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Prevalence and Characteristics of Earthquake-Related Head Injuries: A Systematic Review

Published online by Cambridge University Press:  05 May 2021

Yutaka Igarashi Open the ORCID record for Yutaka Igarashi [Opens in a new window] ,
Narumi Matsumoto ,
Tatsuhiko Kubo ,
Masahiro Yamaguchi ,
Ryuta Nakae ,
Hidetaka Onda ,
Shoji Yokobori ,
Yuichi Koido  and
Hiroyuki Yokota
Yutaka Igarashi*
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan
Narumi Matsumoto
Affiliation:
Faculty of Medicine, Nippon Medical School, Tokyo, Japan
Tatsuhiko Kubo
Affiliation:
Department of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan
Masahiro Yamaguchi
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan Department of Neurosurgery, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan
Ryuta Nakae
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan
Hidetaka Onda
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan
Shoji Yokobori
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan
Yuichi Koido
Affiliation:
Institute for Clinical Research, National Disaster Medical Center, Tokyo, Japan
Hiroyuki Yokota
Affiliation:
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan
*
Corresponding author: Yutaka Igarashi, Email: [email protected]
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Abstract

Objective:

We conducted a systematic review to determine the prevalence and characteristics of earthquake-associated head injuries for better disaster preparedness and management.

Methods:

We searched for all publications related to head injuries and earthquakes from 1985 to 2018 in MEDLINE and other major databases. A search was conducted using “earthquakes,” “wounds and injuries,” and “cranio-cerebral trauma” as a medical subject headings.

Results:

Included in the analysis were 34 articles. With regard to the commonly occurring injuries, earthquake-related head injury ranks third among patients with earthquake-related injuries. The most common trauma is lower extremity (36.2%) followed by upper extremity (19.9%), head (16.6%), spine (13.1%), chest (11.3%), and abdomen (3.8%). The most common earthquake-related head injury was laceration or contusion (59.1%), while epidural hematoma was the most common among inpatients with intracranial hemorrhage (9.5%) followed by intracerebral hematoma (7.0%), and subdural hematoma (6.8%). Mortality rate was 5.6%.

Conclusion:

Head injuries were found to be a commonly occurring trauma along with extremity injuries. This knowledge is important for determining the demands for neurosurgery and for adequately managing patients, especially in resource-limited conditions.

Keywords

craniocerebral traumaearthquakeshead injuriesclosedintracranial hemorrhagetraumaticskull fractures
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 3 , June 2022 , pp. 1253 - 1258
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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References

EM-DAT. Brussels, BE: The OFDA/CRED international disaster database. Accessed August 20, 2018.Google Scholar
[Dataset] U. S. Geological Survey. Earthquakes with 50000 or more deaths. Accessed August 20, 2018Google Scholar
Lu-Ping, Z, Rodriguez-Llanes, JM, Qi, W, et al. Multiple injuries after earthquakes: a retrospective analysis on 1871 injured patients from the 2008 Wenchuan earthquake. Crit Care. 2012;16(3):R87.Google Scholar
Gu, JW, Zhou, HT, Yang, T, et al. Ultimate treatment for a patient with severe traumatic brain injury without intake for 192 hours after Wenchuan massive earthquake. Chin Med J (Engl). 2009;122(1):113–116.Google ScholarPubMed
Bulut, M, Fedakar, R, Akkose, S, Akgoz, S, Ozguc, H, Tokyay, R. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. 2005;22(7):494–498.Google ScholarPubMed
Liang, NJ, Shih, YT, Shih, FY, et al. Disaster epidemiology and medical response in the Chi-Chi earthquake in Taiwan. Ann Emerg Med. 2001;38(5):549–555.CrossRefGoogle ScholarPubMed
Peek-Asa, C, Kraus, JF, Bourque, LB, Vimalachandra, D, Yu, J, Abrams, J. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol. 1998;27(3):459–465.CrossRefGoogle ScholarPubMed
Tanaka, H, Oda, J, Iwai, A, et al. Morbidity and mortality of hospitalized patients after the 1995 Hanshin-Awaji earthquake. Am J Emerg Med. 1999;17(2):186–191.CrossRefGoogle ScholarPubMed
Kurt, N, Küçük, HF, Celik, G, Demirhan, R, Gül, O, Altaca, G. Depremde yaralanan hastalara yaklaşim: 17 Ağustos 1999 Marmara depremi deneyimimiz [Evaluation of patients wounded in the 17 August 1999 Marmara earthquake]. Ulus Travma Derg. 2001;7(1):49–51.Google Scholar
Qiu, J, Liu, GD, Wang, SX, et al. Analysis of injuries and treatment of 3401 inpatients in 2008 Wenchuan earthquake - based on Chinese Trauma Databank. Chin J Traumatol. 2010;13(5):297–303.Google Scholar
Xie, J, Du, L, Xia, T, Wang, M, Diao, X, Li, Y. Analysis of 1856 inpatients and 33 deaths in the West China Hospital of Sichuan University from the Wenchuan earthquake. J Evid Based Med. 2008;1(1):20–26.CrossRefGoogle ScholarPubMed
Fan, Z, Li, A, Lian, B, et al. Injury types of victims in the 12th May 2008 Wenchuan earthquake: Analysis of 1,038 patients in Jiangyou City. Eur J Trauma Emerg Surg. 2011;37(1):3–7.CrossRefGoogle ScholarPubMed
Aycan, A, Yener, U, Aycan, N, Gönüllü, E, Dursun, R, Gönüllü, H. Neurosurgical injuries caused by the 2011 Van earthquake: The experience at the Van Regional Training and Research Hospital. J Emerg Med. 2015;49(4):464–470.CrossRefGoogle Scholar
Chu, ZG, Yang, ZG, Dong, ZH, Chen, TW, Zhu, ZY, Shao, H. Comparative study of earthquake-related and non-earthquake-related head traumas using multidetector computed tomography. Clinics (Sao Paulo). 2011;66(10):1735–1742.Google ScholarPubMed
Bhatti, SH, Ahmed, I, Qureshi, NA, Akram, M, Khan, J. Head trauma due to earthquake October, 2005 - experience of 300 cases at the Combined Military Hospital Rawalpindi. J Coll Physicians Surg Pak. 2008;18(1):22–26.Google Scholar
Zheng, X, Hu, Y, Yuan, Y, Zhao, YF. Retrospective cohort analysis of chest injury characteristics and concurrent injuries in patients admitted to hospital in the Wenchuan and Lushan earthquakes in Sichuan, China. PLoS One. 2014;9(5):e97354. Published 2014 May 9.Google ScholarPubMed
Sánchez-Carrillo, CI. Morbidity following Mexico City’s 1985 earthquakes: Clinical and epidemiologic findings from hospitals and emergency units. Public Health Rep. 1989;104(5):482–488.Google ScholarPubMed
Bullock, MR, Chesnut, R, Ghajar, J, et al. Surgical management of acute epidural hematomas. Neurosurgery. 2006;58(3 Suppl):S7-iv.CrossRefGoogle Scholar
Haselsberger, K, Pucher, R, Auer, LM. Prognosis after acute subdural or epidural haemorrhage. Acta Neurochir (Wien). 1988;90(3-4):111–116.CrossRefGoogle ScholarPubMed
Cohen, JE, Montero, A, Israel, ZH. Prognosis and clinical relevance of anisocoria-craniotomy latency for epidural hematoma in comatose patients. J Trauma. 1996;41(1):120–122.CrossRefGoogle ScholarPubMed
Aurangzeb, A, Ahmed, E, Maqbool, S, et al. Burr hole evacuation of extradural hematoma in mass trauma. A life saving and time saving procedure: Our experience in the earthquake of 2005. Turk Neurosurg. 2016;26(2):205–208.Google Scholar
Xu, J, You, C, Zhou, L, et al. Long-term results of patients with head injuries treated in different hospitals after the Wenchuan, China, earthquake. World Neurosurg. 2011;75(3-4):390–396.CrossRefGoogle ScholarPubMed
Shoaf, KI, Sareen, HR, Nguyen, LH, Bourque, LB. Injuries as a result of California earthquakes in the past decade. Disasters. 1998;22(3):218–235.CrossRefGoogle ScholarPubMed
Jafar, AJN, Sergeant, JC, Lecky, F. What is the inter-rater agreement of injury classification using the WHO minimum data set for emergency medical teams?. Emerg Med J. 2020;37(2):58–64.Google ScholarPubMed
Noji, EK, Kelen, GD, Armenian, HK, Oganessian, A, Jones, NP, Sivertson, KT. The 1988 earthquake in Soviet Armenia: A case study. Ann Emerg Med. 1990;19(8):891–897.CrossRefGoogle ScholarPubMed
Chen, WK, Cheng, YC, Ng, KC, Hung, JJ, Chuang, CM. Were there enough physicians in an emergency department in the affected area after a major earthquake? An analysis of the Taiwan Chi-Chi earthquake in 1999. Ann Emerg Med. 2001;38(5):556–561.CrossRefGoogle Scholar
Roy, N, Shah, H, Patel, V, Bagalkote, H. Surgical and psychosocial outcomes in the rural injured--a follow-up study of the 2001 earthquake victims. Injury. 2005;36(8):927–934.Google ScholarPubMed
Phalkey, R, Reinhardt, JD, Marx, M. Injury epidemiology after the 2001 Gujarat earthquake in India: a retrospective analysis of injuries treated at a rural hospital in the Kutch district immediately after the disaster. Glob Health Action. 2011;4:7196.CrossRefGoogle Scholar
Sabzehchian, M, Abolghasemi, H, Radfar, MH, Jonaidi-Jafari, N, Ghasemzadeh, H, Burkle, FM Jr Pediatric trauma at tertiary-level hospitals in the aftermath of the Bam, Iran Earthquake. Prehosp Disaster Med. 2006;21(5):336–339.Google Scholar
Mohebbi, HA, Mehrvarz, S, Saghafinia, M, et al. Earthquake related injuries: Assessment of 854 victims of the 2003 Bam disaster transported to tertiary referral hospitals. Prehosp Disaster Med. 2008;23(6):510–515.CrossRefGoogle ScholarPubMed
Tahmasebi, MN, Kiani, K, Mazlouman, SJ, et al. Musculoskeletal injuries associated with earthquake. A report of injuries of Iran’s December 26, 2003 Bam earthquake casualties managed in tertiary referral centers [published correction appears in Injury. 2005;36(6):810. Mohammad Naghi, Tahmasebi [corrected to Tahmasebi, Mohammad Naghi]; Kambiz, Kiani [corrected to Kiani, Kambiz]; Shahriar, Jalali Mazlouman [corrected to Mazlouman, Shahriar Jalali]; Afshin, Taheri [corrected to Taheri, Afshin]; Kamrani Reza, Shahriar [corr]. Injury. 2005;36(1):27–32.Google Scholar
Ganjouei, K, Ekhlaspour, L, Iranmanesh, E, et al. The pattern of injuries among the victims of the Bam earthquake. Iranian J Publ Health. 2008;37:70–76.Google Scholar
Charuluxananan, S, Bunburaphong, P, Tuchinda, L, Vorapaluk, P, Kyokong, O. Anesthesia for Indian Ocean tsunami-affected patients at a southern Thailand provincial hospital. Acta Anaesthesiol Scand. 2006;50(3):320–323.CrossRefGoogle Scholar
Mulvey, JM, Awan, SU, Qadri, AA, Maqsood, MA. Profile of injuries arising from the 2005 Kashmir earthquake: the first 72 h. Injury. 2008;39(5):554–560.CrossRefGoogle ScholarPubMed
Helminen, M, Saarela, E, Salmela, J. Characterization of patients treated at the Red Cross field hospital in Kashmir during the first three weeks of operation. Emerg Med J. 2006;23(8):654–656.CrossRefGoogle ScholarPubMed
Jian, HS, Lü, ZM, Li, YY. Epidemiological investigation on Wenchuan earthquake-struck trauma patients admitted to two hospitals of Chongqing. Chin J Traumatol. 2010;13(2):101–102.Google ScholarPubMed
Wang, L, Lei, DL, He, LS, et al. The association between roofing material and head injuries during the 2008 Wenchuan earthquake in China. Ann Emerg Med. 2009;54(3):e10–e15.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention (CDC). Post-earthquake injuries treated at a field hospital- Haiti, 2010. MMWR Morb Mortal Wkly Rep. 2011;59(51):1673–1677.Google Scholar
O’Connell, C, Shivji, A, Calvot, T. Preliminary findings about persons with injuries – Haïti Earthquake 12 January 2010. Handicap International; 2010. https://reliefweb.int/report/haiti/handicap-international-report-preliminary-findings-about-persons-injuries-ha%C3%AFti. Accessed August 20, 2018.Google Scholar
Kang, P, Tang, B, Liu, Y, et al. Profile and procedures for fractures among 1323 fracture patients from the 2010 Yushu earthquake, China. Am J Emerg Med. 2016;34(11):2132–2139.CrossRefGoogle ScholarPubMed
Giri, S, Risnes, K, Uleberg, O, et al. Impact of 2015 earthquakes on a local hospital in Nepal: A prospective hospital-based study. PLoS One. 2018;13(2):e0192076. Published 2018 Feb 2.CrossRefGoogle Scholar
Bhatti, SH, Ahmed, I, Qureshi, NA, Akram, M, Khan, J. Head trauma due to earthquake October, 2005 - experience of 300 cases at the Combined Military Hospital Rawalpindi. J Coll Physicians Surg Pak. 2008;18(1):22–26.Google Scholar
Jia, L, Li, GP, You, C, et al. The epidemiology and clinical management of craniocerebral injury caused by the Sichuan earthquake. Neurol India. 2010;58(1):85–89.Google ScholarPubMed
Li, Q, Yang, CH, Xu, JG, Chen, J, You, C. Cross-sectional study of craniocerebral trauma in a tertiary hospital after 2008 Sichuan earthquake: a brief report of 242 cases and experiences from West China Hospital. J Trauma. 2011;70(6):E108–E112.Google Scholar
Gu, J, Yang, W, Cheng, J, et al. Temporal and spatial characteristics and treatment strategies of traumatic brain injury in Wenchuan earthquake. Emerg Med J. 2010;27(3):216–219.CrossRefGoogle ScholarPubMed
Karibe, H, Kameyama, M, Kawase, M, Hirano, T, Kawaguchi, T, Ito, A. Traumatic head injury after the great east-Japan earthquake. Journal of Japanese Congress on Neurological Emergencies. 2012;24:12–16.Google Scholar
Karmacharya, BG, Sathian, B. Study of traumatic brain injury due to recent earthquake in manipal teaching hospital. Nepal Journal of Neuroscience. 2015;12:63–66.Google Scholar