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DOI: 10.4103/jnrp.jnrp_194_17
Prevention of Neurotrauma: An Evolving Matter
Publikationsverlauf
Publikationsdatum:
03. September 2019 (online)

Neurotrauma is a multifaceted disease. In recent decades, the number of injuries caused by violence and accidents has increased. Cranioencephalic trauma is a major cause of death in developed countries. It is estimated that alone in the United States of America, about 100,000 people die annually, and among the survivors, there are a significant number of people with disabilities with significant costs to the health system.[[1] [2] [3]]
Cranioencephalic trauma is considered to be the injury of traumatic origin that occurs on the cranial vault and its contents. Traumatic brain injury is a major problem worldwide. It accounts for at least half of trauma-related deaths and impacts on the high costs for health systems, support for treatment, and rehabilitation of patients. In the United States, the costs are estimated at 60 billion dollars annually, whether direct or indirect for loss of labor productivity. Modern trauma response teams, new diagnostic aids, neurosurgical centers, and intensive care treatment have contributed to lower mortality rates for patients with traumatic brain injury, where available series in the literature report mortality of 20%–30% of patients. Despite these effective advantages, there are many aspects that should be improved with regard to the management of traumatic brain injury.[[4] [5]]
In prevention of neurotrauma injuries, at this point, we need to define the categories of injury prevention, primary prevention is that which eliminates the event, secondary prevention decreases the effect, and tertiary prevention improves outcomes.
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REFERENCES
- 1 Gordon JE. The epidemiology of accidents. Am J Public Health Nations Health 1949; 39: 504-15
- 2 World Health Assembly. Child Injury Prevention. 64th WHA Resolution. 24.05.2011 Available from: http://www.apps.who.int/gb/ebwha/pdf_files/WHA64/A64_R27-en.pdf?ua=1 [Last accessed on 2017 Aug 04]
- 3 Park E, Bell JD, Baker AJ. Traumatic brain injury: Can the consequences be stopped?. CMAJ 2008; 178: 1163-70
- 4 Rubiano AM, Puyana JC, Mock CN, Bullock MR, Adelson PD. Strengthening neurotrauma care systems in low and middle income countries. Brain Inj 2013; 27: 262-72
- 5 Rubiano AM, Charry JD, Garzón-Cediel E. Brain Trauma Injury. In: Godoy D, Ugarte S. editor Green Book Cuidado Intensivo. 1st ed. Bogotá: Editorial Distribuna; 2014: p. 110-22
- 6 Volpe R, Lewko J, Batra A. A Compendium of Effective, Evidence Based Best Practices in Prevention of Neurotrauma. 1st ed. Toronto: Education University of Toronto Press; 2002: p. 230-5
- 7 Orton E, Whitehead J, Mhizha-Murira J, Clarkson M, Watson MC, Mulvaney CA. et al. School-based education programmes for the prevention of unintentional injuries in children and young people. Cochrane Database of Systematic Reviews 2016; Issue (12) Art. No.: CD010246 DOI: DOI: 10.1002/14651858.CD010246.pub2.
- 8 Falavigna A, Medeiros GS, Canabarro CT, Barazzetti DO, Marcon G, Carneiro Monteiro GM. et al. How can we teach them about neurotrauma prevention? Prospective and randomized “Pense Bem-Caxias do Sul” study with multiple interventions in preteens and adolescents. J Neurosurg Pediatr 2014; 14: 94-100
- 9 Quinlan KP, Brewer RD, Sleet DA, Dellinger AM. Characteristics of child passenger deaths and injuries involving drinking drivers. JAMA 2000; 283: 2249-52
- 10 Sattin RW. Falls among older persons: A public health perspective. Annu Rev Public Health 1992; 13: 489-508
- 11 Murray CJ, Lopez AD. editors The Global Burden of Disease: A Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Boston, MA: Harvard School of Public Health; 1996
- 12 Roberts I, Mohan D, Abbasi K. War on the roads. BMJ 2002; 324: 1107-8
- 13 Centers for Disease Control and Prevention (CDC). Motor-vehicle safety: A 20th century public health achievement. MMWR Morb Mortal Wkly Rep 1999; 48: 369-74
- 14 Bener A, Abu-Zidan FM, Bensiali AK, Al-Mulla AA, Jadaan KS. Strategy to improve road safety in developing countries. Saudi Med J 2003; 24: 603-8
- 15 Rubiano AM. Strengthening neurotrauma care in the Pan American Region. J Trauma Crit Care Emerg Surg 2013; 2: 5-6
- 16 Reilly P. The impact of neurotrauma on society: An international perspective. Prog Brain Res 2007; 161: 3-9