On October 31st 2002 a system of cumulative penalty points for road traffic offences was introduced. Early evidence suggested a reduction in road traffic accident (RTA) related morbidity. Aim was to evaluate the persistence of the initial reduction in RTA related spinal injuries following penalty points introduction. Method was a retrospective review of all acute spinal trauma admissions to the NSIU between November 1st 1998 and October 31st 2004 (n=966). Patient demographics and injury aetiology were assessed. Follow-up questionnaires evaluated RTA circumstances. Results showed that RTA related spinal injuries accounted for 39.3% of NSIU admissions. These injuries were significantly more common in males aged 16-24, drivers (70.8%), on routine journeys (77.5%) and rural roads (48.8%). The highest proportion of accidents occurred during weekends (64.3% from Fri-Sun) and from midnight to 6am (29.3%). It was concluded that the initial reduction in RTA related spinal injuries has not been sustained. Young male drivers are the greatest at risk group. (Author/publisher)
Samenvatting