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Title: Burden of injury of serious road injuries in six EU countries
Authors: Weijermars, Wendy
Bos, Niels
Filtness, Ashleigh J.
Brown, Laurie
Bauer, Robert
Dupont, Emmanuelle
Martin, Jean-Louis
Perez, Katherine
Thomas, Pete
Keywords: Burden of injury
Road safety policy
Road traffic injury
Serious injuries
Issue Date: 2017
Publisher: © Elsevier
Citation: WEIJERMARS, W. ...et al., 2017. Burden of injury of serious road injuries in six EU countries. Accident Analysis & Prevention, 111, pp. 184-192.
Abstract: BACKGROUND: Information about the burden of (non-fatal) road traffic injury is very useful to further improve road safety policy. Previous studies calculated the burden of injury in individual countries. This paper estimates and compares the burden of non-fatal serious road traffic injuries in six EU countries/regions: Austria, Belgium, England, The Netherlands, the Rhône region in France and Spain. METHODS: It is a cross-sectional study based on hospital discharge databases. POPULATION: of study are patients hospitalized with MAIS3+ due to road traffic injuries. The burden of injury (expressed in years lived with disability (YLD)) is calculated applying a method that is developed within the INTEGRIS study. The method assigns estimated disability information to the casualties using the EUROCOST injury classification. RESULTS: The average burden per MAIS3+ casualty varies between 2.4 YLD and 3.2 YLD per casualty. About 90% of the total burden of injury of MAIS3+ casualties is due to lifelong consequences that are experienced by 19% to 33% of the MAIS3+ casualties. Head injuries, spinal cord injuries and injuries to the lower extremities are responsible for more than 90% of the total burden of MAIS3+ road traffic injuries. Results per transport mode differ between the countries. Differences between countries are mainly due to differences in age distribution and in the distribution over EUROCOST injury groups of the casualties. CONCLUSION: The analyses presented in this paper can support further improvement of road safety policy. Countermeasures could for example be focused at reducing skull and brain injuries, spinal cord injuries and injuries to the lower extremities, as these injuries are responsible for more than 90% of the total burden of injury of MAIS3+ casualties.
Description: This paper was accepted for publication in the journal Accident Analysis & Prevention and the definitive published version is available at https://doi.org/10.1016/j.aap.2017.11.040
Sponsor: This paper is based on work carried out within the SafetyCube project of the H2020 programme of the European Commission (Grant number 633485).
Version: Accepted for publication
DOI: 10.1016/j.aap.2017.11.040
URI: https://dspace.lboro.ac.uk/2134/27807
Publisher Link: https://doi.org/10.1016/j.aap.2017.11.040
ISSN: 0001-4575
Appears in Collections:Published Articles (Design School)

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