Introduction: Road traffic injuries (RTI) are among the most important health problems worldwide as they cause more than 1.2 million deaths and 50 million injuries each year. Therefore, the present study aims to evaluate the outcome and aftermath of RTI in those who were injured and hospitalized due to a traffic accident.
Methods: In the present retrospective cohort study with a one-year follow-up, data were extracted from the profiles of the RTI hospitalized patients. Outcome of the patients was evaluated at the time of discharge and 1-year later including their living state, presence of a disability or complete recovery.
Results: 1471 patients were studied (mean age of 32.8±17.0; 80.3% male). 571 (38.8%) had mild disability, 684 (46.5%) moderate disability, and 85 (5.8%) had severe disability at the time of discharge. In the end, 53 (3.6%) died. In the 1-year follow-up, 194 (13.2%) had mild disability, 43 (2.9%) had moderate disability, 9 (0.6%) had severe disability, and 7 (0.5%) were in a vegetative state. Presence of an underlying disease (p=0.03), loss of consciousness for more than 24 hours (p=0.04), spinal injury (p=0.002), presence of multiple trauma (p=0.01), increased ISS (p<0.001), need for ventilator (p<0.001), and organ injuries during hospitalization (p<0.001) are independent factors that increase the risk of poor outcome in RTI patients.
Conclusion: Based on the results of the present study, underlying illnesses, loss of consciousness for more than 24 hours, spinal injury, multiple trauma, increased ISS, need for ventilator, and organ injuries during hospitalization were independent factors that increased the probability of poor outcome in RTI injuries.
Toroyan T. Global status report on road safety: time for action2009.
Peden M, Scurfield R, Sleet D, et al. World report on road traffic injury prevention. World Health Organization Geneva; 2004.
Organization WH. World health statistics 2009: World Health Organization; 2009.
Saadat S, Soori H. Epidemiology of traffic injuries and motor vehicles utilization in the Capital of Iran: A population based study. BMC public health. 2011;11(1):488.
Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: the 1st national injury survey of Pakistan. Public health. 2004;118(3):211-7.
Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The Most Important Causes of Death in Iranian Population; a Retrospective Cohort Study. Emergency. 2014;3(1):16-21.
Manouchehrifar M, Hatamabadi HR, Derakhshandeh N. Treatment Costs of Traffic Accident Casualties in a Third-level Hospital in Iran; a Preliminary Study. Emergency. 2014;2(1):40-2.
Rahimi-Movaghar V, Zarei MR, Saadat S, Rasouli MR, Nouri M. Road traffic crashes in Iran from 1997 to 2007. International journal of injury control and safety promotion. 2009;16(3):179-81.
Majdzadeh R, Feiz-Zadeh A, Rajabpour Z, et al. Opium consumption and the risk of traffic injuries in regular users: a case-crossover study in an emergency department. Traffic injury prevention. 2009;10(4):325-9.
Yousefzadeh S, Ahmadi Dafchahi M, Mohammadi Maleksari H, Dehnadi Moghadam A, Hemati H, Shabani S. Epidemiology of Injuries and their Causes among Traumatic Patients Admitted into Poursina Hospital, Rasht. Journal of Kermanshah University of Medical Sciences. 2007;11(3):1-7.
Torabi A, Tarahi M, Mahmoudi GA. Epidemiology of motorcycle accident in Khoramabad, Iran. Payesh. 2009;8(3):253-62.
Fam M, Ghazizadeh A. An epidemiological survey of lead to death road accidents in Tehran province in 1999. Scient J Kurdistan Uni Medl Sci. 2002;6(3):35-40.
Hatamabadi HR, Vafaee R, Haddadi M, Abdalvand A, Soori H. Necessity of an integrated road traffic injuries surveillance system: a community-based study. Traffic Inj Prev. 2011;12(3):358–62.
Hatamabadi H, Vafaee R, Hadadi M, Abdalvand A, Esnaashari H, Soori H. Epidemiologic study of road traffic injuries by road user type characteristics and road environment in Iran: a community-based approach. 13. 2012;1(61-64).
Akbari M, Naghavi M, Soori H. Epidemiology of deaths from injuries in the Islamic Republic of Iran. Eastern Mediterranean Health Journal. 2006;12(3/4):382.
Kadivar M, Aramesh K, Sharifi B, Asad A. The prevalent causes of mortality in fars province, 2001. Med J Hormozgan Uni. 2006;10(1):47-55.
Gururaj G, Uthkarsh PS, Rao GN, Jayaram AN, Panduranganath V. Burden, pattern and outcomes of road traffic injuries in a rural district of India. International journal of injury control and safety promotion. 2014 (ahead-of-print):1-8.
Chini F, Farchi S, Camilloni L, Giarrizzo ML, Giorgi Rossi P. Health care costs and functional outcomes of road traffic injuries in the Lazio region of Italy. International journal of injury control and safety promotion. 2014 (ahead-of-print):1-10.
Arhami doulatabadi A, Hedari K, Hatamabadi HR, Vafaei A. Frequency of lower limb injuries and their causes among motorcycle accident admitted into Imam Hussein hospital during one year. J Saf Promot Injury Prev. 2013;1(1):26-31.