 27 major teaching hospitals four years before June 1, 2001 and until May 31, 2013. A total of 822 brain-injured patients with a mean age of 37.4 (± 13.4) years were included; 251 were injured prior to implementation of the law and 571 after. The Glasgow coma scale was adapted to rate the severity of traumatic brain injury on admission. The Glasgow outcome scale was used to categorize the outcome on discharge. RESULTS: After the seat belt law was implemented, traumatic brain injuries were less severe (P<0.001) and the rates of loss of consciousness, neurologic deficit, intracranial hematoma, craniotomy, and poor physical condition at discharge were all significantly lower (all P< 0.05). Male gender, longer hospital stays, not wearing a seat belt, and injury before the law was enacted were all associated with poorer physical condition at the time of discharge (all P <0.01). CONCLUSION: Among occupants who survived a motor vehicle accident but had traumatic brain injuries, those who had worn seat belts had a better prognosis. Seat belts remain one of the best methods to reduce both the severity of injuries and the number of fatalities.
format Online
Article
Text
id pubmed-4441959
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Tehran University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-44419592015-06-08 Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study KUO, Chia-Ying CHIOU, Hung-Yi LIN, Jia-Wei TSAI, Shin-Han CHIANG, Yung-Hsiao LIN, Chien-Min CHIU, Wen-Ta Iran J Public Health Original Article BACKGROUND: A motor vehicle seat belt use law for the driver and front-seat passenger was implemented in Taiwan on June 1, 2001. The purpose of this study was to determine the effect of motor vehicle seat belt use on the severity of traumatic brain injuries because of motor vehicle accidents. METHODS: Data were collected from 27 major teaching hospitals four years before June 1, 2001 and until May 31, 2013. A total of 822 brain-injured patients with a mean age of 37.4 (± 13.4) years were included; 251 were injured prior to implementation of the law and 571 after. The Glasgow coma scale was adapted to rate the severity of traumatic brain injury on admission. The Glasgow outcome scale was used to categorize the outcome on discharge. RESULTS: After the seat belt law was implemented, traumatic brain injuries were less severe (P<0.001) and the rates of loss of consciousness, neurologic deficit, intracranial hematoma, craniotomy, and poor physical condition at discharge were all significantly lower (all P< 0.05). Male gender, longer hospital stays, not wearing a seat belt, and injury before the law was enacted were all associated with poorer physical condition at the time of discharge (all P <0.01). CONCLUSION: Among occupants who survived a motor vehicle accident but had traumatic brain injuries, those who had worn seat belts had a better prognosis. Seat belts remain one of the best methods to reduce both the severity of injuries and the number of fatalities. Tehran University of Medical Sciences 2015-04 2015-04 /pmc/articles/PMC4441959/ /pubmed/26056665 Text en Copyright© Iranian Public Health Association & Tehran University of Medical Sciences This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
KUO, Chia-Ying
CHIOU, Hung-Yi
LIN, Jia-Wei
TSAI, Shin-Han
CHIANG, Yung-Hsiao
LIN, Chien-Min
CHIU, Wen-Ta
Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study
title Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study
title_full Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study
title_fullStr Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study
title_full_unstemmed Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study
title_short Seatbelt Use and Traumatic Brain Injury in Taiwan: A 16-Year Study
title_sort seatbelt use and traumatic brain injury in taiwan: a 16-year study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441959/
https://www.ncbi.nlm.nih.gov/pubmed/26056665
work_keys_str_mv AT kuochiaying seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy
AT chiouhungyi seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy
AT linjiawei seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy
AT tsaishinhan seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy
AT chiangyunghsiao seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy
AT linchienmin seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy
AT chiuwenta seatbeltuseandtraumaticbraininjuryintaiwana16yearstudy