Laurie Brown

Serious Road Traffic Injuries in Europe, Lessons from the EU Research Project SafetyCube:

The EU research project SafetyCube pays specific attention to serious road injuries, defined as nonfatal road traffic casualties with an injury severity level of MAIS3+. By means of surveys, information was collected on current practices concerning the estimation of the number of MAIS3+ casualties and on costs related to serious road injuries in different European countries. Moreover, the effect of differences in practices on the estimated number of MAIS3+ casualties was investigated by applying different methods to the same data. Finally, by means of a literature review, analysis of additional case studies, and burden of injury calculations, health impacts of serious road injuries were investigated. This paper presents six main lessons learned from these activities. Practices concerning the estimation of the number of MAIS3+ casualties differ between countries; some countries apply correction factors to police data, other countries use hospital data, and a third group of countries uses linked police and hospital data. Practices also differ concerning the selection of MAIS3+ road traffic injuries within hospital data. Differences in methodology appear to affect the MAIS3+ estimate. Therefore, one should be careful when comparing figures from different countries. The SafetyCube guidelines can support further harmonization. It is important to reduce the number of serious road injuries because injuries can have major impacts on a casualty’s life and pose a burden to society. About 75% of the MAIS3+ road traffic casualties are not fully recovered 3 years postcrash. Moreover, serious road injuries cost countries up to 2.7% of their gross domestic product.

Burden of injury of serious road injuries in six EU countries

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.