Epidemiology of Urban Traffic Accident Victims Hospitalized More Than 24 Hours in a Level III Trauma Center, Kashan County, Iran, 2012 (original) (raw)
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Characteristics of road traffic injuries in the second largest city of Iran
Objective: Road traffic injuries (RTIs) are the second leading causes of death in Iran. One of the most important steps in the prevention of traffic-related trauma and its consequences is gaining insight into the epidemiology of injuries. We conducted this study to describe the characteristics of RTIs and to find strategies for its prevention. Methods: This was a prospective cross-sectional study on consecutive road traffic trauma patients admitted to the emergency department (ED) of the second largest trauma center in the northeast of Iran, during July to September 2013. Demographic characteristics, type of vehicle, and injured area of the body were documented for each patient. Results: Of 666 included patients, 562 (84.4%) were male and 104 (15.6%) were female, with a mean age of 28.89 ± 16.62 years. Most of the patients were uneducated. The highest frequency of RTIs was related to motorcyclists with an attributed risk of RTIs for motorcycles at 75.8%. The most common traumatized area was head, face, and lower extremities. Conclusion: The largest number of traumatized patients was among motorcyclists and uneducated population underscores the importance of public training about motorcycle usage and security and increase social awareness about reasons behind traffic law. Keywords: Trauma, Injury pattern, Road traffic injury, Iran
The Open Public Health Journal, 2019
Background In Mexico, motorcycle use is increasingly prevalent owing to the availability and low fuel consumption of the vehicle. With the increasing number of motorcycle users, the rate of injuries and mortality due to road traffic accidents has also increased. Objective The study aimed to describe the epidemiological profile of injured motorcyclists treated in a third-level hospital, who were involved in traffic accidents in Guadalajara's Metropolitan Area and Zapotlanejo municipality. Methods We realized a logistic regression model, where we included all variables with p<=0.25, they had three or less response options became in dummy variables for facilitate the analysis and we took as confounders factors either variables that modify up to 10% the value of Odd Ratio. Results In our study, we examined 180 injured motorcyclists. The factors that increases risk of severe injury at Metropolitan Zone of Guadalajara and Zapotlanejo’s town were as follows: the motorcycle was not f...
PubMed, 2016
Objectives: To determine the epidemiology of injuries of the motorcyclists in road traffic accidents (RTIs) between 2008 and 2014 in East Azarbayejan province of Iran. Methods: A cross-sectional study was performed in East Azerbaijan province in Imam Reza hospital on motorcyclists subjected to injuries in RTIs between 2008 and 2014. Demographic characteristics (age, sex), duration of hospitalization, final status of injured people after discharge from the hospital, admission ward, number of admissions due to injuries in RTIs, nature of injury, and the clinical services provided to injured people were gathered from hospital information system (HIS). Demographic characteristics (age, sex), duration of hospitalization, final status of injured people after discharge from the hospital, admission ward, number of admissions due to injuries in RTIs, injured site of the body, nature of injury, and the clinical services provided injured people were gathered from HIS. Standardized data collection form was used for uniform handling of the data. Results: Most of the victims (94.4%) were male. The most frequent injuries pertained to the age group of 18-30 with 1676 (51.4%) injuries. Head, abdomen, lower back, lumbar spine, and pelvis, were the most common injured sites, respectively. Reduction of fracture and dislocation and cranial puncture were the most common provided services. The lowest survival time belonged to the age group over 60 years old. Conclusion: Injuries to the head are the most prevalent injuries among motorcyclists in RTIs. So it is suggested that proper interventions be implemented to ensure wearing helmet by motorcyclist and pillion passengers.
Determinants of traffic injuries in drivers and motorcyclists involved in an accident
Accident Analysis & …, 2008
Basic information on the risk factors of road traffic injuries in Iran is scarce. This case-control study was conducted to determine the association of potential risk factors with the incidence of injury among motor vehicle drivers and motorcyclists on Qazvin-Loshan Road. The cases were 175 drivers and motorcyclists who had a road traffic accident (RTA) and sustained an injury. The controls were 175 motorists who had a RTA, on the same road and over the same time period, without suffering any injury. The analyses were separately performed by comparing the controls with mildly and severely injured cases, using New Injury Severity Score (NISS) 15 as a threshold. The results showed that fire following collision was significant in the crude analysis of all 175 cases and controls. The severity of collision, vehicle type (motorcycle versus other vehicle crashes), and gender were significant in the multivariable analyses of both mildly and severely injured cases. Safety equipment use is only significant (adjusted odds ratio, AOR = 0.44, 95% confidence interval, 95%CI = 0.23-0.84) among mild cases. The number of collisions (AOR = 3.87, 95%CI = 1.64-9.10) and weather conditions (AOR = 4.32, 95%CI = 1.13-16.5) only associate significantly with the occurrence of road traffic injury in severe cases, in comparison with the controls.
Epidemiological study of hospitalized road traffic injuries in Iran 2011
↑What is " already known " in this topic: Road Traffic Crashes (RTCs) occur with different distribution in sex, age, type of road user, season, and geography. In Iran, previous studies has shown, Road Traffic Crashes are the second leading case of death and has one of the highest rate in the world. Abstract Background: In Iran, Road Traffic Injuries (RTIs) is the second-leading cause of deaths, and the first leading cause of disability-adjusted life year, and has one of the highest rates of death (32.1 per 100 000 population) all over the world. This study's aim was to investigate the epidemiological pattern and underlying components of hospitalized RTIs in 31 provinces of Iran in 2011. Methods: This study conducted on all hospitalized RTIs during one-year period (March 21, 2011 to March 21, 2012). Data extracted from a hospital-based traffic injury registration system. According to a national law passed in 2005, all hospital expenses of traffic injuries should be covered by ministry of health based on governmental tariffs. The medical costs of eligible patients will be paid to the hospitals only if the patient data are sent to the above mentioned database. Statistical analysis was performed using SPSS v.16 (SPSS Inc., Chicago, USA), and spatial maps are provided using GIS 10.2. Descriptive statistics and t-test were used to compare means. World (WHO 2000-2025) standard population used to calculate age-adjusted incidence rate. All statistical tests were performed at the 5% level of statistical significance. Results: There were 322,064 injured cases recorded in the registration system during the study period. The national age-adjusted incidence rate of RTIs was 405 per 100,000 population. The highest incidence rates were in the age group of 15-29 years (643 per 100,000 population), followed by 30-44 year age groups (401 per 100,000 population). The incidence rate in men was 3.36 times more than women. Motorcyclist were the most frequent type of road users (39.2%) who involved in RTIs, followed by passengers (28.9%) and pedestrians (20.0%). Head injuries were among the most affected part of the body which occurred in 27.2% of the patients. The proportion of urban crashes was 60.7%. Conclusion: The results of this study indicated that the majority of RTI occurred on motorcyclists and head injuries was the most commonly affected body part. Therefore, in order to reduce motorcycle accidents and avoiding head injury among them, stricter law enforcement is urgently needed for helmet use and promotion of safety behaviors among motorcycle riders.
Traffic Injury Prevention, 2019
Objective: Though motor vehicle crashes (MVCs) were the main cause of head trauma from road traffic injuries (RTIs), motorcycle crashes (MCCs) are now a major cause of RTI-related head injury (HI) in many developing countries. Methods: Using a prospective database of HIs from a neurosurgical practice in a sub-Saharan African developing country, a cross-sectional survey was conducted for the trauma demography and clinical epidemiology of this MCC-related HI. Results: Motorcycle crashes accounted for 57% (473/833) of all RTI-related HIs in this registry. The victims, with a mean age of 33.1 years (SD ¼ 18.3), consisted mainly of males (83.1%), those of low socioeconomic status (>90%), and those aged between 20 and 40 years old (56%). MCCs involved only riders in 114 cases (114/473, 32.1%), of which 69% were motorcycle-motorcycle crashes. The HI was moderate-severe in 50.8%; clinical symptomatology of significant HI included loss of consciousness (92%), anisocoria (35%), Abbreviated Injury Scale head (AIS-head) score > 3 (28%), and CT-Rotterdam score > 3 (30%). Extracranial systemic injury involved the limbs most frequently, with an Injury Severity Score (ISS) >25 in 49%. The fatality rate was 24%. MCC-related HI among pedestrian victims involved more vulnerable age groups (the young and elderly) but have lower mean ISS compared to motorcycle passengers (mean ISS ¼ 23.5 [11.6] vs. 27.4 [13.0]; 95% confidence interval [CI], 1.27-6.49; P ¼ .004). In addition, compared to a contemporary cohort of MVC-related HIs in our registry, MCC victims were older (mean age 34.8 years [18.0] vs. 30.8 [18.4]; P ¼ .002); had higher proportions of certain extracranial trauma like long bone fractures (71 vs. 29%; P ¼ .02); and suffered fewer surgical brain lesions (25.5 vs. 17.2%; P ¼ .004). Conclusions: Motorcycle crashes are now a significant threat to the heads, limbs, and lives of vulnerable road users in developing countries.
Texila International Journal of Public Health, 2024
Road traffic accidents are one of the world's major sources of death and injury, with low- and middle-income nations suffering the most from them, despite having 60% of the world's automobiles. Two-wheeler accidents lead to a high rate of fatalities and severe injuries, disproportionately affecting young, economically active individuals and resulting in a considerable loss of productive life years. The impact of this death toll on society's socioeconomic output is valuable. This study evaluated the causes and patterns of injuries associated with two-wheeler road traffic accidents in the Chengalpattu region. In a Tertiary Care Hospital in Chengalpattu district, 296 two-wheeler RTA victims participated in six-month cross-sectional research from January to June 2023. Interviews with accident victims were conducted using a pre-tested, semi-structured questionnaire intended for injury patterns in road traffic accidents. Data were analysed using SPSS version 22. Among the participants in the study, 17.1% of the cases were linked to traffic accidents; the majority 51.7% occurred in the under-32 age group, and 80.7% of the cases involved males. Head and neck injuries accounted for 54.4% of all injuries, with upper extremities coming in second with 28.4%. During a collision, alcohol was consumed by 25.7% of the drivers who were involved. The majority of accidents, 37.8%, occur during the night hours from 6 p.m. to 12 midnight. The data reveals a concerning trend of head and limb injuries predominating, highlighting the vulnerability of motorcyclists and scooter riders to severe trauma, particularly to the head and extremities.
The Associated Factors in the Prevalence of Motorcycle Accidents
Pakistan Journal of Medical and Health Sciences
Objective: The purpose of this study was to examine the types of fractures sustained and damage patterns among bike trauma patients who were sent to the emergency department. Study design: Retrospective study Place and duration of study: Department of Orthopedic, Khyber Teaching Hospital Peshawar, From September, 2021 to February, 2022. Methods: In this study, 170 patients of motorcycle accidents were taken to investigate the factors associated with the accidents. The collected data included the demographic variables, fractures experienced, patterns of injury, time of accident, types of accident and the possible causes of accidents. Detailed demographics of enrolled cases included age, sex, BMI and localities were recorded after taking informed written consent. Data analysis was performed in SPSS-21.0. Results : A total of 170 patients of motorcycle accidents were conducted to study in which 119 (70%) were males and the rest 51 (30%) were females. The mean age of the patients was 29...