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Öğe Comparison of the severity of traumatic brain injuries in pedestrians and occupants of motor vehicles admitted to Firat health center a five year series in an Eastern Turkish city(American Journal of Case Reports, 2008) Tokdemir, Mehmet; Kafadar,Hüseyin; Türkoğlu, Abdurrahim; Deveci, S. Erhan; Çolak, CemilBackground: Traumatic brain injury is the leading cause of death of people in motor vehicle (MV) accidents, which have been increasing in number in developing countries. A retrospective study was undertaken to evaluate all cases admitted to the emergency department of the authors' institution with suspected injury after involvement in a MV-related accident between January 2000 and January 2005. Material and Method: During the study period a total of 2014 cases were admitted: 1258 were occupants of motor vehicles and 756 were pedestrians. Cases with traumatic brain injury were evaluated with respect to gender, age, Glasgow Coma Scales (GCS), and death. Results: Five hundred thirty-two of the cases (386 male, 146 female, mean age: 26.8+/-20.3 years) involved in MV accidents experienced traumatic brain injuries, of which 299 were MV occupants and 233 were pedestrians. The pediatric (< or =16 years: 65.4%) and elderly (> or =65 years: 64.7%) groups were frequently involved as pedestrians in MV accidents; adults 17-64 years of age were involved as pedestrians at a lower rate (25.4%, p<0.001). The GCS values of the pedestrian victims were significantly lower than those of the MV occupants on admission (p<0.001). Conclusions: The results show that improvements in car safety have reduced life-threatening conditions for occupants of motor vehicles, but this does not include pedestrian safety. There is great need for practical strategies to reduce or prevent MV accident-related injuries among pedestrians, especially for the pediatric and elderly groups who are most exposed to these injuries.Öğe Comparison of the severity of traumatic brain injuries in pedestrians and occupants of motor vehicles admitted to Firat health center: a five-year series in an Eastern Turkish city(American Journal of Case Reports, 2008) Tokdemir, Mehmet; Kafadar, Hüseyin; Türkoğlu, Abdurrahim; Deveci, Süleyman Erhan; Çolak, CemilBackground: Traumatic brain injury is the leading cause of death of people in motor vehicle (MV) accidents, which have been increasing in number in developing countries. A retrospective study was undertaken to evaluate all cases admitted to the emergency department of the authors' institution with suspected injury after involvement in a MV-related accident between January 2000 and January 2005. Material and Method: During the study period a total of 2014 cases were admitted: 1258 were occupants of motor vehicles and 756 were pedestrians. Cases with traumatic brain injury were evaluated with respect to gender, age, Glasgow Coma Scales (GCS), and death. Results: Five hundred thirty-two of the cases (386 male, 146 female, mean age: 26.8+/-20.3 years) involved in MV accidents experienced traumatic brain injuries, of which 299 were MV occupants and 233 were pedestrians. The pediatric (< or =16 years: 65.4%) and elderly (> or =65 years: 64.7%) groups were frequently involved as pedestrians in MV accidents; adults 17-64 years of age were involved as pedestrians at a lower rate (25.4%, p<0.001). The GCS values of the pedestrian victims were significantly lower than those of the MV occupants on admission (p<0.001). Conclusions: The results show that improvements in car safety have reduced life-threatening conditions for occupants of motor vehicles, but this does not include pedestrian safety. There is great need for practical strategies to reduce or prevent MV accident-related injuries among pedestrians, especially for the pediatric and elderly groups who are most exposed to these injuries.Öğe Evaluation of traffic accidents for which autopsies were conducted in an Eastern Turkish City: a five-year study(2016) Börk, Turgay; Tokdemir, Mehmet; Türkoğlu, AbdurrahimAmaç: Trafik kazaları dünya çapında erken ölümlerin en önde gelen nedenlerindendir. Çalışmamızda; trafik kazası sonucu ölen olgulara ait veriler ortaya konulup trafik güvenliğini etkileyen konularda önerilerde bulunulması amaçlanmıştır. Gereç ve Yöntemler: Çalışmamızda; 5 yıllık sürede Elazığ'da ölü muayene ve otopsisi yapılan 422 trafik kazası olgusu; yaş, cinsiyet, kazanın olduğu gün ve mevsim, kazanın gerçekleştiği olay yeri, ölen kişilerin trafikteki konumu, otopsi yapılıp yapılmadığı, güvenlik tedbirlerinin durumu, alkol ve uyutucu-uyarıcı madde durumları, ölümün gerçekleştiği yer, hastanede yatış süreleri ve ölüm nedenleri ile ilgili veriler değerlendirilmiştir. Bulgular: Çalışmamızdaki 422 olgunun 322'si (%76.3) erkek, 100'ü (%23.7) kadın olup, yaş ortalamaları 43.5±23.9 yıldır. Olguların 177'si (%41.9) yaya olduğu, kazaların 161 (%38.2) olgu ile en fazla yaz mevsiminde görüldüğü saptandı. Olguların 388'ine (%91.9) otopsi işlemi uygulanmış olup, sürücülerin %16.9'unun alkollü olduğu, olguların 260'ı (%61,6) hastanede öldüğü ve en sık kafa yaralanmalarının ölüme neden olduğu tespit edilmiştir. Sonuç: Trafik kazalarının önlenebilmesi için, yaz mevsimi gibi tatil dönemlerinde trafik denetim ve kontrolleri sıklaştırılmalı, yaya güvenliği için gerekli önlemler alınmalı ve taşıt güvenlik sistemlerinin kullanımının teşvik edilmesinin trafik kazalarında ölüm ve yaralanmaları büyük oranda azaltacağı kanaatine varılmıştır.Öğe Evaluation of traffic accidents for which autopsies were conducted in an Eastern Turkish City: a five-year study(Turgut Özal Tıp Merkezi Dergisi, 2016) Bork, Turgay; Tokdemir, Mehmet; Türkoğlu, AbdurrahimAbstract Objective: Traffic accidents are one of the leading causes of premature death worldwide. The current study aimed to present data on patients who died as a result of traffic accidents and offer suggestions on issues that affect traffic safety. Materials and Methods: In our study, data pertaining to 422 road accident cases whose postmortem examinations and autopsies were conducted in Elazıg within a period of five years were evaluated with regard to age, gender, the day, and season on which the accident took place, the location of the accident, the role of the deceased in traffic (pedestrian, driver, or passenger), whether an autopsy was done, the state of safety measures, the presence of alcohol and opiates-stimulants, the place of death, duration of hospitalization, and cause of death. Results: Three hundred twenty-two of the 422 subjects in our study (76.3%) were male and 100 (23.7%) female, with a mean age of 43.5 (23.9) years. One hundred seventy-seven of the cases (41.9%) were pedestrians, and accidents most frequently occurred during the summer season, with 161 (38.2%) cases. It was determined that an autopsy was performed on 388 (91.9%) of the cases, that 16.9% of the drivers had consumed alcohol, 260 (61.6%) of the cases died in the hospital, and head injuries were the most common cause of death. Conclusion: It was concluded that in order to prevent traffic accidents, traffic control and checks should become more frequent during holiday periods, such as the summer season and necessary measures should be taken for pedestrian safety, and that encouraging the use of vehicle safety systems should largely reduce injuries and deaths from traffic accidents. Keywords: Traffic Accidents; Autopsy; Forensic Medicine.
