Motor Vehicle Accidents

New research has shown that in older adults (65 and older); so being an occupant in an automobile during a motor vehicle accident may lead to heart failure or stroke; so as compare to pedestrians who are involve in motor vehicle accidents. Using U.S. hospitalization data from 2013 and 2014, researchers from Boston University School of Medicine (BUSM) compare older people who were occupants during a motor vehicle crash to those who were hit by a vehicle (pedestrians).

The main risk factor for stroke is high blood pressure. Other risk factors include tobacco smoking, obesity, high blood cholesterol, diabetes mellitus, a previous TIA, and atrial fibrillation. An ischemic stroke is typically cause by blockage of a blood vessel, though there are also less common causes.

The ruptured brain

A hemorrhagic stroke is cause by either bleeding directly into the brain or into the space between the brain’s membranes. Bleeding may occur due to a rupture brain aneurysm. Diagnosis is typically base on a physical exam and support by medical imaging such as a CT scan or MRI scan.

They then assess whether occupants were re-hospitalize for heart failure or stroke during six months after being discharged. As compare to the pedestrians; so they find the risk of heart failure for occupants was increase during 30 and 180 days of follow up; so while the risk of stroke occur during the 180 day follow up period. The researchers also use Danish hospitalization data to confirm; so these findings and were able to demonstrate a similar risk.

Although the risk of heart failure and stroke is modest in older people; so these findings are important with respect to an increasingly large aging population; which is on the road driving and who are also at risk of motor vehicle crashes; so explain corresponding author Bindu Kalesan, Ph.D., MPH, assistant professor of medicine at BUSM and assistant professor of community health services at Boston University School of Public Health (BUSPH).

Damage from auto accidents

According to Kalesan, injury, such as damage from auto accidents; has not garnered interest comparable to chronic diseases such as cancer and cardiovascular disease. Now we find that a physical injury may lead to a chronic disease; which may require further treatment suggesting a pathway from injury to chronic diseases. They have to know more about what happens to those who develop heart failure or stroke after being involve in a motor vehicle crash.

The researchers hope the preliminary evidence from this study will lead to more robust studies. If this relationship holds true, we may be able to prevent occurrences of heart failure and stroke by screening older patients involve in motor vehicle crashes, particularly among those without a history of cardiovascular diseases.