Investigating Epidemiology of Trauma caused by Traffic Accidents and Relief Operation by EMS Personnel in Valiasr Teaching Hospital in Southwestern of Iran
DOI:
https://doi.org/10.61841/4bbseh20Keywords:
Trauma epidemiology, Traffic accidents, Emergency Medical Service.Abstract
Introduction: Mortality, injuries, and disabilities caused by the traffic accidents are among the important challenges affecting the health of society, so that the traffic accidents are the most important cause of the death, disability, and hospitalization with significant economic and social consequences. The objective of this study was to evaluate the causes and frequency of the trauma caused by the traffic accidents and relief operation by the EMS (Emergency Medical Service) personnel of Valiasr teaching hospitals in Fars province in the southwestern of Iran in 2019.
Methodology: This was a descriptive-analytical study in which all victims who were transferred to hospital during the year 2018 were studied. Checklist and medical records of the patients were used to collect the data. The data were analyzed by SPSS-22 software and descriptive statistics and independent t-test.
Results: 65% of the subjects were male and 35% of them were female. Independent t-test showed a significant relationship between the sex and frequency of the traffic accidents, so that its rate was higher in the males than that in females (P <0.001). In terms of age group, most accidents occurred in the age group of 25-19 years old. Head trauma and spinal cord injuries were the leading cause of the death among the victims. Sixty percent of the victims had been transferred to the medical centers by the EMS personnel and the cervical and lumbar spines
immobilization was well done by the personnel. Forty percent of the victims were transferred to the hospital by the personal vehicle. The highest number of the deaths occurred at the accident site.
Conclusion: As the age group of below 30 years old was the highest age group in the traffic accidents, it is necessary to take necessary steps in the area of education and development of culture in the use of the vehicles and observing the driving rules.
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References
1. Pal R, Ghosh A, Kumar R, et al. Public health crisis of road traffic accidents in India: Risk factor assessment and recommendations on prevention on the behalf of the Academy of Family Physicians of India. J Family Med Prim Care. 2019; 8(3):775–783. doi:10.4103/jfmpc.jfmpc_214_18
2. Damsere-Derry J1, Palk G, King M. Road accident fatality risks for "vulnerable" versus "protected" road users in northern Ghana. Traffic Inj Prev. 2017 Oct 3; 18(7):736-743. doi: 10.1080/15389588.2017.1302083
3. Karkee R, Lee AH, Epidemiology of road traffic injuries inNepal, 2001–2013: systematic review andsecondary data analysis. BMJ. 2016; 6:e010757. doi:10.1136/bmjopen-2015-010757
4. Azami-Aghdash S, Aghaei MH, Sadeghi-Bazarghani H. Epidemiology of Road Traffic Injuries among Elderly People; A Systematic Review and Meta-Analysis. Bull Emerg Trauma. 2018 Oct;6(4):279-291. doi: 10.29252/beat-060403.
5. Azami-Aghdash S, Abolghasem Gorji H, Sadeghi-Bazargani H, Shabaninejad H. Epidemiology of Road Traffic Injuries in Iran: Based on the Data from Disaster Management Information System (DMIS) Of the Iranian Red Crescent, Iran Red Crescent Med J. 2017 ; 19(1):e38743. doi: 10.5812/ircmj.38743.
6. Abbasi HR, Mousavi SM, Taheri Akerdi A, Niakan MH, Bolandparvaz S, Paydar S. Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran. Bull Emerg Trauma. 2013; 1(2): 81-5, PMID: 27162829PMCID: PMC4771228
7. Zimmerman K, Jinadasa D, Maegga B, Guerrero A. Road traffic injury on rural roads in Tanzania: measuring the effectiveness of a road safety program. Traffic Inj Prev. 2015;16(5):456-60 https://doi.org/10.1080/15389588.2014.973491
8. Osifo OD, Iribhogbe PE, Ugiagbe EE. Epidemiology and pattern of paediatric and adolescent trauma deaths in a level 1 trauma centre in Benin city, Nigeria. Injury. 2012;43(11):1861-4.DOI: https://doi.org/10.1016/j.injury.2011.07.016
9. Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016; 22(1): 3-18, doi: 10.1136/injuryprev-2015-041616.
10. Avosi Z, Jafari A, Hatam N, Enaami M. The economic burden of traumatic brain injury due to fatal traffic accidents in shahid rajaei trauma hospital, shiraz, iran. Arch Trauma Res. 2015; 4(1) : 22594 DOI: 10.5812/atr.22594
11. Rezaei S, Arab M, Karami Matin B, Akbari Sari A. Extent, consequences and economic burden of road traffic crashes in Iran. J Inj Violence Res. 2014; 6(2): 57 -63, doi: 10.5249/jivr.v6i2.191
12. Taravatmanesh L, Mortazavi SM, Baneshi MR, Poor MS, Saeedifar A, Zolala F. Epidemiology of road traffic accidents in Rafsanjan city, Iran. Electron Physician. 2018; 10(5):6859–6863. Published 2018 May 5. doi: 10.19082/6859
13. Sharifian S, Khani Jazani R, Sadeghi-Bazargani H, Khorasani-Zavareh D. Challenges of establishing a road traffic injury surveillance system: a qualitative study in a middle-income country. J Inj Violence Res. 2019; 11(2):179–188. doi:10.5249/jivr.v11i2.1228
14. Shokouhi M, Rezapur-Shahkolai F. Fatal Road Traffic Injuries in Hamadan Province, Iran. Journal of Disaster & Emergency Research. 2018; 1(2): 67-74. URL: http://jder.ssu.ac.ir/article-1-35-en.html
15. Montazer S H, Hosseininejad S M, Bozorgi F, Assadi T, Hashemi S N, Lotfipour M et al . Epidemiology of Injuries Caused By Motor Accidents in Patients Referred To Emergency Department of A Trauma Center Hospital in North of Iran. Int J Med Invest. 2019; 8 (1):10-18, URL: http://intjmi.com/article-1-368-en.html
16. Roshanfekr P, Khodaie-Ardakani MR, Malek Afzali Ardakani H, Sajjadi H. Prevalence and Socio-Economic Determinants of Disabilities Caused by Road Traffic Accidents in Iran; A National Survey. Bull Emerg Trauma 2019; 7(1):60-66, doi: 10.29252/beat-070109
17. Zangooei Dovom H, Shafahi Y, Zangooei Dovom M. Fatal accident distribution by age, gender and head injury, and death probability at accident scene in Mashhad, Iran, 2006-2009.IntJ Inj Contr Saf Promot. 2013; 20(2):121-33. doi: 10.1080/17457300.2012.692694
18. Sadeghi-Bazargani H, Samadirad B, Shahedifar N, Golestani M. Epidemiology of Road Traffic Injury Fatalities among Car Users; A Study Based on Forensic Medicine Data in East Azerbaijan of Iran. Bull Emerg Trauma. 2018; 6(2):146–154. doi: 10.29252/beat-060209
19. Ahn H, Singh J, Nathens A, et al. Pre-hospital care management of a potential spinal cord injured patient: a systematic review of the literature and evidence-based guidelines. J Neurotrauma. 2011; 28(8):1341–1361. doi:10.1089/neu.2009.1168
20. Bener A, Rahman YS, Mitra B. Incidence and severity of head and neck injuries in victims of road traffic crashes: In an economically developed country. Int Emerg Nurs. 2009 Jan; 17(1):52-9. doi: 10.1016/j.ienj.2008.07.007.
21. Bijani M, Torabizadeh C, Rakhshan M, Fararouei M, Professional Capability in Triage Nurses in Emergency Department: A Qualitative Study. Revista Latinoamericana de Hipertensión. 2018; 13(6):554-560
22. Thézard F, McDonald N, Kriellaars D .et al. Effects of Spinal Immobilization and Spinal Motion Restriction on Head-Neck Kinematics during Ambulance Transport. Prehospital Emergency Care. 2019 23:6, pages 811- 819, doi: 10.1080/10903127.2019.1584833.
23. Underbrink, L Dalton AT, Leonard J. et al. New Immobilization Guidelines Change EMS Critical Thinking in Older Adults With Spine Trauma. Prehospital Emergency Care. 2018 Volume 22, Issue 5:1-5. doi: 10.1080/10903127.2017.1423138.
24. Mahdian M, Sehat M, Fazel MR, Moraveji A, Mohammadzadeh M. Epidemiology of Urban Traffic Accident Victims Hospitalized More Than 24 Hours in a Level III Trauma Center, Kashan County, Iran, During 2012- 2013. Arch Trauma Res. 2015; 4(2):e28465. Published 2015 Jun 20. doi: 10.5812/atr.4(2)2015.28465.
25. Sayyed Hadi Sayyed Hoseinian, MD; Mohammad H. Ebrahimzadeh, MD.et al. Injury Patterns among Motorcyclist Trauma Patients: A Cross Sectional Study on 4200 Patients. Arch Bone Jt Surg. 2019; 7(4): 367-
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