Risk of Permanent Medical Impairment (RPMI) in Car Crashes Correlated to Age and Gender

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Gustafsson, MarkusUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Umeå University (författare)

Risk of Permanent Medical Impairment (RPMI) in Car Crashes Correlated to Age and Gender

Artikel/kapitelEngelska2015

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2015-01-15
Informa UK Limited,2015
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:umu-99760
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-99760URI
https://doi.org/10.1080/15389588.2014.940459DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:130492636URI
https://research.chalmers.se/publication/203257URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

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Objective:As fatalities from car crashes decrease, focus on medical impairment following car crashes becomes more essential. This study assessed the risk of permanent medical impairment based on car occupant injuries. The aim was to study whether the risk of permanent medical impairment differs depending on age and gender.Methods:In total, 36,744 injured occupants in car crashes that occurred between 1995 and 2010 were included. All initial injuries (n = 61,440) were classified according to the Abbreviated Injury Scale (AIS) 2005. If a car occupant still had residual symptoms 3years after a crash, the case was classed as a permanent medical impairment. In total, 5,144 injuries led to permanent medical impairment. The data were divided into different groups according to age and gender as well as levels of permanent impairment. The risk of permanent medical impairment was established for different body regions and injury severity levels, according to the AIS.Results:The cervical spine was the body region that had the highest number of diagnoses, and occupants who sustained injuries to the upper and lower extremities had the highest risk of medical impairment for both genders. Females aged 60 and above had a higher risk of permanent medical impairment from fractures in the extremities compared to males in the same age group and younger females. Females aged 44 or younger had a higher risk of permanent medical impairment from whiplash-associated disorders (WAD) than males in the same age group. Minor and moderate injuries (AIS 1-2) had a higher risk of permanent medical impairment among older car occupants compared to younger ones.Conclusions:Differences in long-term outcome were dependent on both gender and age. Differences between age groups were generally greater than between genders. The vast majority of permanent medical impairments resulted from diagnoses with a low risk of fatality. The results emphasize the impact of age and gender in long-term consequences from car crashes. They could be used when designing safety technology in cars as well as to improve health care by contributing to better allocation of rehabilitation resources following trauma.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
TEKNIK OCH TEKNOLOGIER Maskinteknik Farkostteknik hsv//swe
ENGINEERING AND TECHNOLOGY Mechanical Engineering Vehicle Engineering hsv//eng
age
WAD
permanent medical impairment
disability
gender
neck injury

Biuppslag (personer, institutioner, konferenser, titlar ...)

Stigson, HelenaKarolinska Institutet (författare)
Krafft, MariaUmeå universitet,Kirurgi,Umeå University (författare)
Kullgren, Anders,1963Karolinska Institutet,Chalmers tekniska högskola,Chalmers University of Technology(Swepub:cth)andkull (författare)
Umeå universitetInstitutionen för kirurgisk och perioperativ vetenskap (creator_code:org_t)

Sammanhörande titlar

Ingår i:Traffic Injury Prevention: Informa UK Limited16:4, s. 353-3611538-95881538-957X

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Av författaren/redakt...: Gustafsson, Mark ...; Stigson, Helena; Krafft, Maria; Kullgren, Anders ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

TEKNIK OCH TEKNOLOGIER: TEKNIK OCH TEKNO ...; och Maskinteknik; och Farkostteknik

Artiklar i publikationen: Traffic Injury P ...

Av lärosätet: Umeå universitet; Karolinska Institutet; Chalmers tekniska högskola

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