DOI QR코드

DOI QR Code

Epidemiologic Impact of Rapid Industrialization on Head Injury Based on Traffic Accident Statistics in Korea

  • Kim, Dong Ho (Deaprtment of Neurosurgery, Chungbuk National University Hospital) ;
  • Chung, You Nam (Department of Neurosurgery, Jeju National University Hospital) ;
  • Park, Young Seok (Deaprtment of Neurosurgery, Chungbuk National University Hospital) ;
  • Min, Kyung Soo (Deaprtment of Neurosurgery, Chungbuk National University Hospital) ;
  • Lee, Mou Seop (Deaprtment of Neurosurgery, Chungbuk National University Hospital) ;
  • Kim, Young Gyu (Deaprtment of Neurosurgery, Chungbuk National University Hospital)
  • Received : 2015.07.29
  • Accepted : 2016.01.04
  • Published : 2016.03.01

Abstract

Objective : The aim of the present study is to estimate the incidence trend of head injury and the mortality based on traffic accident statistics and to investigate the impacts of rapid industrialization and economic growth on epidemiology of head injury in Korea over the period 1970-2012 including both pre-industrialized and post-industrialized stages. Methods : We collected data of head injury estimated from traffic accident statistics and seven hospital based reports to see incidence trends between 1970 and 2012. We also investigated the population structure and Gross National Income (GNI) per capita of Korea over the same period. The age specific data were investigated from 1992 to 2012. Results : The incidence of head injury gradually rose in the 1970s and the 1980s but stabilized until the 1990s with transient rise and then started to decline slowly in the 2000s. The mortality grew until 1991 but gradually declined ever since. However, the old age groups showed rather slight increase in both rates. The degree of decrease in the mortality has been more rapid than the incidence on head injury. Conclusion : In Korea during the low income stage, rapid industrialization cause considerable increase in the mortality and the incidence of head injury. During the high income stage, the incidence of head injury gradually declined and the mortality dropped more rapidly than the incidence due to preventive measures and satisfactory medical care. Nevertheless, the old age groups revealed rather slight increase in both rates owing to the large population structure and the declining birth rate.

Keywords

References

  1. Andersson EH, Bjorklund R, Emanuelson I, Stalhammar D : Epidemiology of traumatic brain injury : a population based study in western Sweden. Acta Neurol Scand 107 : 256-259, 2003 https://doi.org/10.1034/j.1600-0404.2003.00112.x
  2. Bachulis BL, Sangster W, Gorrell GW, Long WB : Patterns of injury in helmeted and nonhelmeted motorcyclists. Am J Surg 155 : 708-711, 1988 https://doi.org/10.1016/S0002-9610(88)80151-X
  3. Bruns J Jr, Hauser WA : The epidemiology of traumatic brain injury : a review. Epilepsia 44 Suppl 10 : 2-10, 2003
  4. Chiu WT, Hung CC, Shih CJ : Epidemiology of head injury in rural Taiwan -a four year survey. J Clin Neurosci 2 : 210-215, 1995 https://doi.org/10.1016/S0967-5868(95)80004-2
  5. Chiu WT, Kuo CY, Hung CC, Chen M : The effect of the Taiwan motorcycle helmet use law on head injuries. Am J Public Health 90 : 793-796, 2000 https://doi.org/10.2105/AJPH.90.5.793
  6. Cho MK, Rhee HJ, Kim Y, Choi KS, Chu JW, Sim BS : A clinical observation on craniocerebral injuries in infants and Children. J Korean Neurosurg Soc 1 : 79-86, 1972
  7. Finelli FC, Jonsson J, Champion HR, Morelli S, Fouty WJ : A case control study for major trauma in geriatric patients. J Trauma 29 : 541-548, 1989 https://doi.org/10.1097/00005373-198905000-00001
  8. Frankowski RF : Descriptive epidemiologic studies of head injury in the United States : 1974-1984. Adv Psychosom Med 16 : 153-172, 1986
  9. Hernesniemi J : Outcome following head injuries in the aged. Acta Neurochir (Wien) 49 : 67-79, 1979 https://doi.org/10.1007/BF01809175
  10. Ivan K : E-book. Macroeconomics in Korea. World macroeconomic research, 1970-2013
  11. Jennett B, MacMillan R : Epidemiology of head injury. Br Med J (Clin Res Ed) 282 : 101-104, 1981 https://doi.org/10.1136/bmj.282.6258.101
  12. Jun YH, Kim TS, Kim KM, Kim GK, Rhee BA, Leem W : A clinical analysis and assessment of outcome by glasgow coma scale in 1210 adult head injury. J Korean Neurosurg Soc 15 : 395-418, 1986
  13. Kim DH : Historical review of Japan Neurotrauma Data Bank (JNTDB). Korean J Neurotrauma 9 : 31-35, 2013 https://doi.org/10.13004/kjnt.2013.9.2.31
  14. Kim WH, Lee KS, Bae HG, Yun IG, Lee IS : A clinical analysis on 1000 consecutive head injuries. J Korean Neurosurg Soc 18 : 290-300, 1989
  15. Lee BW, Han YP, Chung SS, Lee KC : Clinical features of craniocerebral injury in children. J Korean Neurosurg Soc 14 : 153-168, 1985
  16. Lee KS : Estimation of the incidence of head injury in Korea : an approximation based on national traffic accident statistics. J Korean Med Sci 16 : 342-346, 2001 https://doi.org/10.3346/jkms.2001.16.3.342
  17. Lee SC, Choi SK, Lee YS, Lyu SY, Jang KY, Hwang DY, et al. : A clinical observation on craniocerebral injuries in adults : analysis of 1547 cases. J Korean Neurosurg Soc 6 : 435-452, 1977
  18. Lee SK; Korean Trauma Data Bank Committee : Understandings and key elements of trauma data bank system. Korean J Neurotrauma 8 : 1-9, 2012 https://doi.org/10.13004/kjnt.2012.8.1.1
  19. Moon SB, Kang YC, Kim YC, Kim SJ, Kim GK, Rhee BA, et al. : Clinical analysis of associated injuries in head injuried patients. J Korean Neurosurg Soc 6 : 379-390, 1977
  20. Pennings JL, Bachulis BL, Simons CT, Slazinski T : Survival after severe brain injury in the aged. Arch Surg 128 : 787-793; discussion 793-794, 1993 https://doi.org/10.1001/archsurg.1993.01420190083011
  21. Perez K, Novoa AM, Santamarina-Rubio E, Narvaez Y, Arrufat V, Borrell C, et al. : Incidence trends of traumatic spinal cord injury and traumatic brain injury in Spain, 2000-2009. Accid Anal Prev 46 : 37-44, 2012 https://doi.org/10.1016/j.aap.2011.12.004
  22. Rhee HJ, Choi MK, Kim Y, Choi KS, Chu JW, Sim BS : A clinical observation on craniocerebral injuries in adult. J Korean Neurosurg Soc 1 : 67-78, 1972
  23. Sosin DM, Sniezek JE, Waxweiler RJ : Trends in death associated with traumatic brain injury, 1979 through 1992. Success and failure. JAMA 273 : 1778-1780, 1995 https://doi.org/10.1001/jama.1995.03520460060036
  24. Tokutomi T, Miyagi T, Ogawa T, Ono J, Kawamata T, Sakamoto T, et al. : Age-associated increases in poor outcomes after traumatic brain injury : a report from the Japan Neurotrauma Data Bank. J Neurotrauma 25 : 1407-1414, 2008 https://doi.org/10.1089/neu.2008.0577
  25. Yang BM, Kim J : Road traffic accidents and policy interventions in Korea. Inj Control Saf Promot 10 : 89-94, 2003 https://doi.org/10.1076/icsp.10.1.89.14120

Cited by

  1. Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data vol.7, pp.1, 2016, https://doi.org/10.1186/s13561-017-0177-z
  2. 자동차 사고를 재현한 시뮬레이션 교육 프로그램 개발을 위한 요구도 조사 vol.33, pp.1, 2016, https://doi.org/10.7731/kifse.2019.33.1.179