Head injuries in adolescents in Taiwan

a comparison between urban and rural groups

Ming Fu Chiang, Wen Ta Chiu, Hsing Jasmine Chao, Wan Lin Chen, Shu Fen Chu, Shiu Jau Chen, Ching Chang Hung, Shin Han Tsai

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: Data pertaining to head injuries in adolescents in Taiwan are scarce. The purpose of this study was to investigate the trend and pattern of head injuries in adolescents in both urban and rural areas in Taiwan. Methods: We collected data from major hospitals in the urban (20) and fsin the rural (4) areas of Taiwan for a period of 3 years. Data were obtained from the Head Injury Registry, a 10-year electronic database of head injury in Taiwan. The inpatient medical records of adolescents with head injury were thoroughly reviewed. Severity of head injury was classified by the GCS score, and patient outcome at discharge from hospital was measured by the Glasgow Outcome Scale. Differences and correlation between study groups (13-15 and 16-18 years old) in the urban and rural areas were examined using 2-tailed t and χ2 tests. Results: A total of 469 head injury cases in the urban area and 131 in the rural area were identified. Traffic accidents were the major cause of head injury, and motorcycles were the most predominant vehicles causing traffic accidents in both urban and rural areas. Intracranial hemorrhages were the most prevalent injury pattern in the study population. In both urban and rural areas, the severities of injury were not significantly different (P = .184), but the outcomes at discharge were significantly better in urban areas (P = .032). The correlation between the initial GCS and outcomes in both areas was significant (P <.001). Craniotomy was performed more frequently in the rural area than in the urban area (15.3% vs 7.2%). The mean hospital stay was shorter in the latter than in the former (P <.001). Education on helmet use, input of neurosurgical staff, and facility and emergency medical transportation service of head-injured patients following guidelines proposed by the WFNS are crucial for head injury and better control in rural areas. Conclusions: The causes, patterns, and outcomes of head injury were statistically different between the 2 age groups of adolescents in urban and rural areas. Further studies on adolescent head injury are necessary.

Original languageEnglish
JournalSurgical Neurology
Volume66
Issue numberSUPPL. 2
DOIs
Publication statusPublished - Nov 2006

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Taiwan
Craniocerebral Trauma
Traffic Accidents
Glasgow Outcome Scale
Motorcycles
Head Protective Devices
Intracranial Hemorrhages
Craniotomy
Urban Hospitals
Wounds and Injuries
Emergency Medical Services
Medical Records
Registries
Inpatients
Length of Stay
Age Groups
Head
Databases
Guidelines
Education

Keywords

  • Adolescent
  • Glasgow Coma Scale
  • Glasgow Outcome Scale
  • Head injury
  • Helmet use law
  • Intracranial hemorrhage
  • Motorcycle

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Head injuries in adolescents in Taiwan : a comparison between urban and rural groups. / Chiang, Ming Fu; Chiu, Wen Ta; Chao, Hsing Jasmine; Chen, Wan Lin; Chu, Shu Fen; Chen, Shiu Jau; Hung, Ching Chang; Tsai, Shin Han.

In: Surgical Neurology, Vol. 66, No. SUPPL. 2, 11.2006.

Research output: Contribution to journalArticle

Chiang, Ming Fu ; Chiu, Wen Ta ; Chao, Hsing Jasmine ; Chen, Wan Lin ; Chu, Shu Fen ; Chen, Shiu Jau ; Hung, Ching Chang ; Tsai, Shin Han. / Head injuries in adolescents in Taiwan : a comparison between urban and rural groups. In: Surgical Neurology. 2006 ; Vol. 66, No. SUPPL. 2.
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abstract = "Background: Data pertaining to head injuries in adolescents in Taiwan are scarce. The purpose of this study was to investigate the trend and pattern of head injuries in adolescents in both urban and rural areas in Taiwan. Methods: We collected data from major hospitals in the urban (20) and fsin the rural (4) areas of Taiwan for a period of 3 years. Data were obtained from the Head Injury Registry, a 10-year electronic database of head injury in Taiwan. The inpatient medical records of adolescents with head injury were thoroughly reviewed. Severity of head injury was classified by the GCS score, and patient outcome at discharge from hospital was measured by the Glasgow Outcome Scale. Differences and correlation between study groups (13-15 and 16-18 years old) in the urban and rural areas were examined using 2-tailed t and χ2 tests. Results: A total of 469 head injury cases in the urban area and 131 in the rural area were identified. Traffic accidents were the major cause of head injury, and motorcycles were the most predominant vehicles causing traffic accidents in both urban and rural areas. Intracranial hemorrhages were the most prevalent injury pattern in the study population. In both urban and rural areas, the severities of injury were not significantly different (P = .184), but the outcomes at discharge were significantly better in urban areas (P = .032). The correlation between the initial GCS and outcomes in both areas was significant (P <.001). Craniotomy was performed more frequently in the rural area than in the urban area (15.3{\%} vs 7.2{\%}). The mean hospital stay was shorter in the latter than in the former (P <.001). Education on helmet use, input of neurosurgical staff, and facility and emergency medical transportation service of head-injured patients following guidelines proposed by the WFNS are crucial for head injury and better control in rural areas. Conclusions: The causes, patterns, and outcomes of head injury were statistically different between the 2 age groups of adolescents in urban and rural areas. Further studies on adolescent head injury are necessary.",
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AU - Chen, Shiu Jau

AU - Hung, Ching Chang

AU - Tsai, Shin Han

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AB - Background: Data pertaining to head injuries in adolescents in Taiwan are scarce. The purpose of this study was to investigate the trend and pattern of head injuries in adolescents in both urban and rural areas in Taiwan. Methods: We collected data from major hospitals in the urban (20) and fsin the rural (4) areas of Taiwan for a period of 3 years. Data were obtained from the Head Injury Registry, a 10-year electronic database of head injury in Taiwan. The inpatient medical records of adolescents with head injury were thoroughly reviewed. Severity of head injury was classified by the GCS score, and patient outcome at discharge from hospital was measured by the Glasgow Outcome Scale. Differences and correlation between study groups (13-15 and 16-18 years old) in the urban and rural areas were examined using 2-tailed t and χ2 tests. Results: A total of 469 head injury cases in the urban area and 131 in the rural area were identified. Traffic accidents were the major cause of head injury, and motorcycles were the most predominant vehicles causing traffic accidents in both urban and rural areas. Intracranial hemorrhages were the most prevalent injury pattern in the study population. In both urban and rural areas, the severities of injury were not significantly different (P = .184), but the outcomes at discharge were significantly better in urban areas (P = .032). The correlation between the initial GCS and outcomes in both areas was significant (P <.001). Craniotomy was performed more frequently in the rural area than in the urban area (15.3% vs 7.2%). The mean hospital stay was shorter in the latter than in the former (P <.001). Education on helmet use, input of neurosurgical staff, and facility and emergency medical transportation service of head-injured patients following guidelines proposed by the WFNS are crucial for head injury and better control in rural areas. Conclusions: The causes, patterns, and outcomes of head injury were statistically different between the 2 age groups of adolescents in urban and rural areas. Further studies on adolescent head injury are necessary.

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KW - Glasgow Coma Scale

KW - Glasgow Outcome Scale

KW - Head injury

KW - Helmet use law

KW - Intracranial hemorrhage

KW - Motorcycle

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