Background
Methods
The Rhône Département Road Traffic Accident Casualty Registry
The Abbreviated Injury Scale
The choice of AIS codes
A census of casualties on the basis of the GBD method injury categories
Calculation of the Disability Adjusted Life Years
Calculation of values
Results
Number of injuries Period 1997-2001 | Number of injuries Period 2002-2006 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Duration* (years) | Average disability weight* | Males | Females | Males | Females | |||||
Fractures
| ||||||||||
Skull short term | 0.107 | 0.431 | 184 | 0.6% | 65 | 0.4% | 137 | 0.5% | 40 | 0.3% |
Skull long term | life long | 0.361 | 34 | 0.1% | 12 | 0.1% | 30 | 0.1% | 5 | 0.0% |
Face bones | 0.118 | 0.223 | 781 | 2.5% | 315 | 1.9% | 532 | 1.9% | 194 | 1.4% |
Vertebral column | 0.14 | 0.266 | 465 | 1.5% | 223 | 1.4% | 377 | 1.4% | 190 | 1.4% |
Rib or sternum | 0.115 | 0.199 | 915 | 2.9% | 655 | 4.1% | 875 | 3.1% | 552 | 4.0% |
Pelvis | 0.126 | 0.247 | 366 | 1.2% | 244 | 1.5% | 293 | 1.1% | 194 | 1.4% |
Clavicle, scapula or humerus | 0.112 | 0.153 | 1462 | 4.7% | 497 | 3.1% | 1141 | 4.1% | 359 | 2.6% |
Radius or ulna | 0.112 | 0.180 | 1598 | 5.2% | 682 | 4.2% | 1241 | 4.5% | 546 | 3.9% |
Hand bones | 0.07 | 0.100 | 1149 | 3.7% | 287 | 1.8% | 874 | 3.1% | 208 | 1.5% |
Femur short term | 0.146 | 0.372 | 306 | 1.0% | 79 | 0.5% | 268 | 1.0% | 83 | 0.6% |
Femur long term | life long | 0.272 | 220 | 0.7% | 62 | 0.4% | 196 | 0.7% | 36 | 0.3% |
Patella, tibia or fibula | 0.096 | 0.271 | 1117 | 3.6% | 371 | 2.3% | 860 | 3.1% | 307 | 2.2% |
Ankle | 0.099 | 0.196 | 468 | 1.5% | 187 | 1.2% | 457 | 1.6% | 160 | 1.1% |
Foot bones | 0.073 | 0.077 | 532 | 1.7% | 185 | 1.1% | 472 | 1.7% | 145 | 1.0% |
Injured spinal cord
| life long | 0.725 | 128 | 0.4% | 78 | 0.5% | 89 | 0.3% | 63 | 0.5% |
Dislocations
| ||||||||||
Shoulder, elbow or hip | 0.034 | 0.074 | 436 | 1.4% | 98 | 0.6% | 432 | 1.6% | 119 | 0.9% |
other dislocation | 0.019 | 0.074 | 4658 | 15.0% | 5659 | 35.0% | 5096 | 18.3% | 5534 | 39.7% |
Sprains
| 0.038 | 0.064 | 2187 | 7.0% | 899 | 5.6% | 2164 | 7.8% | 787 | 5.6% |
Intracranial injuries
| ||||||||||
Short-term | 0.067 | 0.359 | 244 | 0.8% | 84 | 0.5% | 203 | 0.7% | 63 | 0.5% |
Long-term | life long | 0.361 | 264 | 0.9% | 84 | 0.5% | 258 | 0.9% | 70 | 0.5% |
Internal injuries
| 0.038 | 0.208 | 891 | 2.9% | 287 | 1.8% | 839 | 3.0% | 267 | 1.9% |
Open wound
| 0.025 | 0.108 | 12457 | 40.1% | 5060 | 31.3% | 10803 | 38.8% | 3964 | 28.4% |
Injury to eyes
| ||||||||||
Short-term | 0.019 | 0.108 | 83 | 0.3% | 39 | 0.2% | 81 | 0.3% | 37 | 0.3% |
Long-term | life long | 0.311 | 5 | 0.0% | 0 | 0.0% | 0 | 0.0% | 2 | 0.0% |
Amputations
| ||||||||||
Thumb, finger | life long | 0.134 | 13 | 0.0% | 1 | 0.0% | 12 | 0.0% | 2 | 0.0% |
arm | life long | 0.267 | 6 | 0.0% | 2 | 0.0% | 2 | 0.0% | 1 | 0.0% |
Toe5
| life long | 0.102 | 3 | 0.0% | 0 | 0.0% | 11 | 0.0% | 5 | 0.0% |
Foot, leg | life long | 0.300 | 14 | 0.0% | 3 | 0.0% | 13 | 0.0% | 2 | 0.0% |
Crushing
| 0.094 | 0.218 | 16 | 0.1% | 8 | 0.0% | 32 | 0.1% | 9 | 0.1% |
Burns
| ||||||||||
less than 20% (short term) | life long | 0.158 | 3 | 0.0% | 0 | 0.0% | 2 | 0.0% | 1 | 0.0% |
Greater than 20%6 (long term) | life long | 0.255 | 2 | 0.0% | 0 | 0.0% | 13 | 0.0% | 2 | 0.0% |
Injured nerves
| ||||||||||
Long-term | life long | 0.069 | 21 | 0.1% | 2 | 0.0% | 12 | 0.0% | 3 | 0.0% |
Poisoning
| 0.008 | 0.611 | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% | 0 | 0.0% |
Total
|
31028
|
100.0%
|
16168
|
100.0%
|
27815
|
100.0%
|
13950
|
100.0%
|
The period 2002-2006
Fractures | Injured Spinal cord | intracranial injuries | Other injuries | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Number of YLD | Rate per 100 000 inhabitants | % | Number of YLD | Rate per 100 000 inhabitants | % | Number of YLD | Rate per 100 000 inhabitants | % | Number of YLD | Rate per 100 000 inhabitants | % | |
Male
| ||||||||||||
0-14
| 81 | 50.2 | 15.0% | 7 | 4.5 | 2.0% | 81 | 50.3 | 15.3% | 3 | 1.6 | 3.1% |
15-24
| 278 | 232.3 | 51.4% | 112 | 93.3 | 31.2% | 231 | 193.1 | 43.6% | 39 | 32.6 | 46.2% |
25-34
| 100 | 83.4 | 18.4% | 113 | 94.6 | 31.7% | 99 | 82.4 | 18.6% | 17 | 14.2 | 20.1% |
35-44
| 46 | 40.7 | 8.6% | 84 | 73.7 | 23.6% | 57 | 50.1 | 10.8% | 13 | 11.7 | 15.8% |
45-54
| 22 | 22.5 | 4.1% | 24 | 24.2 | 6.7% | 35 | 35.3 | 6.6% | 8 | 8.0 | 9.4% |
55-64
| 9 | 10.2 | 1.6% | 15 | 18.5 | 4.3% | 14 | 16.8 | 2.6% | 3 | 3.0 | 3.0% |
65+
| 5 | 5.0 | 0.9% | 2 | 1.8 | 0.5% | 12 | 12.8 | 2.3% | 2 | 2.2 | 2.4% |
Total
|
541
|
68.3
|
100.0%
|
358
|
45.1
|
100.0%
|
530
|
66.8
|
100.0%
|
84
|
10.7
|
100.0%
|
Female
| ||||||||||||
0-14
| 44 | 28.2 | 38.8% | 0 | 0.0 | 0.0% | 25 | 16.4 | 15.8% | 6 | 4.1 | 22.2% |
15-24
| 29 | 23.2 | 25.5% | 101 | 81.8 | 31.5% | 67 | 54.4 | 41.7% | 8 | 6.3 | 27.2% |
25-34
| 13 | 10.6 | 11.6% | 119 | 96.5 | 37.1% | 24 | 19.4 | 14.9% | 6 | 4.8 | 20.8% |
35-44
| 12 | 10.3 | 10.8% | 67 | 56.8 | 20.9% | 14 | 12.1 | 8.9% | 1 | 1.1 | 4.5% |
45-54
| 4 | 4.1 | 4.0% | 27 | 24.7 | 8.3% | 13 | 12.4 | 8.3% | 3 | 2.4 | 8.9% |
55-64
| 4 | 5.1 | 3.9% | 5 | 5.4 | 1.4% | 10 | 11.3 | 6.1% | 3 | 3.3 | 10.1% |
65+
| 6 | 4.4 | 5.5% | 3 | 1.8 | 0.8% | 7 | 5.0 | 4.4% | 2 | 1.3 | 6.3% |
Total
|
113
|
13.2
|
100.0%
|
322
|
37.5
|
100.0%
|
161
|
18.8
|
100.0%
|
29
|
3.3
|
100.0%
|
YLL | YLD | DALYs | |||||||
---|---|---|---|---|---|---|---|---|---|
Number | Rate per 100 000 inhabitants | % | Number | Rate per 100 000 inhabitants | % | Number | Rate per 100 000 inhabitants | % | |
Male
| |||||||||
0-14
| 75 | 46.4 | 2.7% | 172 | 106.7 | 11.4% | 247 | 153.1 | 5.8% |
15-24
| 1065 | 890.3 | 38.9% | 660 | 551.4 | 43.6% | 1725 | 1441.7 | 40.5% |
25-34
| 656 | 548.1 | 23.9% | 329 | 274.6 | 21.7% | 985 | 822.7 | 23.1% |
35-44
| 413 | 361.5 | 15.1% | 201 | 176.1 | 13.3% | 615 | 537.6 | 14.4% |
45-54
| 286 | 287.2 | 10.4% | 90 | 90.0 | 5.9% | 376 | 377.2 | 8.8% |
55-64
| 124 | 148.6 | 4.5% | 40 | 48.5 | 2.7% | 164 | 197.2 | 3.9% |
65+
| 122 | 129.0 | 4.5% | 21 | 21.8 | 1.4% | 143 | 150.9 | 3.4% |
Total
| 2742 | 345.9 | 100.0% | 1513 | 190.9 | 100.0% | 4255 | 536.8 | 100.0% |
Female
| |||||||||
0-14
| 74 | 48.0 | 9.1% | 76 | 48.7 | 12.1% | 150 | 96.8 | 10.4% |
15-24
| 212 | 171.4 | 26.0% | 205 | 165.7 | 32.8% | 417 | 337.1 | 28.9% |
25-34
| 127 | 102.5 | 15.5% | 162 | 131.3 | 26.0% | 289 | 233.9 | 20.1% |
35-44
| 123 | 103.8 | 15.0% | 95 | 80.3 | 15.2% | 218 | 184.1 | 15.1% |
45-54
| 102 | 93.8 | 12.4% | 47 | 43.6 | 7.6% | 149 | 137.4 | 10.3% |
55-64
| 79 | 90.9 | 9.6% | 22 | 25.1 | 3.5% | 100 | 116.0 | 7.0% |
65+
| 100 | 70.8 | 12.3% | 18 | 12.5 | 2.8% | 118 | 83.3 | 8.2% |
Total
| 817 | 95.3 | 100.0% | 625 | 72.9 | 100.0% | 1442 | 168.2 | 100.0% |
Description of change over time
1997-2001 | 2002-2006 | |||||
---|---|---|---|---|---|---|
N | rate* | % | N | rate | % | |
Males
| ||||||
YLD
| 1911 | 251.1 | 31.6% | 1513 | 190.9 | 35.6% |
fractures
|
631
|
82.8
|
10.4%
|
541
|
68.3
|
12.7%
|
injured spinal cord
|
559
|
73.4
|
9.2%
|
358
|
45.1
|
8.4%
|
intracranial injuries
|
610
|
80.1
|
10.1%
|
530
|
66.8
|
12.5%
|
other sequelae
|
112
|
14.7
|
1.9%
|
84
|
10.7
|
2.0%
|
YLL
| 4141 | 544.0 | 68.4% | 2742 | 345.9 | 64.4% |
DALY
| 6052 | 795.1 | 100.0% | 4255 | 536.8 | 100.0% |
Females
| ||||||
YLD
| 884 | 107.4 | 44.5% | 625 | 72.9 | 43.3% |
fractures
|
210
|
25.5
|
10.6%
|
113
|
13.2
|
7.8%
|
injured spinal cord
|
420
|
51.0
|
21.1%
|
322
|
37.5
|
22.3%
|
intracranial injuries
|
236
|
28.7
|
11.9%
|
161
|
18.8
|
11.2%
|
other sequelae
|
19
|
2.3
|
1.0%
|
29
|
3.3
|
2.0%
|
YLL
| 1104 | 134.3 | 55.5% | 817 | 95.3 | 56.7% |
DALY
| 1988 | 241.7 | 100.0% | 1442 | 168.2 | 100.0% |
Total
| ||||||
YLD
| 2795 | 176.5 | 34.8% | 2138 | 129.6 | 37.5% |
fractures
|
841
|
53.1
|
10.5%
|
654
|
39.6
|
11.5%
|
injured spinal cord
|
979
|
61.8
|
12.2%
|
680
|
41.2
|
11.9%
|
intracranial injuries
|
846
|
53.4
|
10.5%
|
691
|
41.9
|
12.1%
|
other sequelae
|
131
|
8.2
|
1.6%
|
113
|
6.9
|
2.0%
|
YLL
| 5245 | 331.2 | 65.2% | 3559 | 215.7 | 62.5% |
DALY
| 8040 | 507.7 | 100.0% | 5697 | 345.3 | 100.0% |