Study of the Pattern and Frequency of Road Traffic Injuries in Car Occupants in the Eastern Part of Iran
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 10 No. 2 (2020),
21 June 2020
,
Page 28112
https://doi.org/10.32598/ijmtfm.v10i2.28112
Abstract
Background: Since Iran has one of the highest mortality rates of car accidents in the world, the study of the pattern and reasons of trauma in car occupants can provide useful information to determine the underlying causes of injuries and deaths in traffic accidents. Accordingly, this study was conducted to determine the pattern, frequency, and causes of traumatic injuries caused by traffic accidents in car occupants.
Methods: This cross-sectional study was conducted during the first 6 months of 2017 in Shahid Beheshti Hospital in Sabzevar City, Razavi Khorasan Province, Iran. The data were obtained from the medical records of patients and the checklist designed by our research team.
Results: During the period of study, 300 people were involved in car accidents, of whom 58.3% were men with an average age of 35.16 years. In both sexes, 29.3% of the subjects were in the age group of 30-40 years. Twenty-two car occupants were involved in non-injury car accidents. No significant relationship was found between traumatic injuries and variables of sex, seatbelt use, airbag deployment, and the seat occupant in the cars (P>0.05), as well as between death and variables of sex, airbag deployment and seat occupant in cars (P>0.05). But there was a significant relationship between death and fastening seat belts (P=0.003).
Conclusion: The results of this study revealed that sex, airbag deployment, and seat occupant had no effect on traumatic injury or mortality rate in the car occupants. However, fastening the seatbelt can reduce the mortality rate in car occupants, but it does not impact the traumatic injuries rate.
- Injury
- Accident
- Traffic pattern
- Iran
How to Cite
References
Hyder AA, Paichadze N, Toroyan T, Peden MM. Monitoring the decade of action for global road safety 2011-2020: An update. Glob Public Health. 2017; 12(12):1492-505. [DOI:10.1080/17441692.2016.1169306] [PMID]
Toroyan T. Global status report on road safety. Inj Prev. 2009; 15(4):286. [DOI:10.1136/ip.2009.023697] [PMID]
Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000; 90(4):523-6. [DOI:10.2105/AJPH.90.4.523] [PMID] [PMCID]
Bhat MA, Sandhu SS, Singh P. Fatal road traffic accidents: A study of autopsied cases. J Medico-Legal Update. 2018; 18(2):90-3. [DOI:10.5958/0974-1283.2018.00135.4]
Bazargan-Hejazi S, Ahmadi A, Shirazi A, Ainy E, Djalalinia S, Fereshtehnejad S-M, et al. The burden of road traffic injuries in Iran and 15 surrounding countries: 1990-2016. Arch Iran Med. 2018; 21(12):556-65. https://www.ncbi.nlm.nih.gov/pubmed/30634852
Nantulya V, Reich MR. The neglected epidemic: Road traffic injuries in developing countries. BMJ. 2002; 11(324):1139-41. [DOI:10.1136/bmj.324.7346.1139] [PMID] [PMCID]
Wismans J, Skogsmo I, Nilsson-Ehle A, Lie A, Thynell M, Lindberg G. Commentary: Status of road safety in Asia. Traffic Inj Prev. 2016; 17(3):217-25. [DOI:10.1080/15389588.2015.1066498] [PMID]
Mansoori F, Khoshnood A, Lesaan H, Najafi M. Knowledge, attitude and practice of out-of-town drivers, on initial medical efforts for the victims of road traffic crashes. Saf Promot Inj Prev. 2018; 6(1):25-30. http://journals.sbmu.ac.ir/en-spip/article/view/22158
Sadeghi-Bazargani H, Samadirad B, Moslemi F. A decade of road traffic fatalities among the elderly in north-West Iran. BMC Pub-lic Health. 2018; 18(1):111. [DOI:10.1186/s12889-017-4976-2] [PMID] [PMCID]
Khosravi A, Aghamohamadi S, Kazemi E, Pour Malek F, Shariati M. Mortality profile in Iran (29 provinces) over the years 2006 to 2010. Tehran: Ministry of Health and Medical Education; 2013. https://scholar.google.com/scholar?hl=en&as_sdt=0,5&cluster=8872389082514416164
Jennett B. Epidemiology of head injury. Arch Dis Child. 1998; 78(5):403-6. [DOI:10.1136/adc.78.5.403] [PMID] [PMCID]
Santamariña-Rubio E, Pérez K, Olabarria M, Novoa AM. Gender differences in road traffic injury rate using time travelled as a measure of exposure. Accid Anal Prev. 2014; 1(65):1-7. [DOI:10.1016/j.aap.2013.11.015] [PMID]
Farooqui JM, Chavan KD, Bangal RS, Syed MM, Thacker PJ, Alam S, et al. Pattern of injury in fatal road traffic accidents in a rural area of western Maharashtra, India. Australas Med J. 2013; 6(9):476-82. [DOI:10.21767/AMJ.2013.1839] [PMID] [PMCID]
Mishra B, Sinha Mishra ND, Sukhla S, Sinha A. Epidemiological study of road traffic accident cases from Western Nepal. Indian J Community Med. 2010; 35(1):115-21. [DOI:10.4103/0970-0218.62568] [PMID] [PMCID]
Gómez-Talegón MT, Alvarez FJ. Road traffic accidents among alcohol-dependent patients: The effect of treatment. Accid Anal Prev. 2006; 38(1):201-7. [DOI:10.1016/j.aap.2005.09.006] [PMID]
Mitra S, Sarkar AP, Saren AB, Haldar D, Saha I, Sarkar GN. Road traffic injuries: A study on severity and outcome among inpa-tients of a tertiary care level hospital of West Bengal, India. J Emerg Trauma Shock. 2018; 11(4):247-52. [DOI:10.4103/JETS.JETS_138_17] [PMID] [PMCID]
Menon A, Pai VK, Rajeev A. Pattern of fatal head injuries due to vehicular accidents in Mangalore. J Forensic Leg Med. 2008; 15(2):75-7. [DOI:10.1016/j.jflm.2007.06.001] [PMID]
Montazeri A. Road-traffic-related mortality in Iran: A descriptive study. Public Health. 2004; 118(2):110-3. [DOI:10.1016/S0033-3506(03)00173-2]
Ganveer GB, Tiwari RR. Injury pattern among non-fatal road traffic accident cases: A cross-sectional study in Central India. Indian J Med Sci. 2005; 59(1):9-12. [DOI:10.4103/0019-5359.13812] [PMID]
Pathak SM, Jindal AK, Verma AK, Mahen A. An epidemiological study of road traffic accident cases admitted in a tertiary care hospital. Med J Armed Forces India. 2014; 70(1):32-5. [DOI:10.1016/j.mjafi.2013.04.012] [PMID] [PMCID]
Mehta SP. An epidemiological study of road traffic accident cases admitted in Safdarjang Hospital, New Delhi. Indian J Med Res. 1968; 56(4):456-66. https://www.ncbi.nlm.nih.gov/pubmed/5687703
Evans L. The effectiveness of safety belts in preventing fatalities. Accid Anal Prev. 1986; 18(3):229-41. [DOI:10.1016/0001-4575(86)90007-2]
MacKenzie EJ, Siegel JH, Shapiro S, Moody M, Smith RT. Functional recovery and medical costs of trauma: An analysis by type and severity of injury. J Trauma. 1988; 28(3):281-97. [DOI:10.1097/00005373-198803000-00003] [PMID]
Mohammadi M, Ansari Moghaddam A, Rad M, Hashemi Habybabady R, Tabasi MA. Seatbelt use and related factors among driv-ers involved in road crashes in southeast Iran. Health Scope. 2015; 4(4):e30782. [DOI:10.17795/jhealthscope-30782]
Elvik R, Vaa T. The handbook of road safety measures. Amesterdam: Elsevier; 2004. https://www.amazon.com/Handbook-Road-Safety-Measures/dp/0080440916
Mohan D. Traffic Safety. BMJ. 2005; 10(330):367. [DOI:10.1136/bmj.330.7487.367] [PMCID]
Murphy RX, Jr., Birmingham KL, Okunski WJ, Wasser T. The influence of airbag and restraining devices on the patterns of facial trauma in motor vehicle collisions. Plast Reconstr Surg. 2000; 105(2):516-20. [DOI:10.1097/00006534-200002000-00005] [PMID]
McIntosh SE, Brant-Zawadzki G, Milliner BH, Christensen ED, Nyberg AA, Grissom CK, et al. Cause of death in utah avalanche fa-talities, 2006-2007 through 2017-2018 winter seasons. Wilderness Environ Med. 2019; 30(2):191-194 [DOI:10.1016/j.wem.2019.02.007] [PMID]
Blacksin MF. Patterns of fracture after air bag deployment. J Trauma. 1993; 35(6):840-3. [DOI:10.1097/00005373-199312000-00006] [PMID]
Brookes CN. Maxillofacial and ocular injuries in motor vehicle crashes. Ann R Coll Surg Engl. 2004; 86(3):149-55. [DOI:10.1308/003588404323043247] [PMID] [PMCID]
Roccia F, Servadio F, Gerbino G. Maxillofacial fractures following airbag deployment. J Craniomaxillofac Surg. 1999; 27(6):335-8. [DOI:10.1054/jcms.1999.0082] [PMID]
Evans L, Frick MC. Seating position in cars and fatality risk. Am J Public Health. 1988; 78(11):1456-8. [DOI:10.2105/AJPH.78.11.1456] [PMID] [PMCID]
Huelke DF, Compton CP. The effects of seat belts on injury severity of front and rear seat occupants in the same frontal crash. Ac-cid Anal Prev. 1995; 27(6):835-8. [DOI:10.1016/0001-4575(95)00021-6]
Smith KM, Cummings P. Passenger seating position and the risk of passenger death or injury in traffic crashes. Accid Anal Prev. 2004; 36(2):257-60. [DOI:10.1016/S0001-4575(03)00002-2]
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