Skip to main content
Log in

The epidemiology of head injury in Cantabria

  • Published:
European Journal of Epidemiology Aims and scope Submit manuscript

Abstract

The epidemiology of head injury was studied in Cantabria, Spain, using a methodological design consisting of a cross-selectional analysis of one year of duration and an additional one year follow-up of all the patients included in the initial sample. The 477 cases identified represent a rate of 91/100,000, with males showing a head injury rate 2.7 times higher that than for females. Sixty per cent of all cases involved traffic accidents, falls accounted for 24% and industrial accidents were the cause in 8%. The annual age-adjusted mortality rate was 19.7/100,000. Over 92% of all deaths occurred prior to hospital admission. The presence of alcohol intoxication was evaluated in 211 cases by determining the osmolar gap. It was found that 51% of all the cases examined presented clear evidence of acute alcohol intoxication.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. AnnegersJ.F., GrabowJ.D., KurlandL. T. and LawsJrER. (1980): The incidence, causes, and secular trends of head trauma in Olmsted Country, Minnesota-Neurology 30: 912–919.

    Google Scholar 

  2. CavenessW.F. (1979): Incidence of craneocerebral trauma in the United States in 1976 with trend from 1970 to 1975. In: Advances in Neurology, Edited R.A. Thompson John R. Green, New York, Raven Press 22: 1–3.

    Google Scholar 

  3. CoakleyJ.C., TobguiS. and DennisP.M. (1983): Screening for alcohol intoxication by the osmolar gap-Pathology 15: 221–223.

    Google Scholar 

  4. ColquittM., FieldingL.P. and CronanJE (1987): Drunk drivers and medical and social injury-The New England Journal of Medicine 317 20: 1262–1266.

    Google Scholar 

  5. CooperP.R. (1982): Epidemiology of head injury. In: Cooper P.R. Ed. Head injury. Williams and Wilkins, London 1–14.

    Google Scholar 

  6. CooperK.D., TabaddorK., HayserWA., ShulmantK., FeinerCh. and FactorP.R. (1983): The epidemiology of head injury in the Bronx - Neuroepidemiology 2: 70–88.

    Google Scholar 

  7. Diez Manrique J.F. and Peña Martin C. (1989): Respuesta de la comunidad a los problemas relacionados con el alcohol en Cantabria. In: Comisionado para la Droga Eds. Sevilla 99–108.

  8. FieldJ.H. (1976): Epidemiology of head injuries in England and Wales. London: Her Majesty's Stationary Office.

    Google Scholar 

  9. GalbraithS., MurrayW.R., PatelA.R. and Knill-JonesR. (1976): The relationship between alcohol and head injury and its effect on the conscious level - Brit. J. Surg. 63: 128–130.

    Google Scholar 

  10. HonkanenR. and VisuryT. (1976): Blood alcohol levels in a series of injured patients with special reference to accident and type of injury - Annales of Chirugiae et Gynaecologiae 65: 287–294.

    Google Scholar 

  11. JennetB. and BondM. (1975): Assessment of outcome after severe brain damage. A practical Scale -Lancet 1: 480–484.

    Google Scholar 

  12. JennetB., MurrayA., McMillanR., MacfarlaneJ., BentleyC., StrangI. and HawthorneV.. (1977): Head injuries in Scottish Hospitals. Scottish head injury management study - Lancet 1: 696–698.

    Google Scholar 

  13. KerrTA., KayD.W.K. and LassmanL.P. (1971): Characteristics of patients, type of accident and mortality in a consecutive series of head injuries admitted to a neurosurgical unit - Brit. J. Prev. Soc. Med. 25: 179–185.

    Google Scholar 

  14. KlauberM.R., Barret-ConnorE., MarshallL.F. and BowersS.A. (1981): The epidemiology of head injury. A prospective study of an entire community. San Diego County, California - American Journal of Epidemiology 113, 5: 500–509.

    Google Scholar 

  15. KlauberM.R., MarshallL.F., TooleB.M., KnowltonS.L. and BowersS.A. (1985): Cause of decline in head injury mortality rate in San Diego County, California- J. Neurosurg. 62: 528–531.

    Google Scholar 

  16. KlonoffH. and ThompsonG.B. (1969): Epidemiology of head injuries in adults: A pilot study. Canad. Med. Ass. J. 100: 235–241.

    Google Scholar 

  17. KrausJ.F., BlackM.A., HessolN., LeyP., RokawW., SullivanC., BowersS., KnowltonS. and MarshallL. (1984): The incidence of acute brain injury and serious impairment in a defined popualtion -American Journal of Epidemiology 119, 2: 186–201.

    Google Scholar 

  18. PappasA.A., GadsdenR.H., GadsdenR.H.Sr. and GrovesW.E. (1982): Computerized calculation of osmolarity and its automatic comparison with observed serum ethanol concentration - Am. J. Clin. Pathol. 77: 449–451.

    Google Scholar 

  19. RutherfordW.H. (1977): Diagnosis of alcohol ingestion in mild injuries - Lancet. 14: 1021–1023.

    Google Scholar 

  20. SeleckiB.R., HoyR.J. and NessP. (1967): A retrospective survey of neuro-traumatic admissions to a teaching hospital: part 1. General aspects. The Medical Journal of Australia 2: 113–117.

    Google Scholar 

  21. SeleckiB.R., GonskiL., GonskiA., BlumP.W., MathesonJ.M. and PoulgrainP. (1978): Retrospective survey of neurotraumatic admissions to a teaching hospital. Comparison of data of head injuries after 10 to 16 years - The Medical Journal of Australia 2: 232–274.

    Google Scholar 

  22. TeasdaleG. and JennettB. (1974): Assessment of coma and impaired consciousness: a practical scale -Lancet 2: 81–84.

    Google Scholar 

  23. WhitmanS., Coonley-HogansonR. and DesayB.T. (1984): Comparative head trauma experiences in two socio-economically different Chicago - area communities: a population study - American Journal of Epidemiology 119, 4: 570–580.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Corresponding author.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vazquez-Barquero, A., Vazquez-Barquero, J., Austin, O. et al. The epidemiology of head injury in Cantabria. Eur J Epidemiol 8, 832–837 (1992). https://doi.org/10.1007/BF00145328

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00145328

Keywords

Navigation