Zusammenfassung
Nur 48% aller motorisierten Fahrzeuge, aber 91% der weltweit 1,3 Mio. Verkehrsunfalltoten pro Jahr sind Entwicklungsländern zuzuordnen. Im Jahr 2004 und gemessen an verlorenen „disability adjusted life years „(DALY) belegten Verkehrsunfälle Rang 9 der globalen DALY-Staristik. Aktuelle Prognosen für 2030 lassen Rang 3 erwarten, einhergehend mit einer Zunahme der Unfalltoten auf 2,4 Mio. Der vorliegende Übersichtsartikel beschreibt die Charakteristika von Verkehrsunfällen in Ländern mit niedrigem und mittlerem Nationaleinkommen. Dabei werden Prognosen zum realen Unfallgeschehen, Risikofaktoren und Datenlücken ebenso thematisiert wie evidenzbasierte Verkehrssicherheitsmaßnahmen. Der Beitrag will die chirurgisch-notfallmedizinische Ärzteschaft für die vergessene globale Epidemie namens „Verkehrsunfall“ sensibilisieren und mögliche Schwerpunkte zukünftiger Unfallforschung aufzeigen.
Abstract
Road traffic crashes pose a major threat to individuals and national health systems. Developing countries account for 48% of motorized vehicles, but for 91% of the 1.3 million fatalities per annum. While ranked ninth among the causes of disabilities adjusted life years lost in 2004, crash injuries are projected to rise to third position by 2030. This article reviews current prognoses of deaths and disabilities, the characteristics of crashes in low and middle income countries and evidence-based road safety interventions. This article is considered a wake-up call for trauma, orthopaedic, and emergency surgeons in high-income countries to join the global community in fighting the neglected yet potentially curable epidemic named road traffic injuries.
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Der vorliegende Beitrag ist unter Mitarbeit der AG „Prävention von Verletzungen“ der Deutschen Gesellschaft für Unfallchirurgie e.V. entstanden.
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Schmucker, U., Seifert, J., Stengel, D. et al. Verkehrsunfälle in Entwicklungsländern. Unfallchirurg 113, 373–377 (2010). https://doi.org/10.1007/s00113-010-1777-9
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DOI: https://doi.org/10.1007/s00113-010-1777-9