ArticleFrontiers in neurology2017
Clinical Epidemiology of Head Injury from Road-Traffic Trauma in a Developing Country in the Current Era.
Article in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology of Traumatic brain injury in Ethiopia: A systematic review and meta-analysis of prevalence, mechanisms, and outcomes.PloS one · 2025Pooled it
- The top 100 most cited peer-reviewed publications on global neurosurgery: Mapping research trends and gaps over four decades.Acta neurochirurgica · 2026Review
- Intracranial pressure monitoring and treatment practices in severe traumatic brain injury between low-and middle-income countries and high-income countries: Data or dogma?Surgical neurology international · 2024Article
- Presentations and Incidence of Ocular Injuries Caused by Motorcycle Accidents in Iraq.F1000Research · 2024Article
- Head Injury Prevalence in a Population of Injured Patients Seeking Care in Ghana, West Africa.Frontiers in neurology · 2022Article
- The epidemiology of pediatric traumatic brain injury presenting at a referral center in Moshi, Tanzania.PloS one · 2022Article
- Motorcycle-Associated Ocular Injuries: A Narrative Review.Clinical ophthalmology (Auckland, N.Z.) · 2022Review
- The Outcomes of Traumatic Acute Subdural Hematoma in a Tertiary Center in Abuja, Nigeria.Cureus · 2021Article
- Article
- Mannitol Dosing Error during Pre-neurosurgical Care of Head Injury: A Neurosurgical In-Hospital Survey from Ibadan, Nigeria.Journal of neurosciences in rural practice · 2021Article
- Article
- The epidemiology and prehospital care of motorcycle crashes in a sub-Saharan African urban center.Traffic injury prevention · 2020Article
- Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: A prospective observational study.Surgical neurology international · 2020Article
- Access to the Intensive Care Unit by Severe Head Injury Patients.Journal of neurosciences in rural practice · 2019Article
- Patterns, Types, and Outcomes of Head Injury in Aseer Region, Kingdom of Saudi Arabia.Neuroscience journal · 2019Article
- Computed Tomographic Patterns of Traumatic Brain Injury in a Nigerian Tertiary Hospital.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAfrica and other Asian low middle-income countries account for the greatest burden of the global road-traffic injury (RTI)-related head injury (HI). This study set out to describe the incidence, causation, and severity of RTI-related HI and associated injuries in a Nigerian academic neurosurgical practice.
methodsThis is a retrospective cross-sectional analysis of RTI-related HI from a prospective HI registry in an academic neurosurgery practice in Nigeria.
resultsAll-terrain RTI accounted for 80.6% (833/1,034) of HI over a 7-year study period. All age groups were involved, mean 33.06 years (SD 18.30), mode 21-30, 231/833 (27.7%). The male:female ratio was 631:202, ≈3:1. The road trauma occurred exclusively from motorcycle-and motor-vehicle crash (MCC/MVC), MCC caused 56.8% (473/833) of these; the victims were vulnerable road users (VRU) in 74%, and >90% belong in the low socioeconomic class. Using the Glasgow Coma Scale grading, the HI was moderate/severe in 52%; loss of consciousness occurred in 93%, the Abbreviated Injury Severity-head > 3 in 74%, and computed tomography (CT) Rotterdam score > 3 in 52%. Significant extracranial injuries occurred in many organ systems, 421/833 (50.5%) having Injury Severity Score (ISS) > 25. Surgical lesions included extensive brain contusions in 157 (18.8%); acute extradural hematoma in 34 (4.1%); acute subdural hematoma in 32 (3.8%); and traumatic intracerebral hemorrhage in 27 (3.2%), but only 97 (11.6%) received operative care for various logistic reasons. The in-hospital outcome was good in 71.3% and poor in 28.7%; the statistically significant (
conclusionIn this study from Nigeria, RTI-related HI emanates from significant trauma to vulnerable road users and are caused exclusively by motorcycles and motor vehicles.
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