Epidemiological Study of Mortality Caused by Road Accidents in the Intensive Care Unit of Besat Educational-Medical Hospital in Hamadan
Abstract
Introduction: Road accidents are one of the causes of death and it's important to investigate the epidemiological indicators in this context. In this regard, this study aimed to determine the epidemiological causes of road accident mortality in the intensive care unit of Besat Educational-medical Hospital in Hamadan during Nowruz Holidays 2018.
Material and Methods: In this descriptive cross-sectional study, data of the patients died for 13 days in Nowruz Holidays in the intensive care unit of Besat Hospital in Hamadan, by census method, was extracted from the medical records of patients by using a checklist from a researcher-made questionnaire. Data were analyzed by Fisher's exact test and SPSS 21 software.
Results: Of the 28 Patient admitted to the intensive care unit,16 patients died. Most deaths were in the third decade of life, among single men, with a self-employment job, with diploma education level or cycle education level, with more than 10 days of hospitalization and in the night shift. Based on the results, most of the dead persons were rider (81.25%), suffered head trauma (50%), with head surgery (56.25%), without any underlying illness (93.75%) and without successful experience of cardiopulmonary resuscitation (87.5%). There were no statistically significant differences between the variables and mortality rate (P value > 0/05).
Conclusion: Young single men with low level of education are a wide range of road accidents victims. Therefore, it seems it's necessary to reduce mortality from these accidents, health planning such as traffic culture training and driving rules, by using social media, should focus on learning and improving the level of community awareness, especially in this group of people
2. Wickramanayake IL, Gunasena G,Wickramanayake W, Goonasekera C. The Prevalence of Known Risk Factors for Road Traffic Accidents in Candy Police Administrative Area. Proceedings of Peradeniya University Research Sessions, Serilanka 2007;12(1):129-130.
3. Ghorbani Birgani A, Hakim AS, Zare K.Epidemiologic study of fatal traffic accidents in khuzestan province in 2010. Journal of Rescue and Relief. 2012;4(2).
4. Hatamabadi H, Soori H, Vafaee R, Hadadi M, Ainy E, Asnaashari H. Epidemiological pattern of road traffic injuries in Tehran-Abali axis in 2008: a prospective study. Payesh 2012;11(1): 29-37.
5. Hijar M, Vazquez-Vela E, Arreola-Risa C. Pedestrian traffic injuries in Mexico: a country update. Injury control and safety promotion. 2003;10(1-2):37-43.
6. Rezaei S, Arab M, Matin BK, Sari AA. Extent, consequences and economic burden of road traffic crashes in Iran. Journal of injury and violence research. 2014;6(2):57.
7. Marino Paul L.The ICU Book. 6th ed. Lea Febiger / Section XII ,chapter 43. 578-580:1991.
8. Bilancia P, Palermo F, Porchia O. The European fitness of Italian regions. Perspectives on Federalism. 2010;2(2):123-74.
9. Shahla A, Charehsaz S. Injuries resulting from motorcycle-induced trauma during two years in Shahid Motahari Clinical Center of URMIA. Scientific journal of forensic medicine. 2006;12(2):79-83.
10. Hashemi Nazari SS, Ghadirzadeh M. An epidemiology study of fatal road traffic accidents in khorasan razavi province in 2011. medical journal of mashhad university of medical sciences. 2016;59(4):261-8.
11. Ditsuwan V, Veerman LJ, Barendregt JJ, Bertram M, Vos T. The national burden of road traffic injuries in Thailand. Population Health Metrics. 2011;9(2).
12. Reddy NB, Hanumantha PM, Reddy NN, Reddy CS.An epidemiological study on pattern of thoracoabdominal injuries sustained in fatal road traffic accidents of Bangalore: Autopsy-based study. Journal of emergencies, trauma, and shock. 2014;7(2):116.
13. Rezaei S, Arab M, Matin BK, Sari AA. Extent, consequences and economic burden of road traffic crashes in Iran. Journal of injury and violence research. 2014;6(2):57.
14. Maleki far A, Hashemi Nazari S,Ghadirzadeh M. Epidemiology of deaths due to traffic accidents in Kermanshah province (2012). J Kermanshah Univ Med Sci. 2015;19(6): 327-33.
15. Izadi N, Najafi F, Khosravi A, Hashemi Nss, Salari A, Soori H. Estimation Of Mortality And Calculated Years Of Lost Life From Road Traffic Injuries 2014.Journal Of Mazandaran University Of Medical Sciences. 2014;24(112): 51-8.
16. Hashemi Nss, Kazemian M, Hosseini F. Trend Of Five Years Traffic AccidentMortality In Khuzestan Province 2006-2010). Scientific Journal Of Forensic Medicine. 2011;17(2):123-29.
17. Entezami N , Hashemi Nazari S, Souri H., Khosravi A, Ghadirzade M. Epidemiological pattern of fatal traffic accidents in the northern provinces of Iran in. Journal of Safety Improvement and Injury Prevention. 2015;3(1):1-8.
18. Davoodi F, Hashemi- Nazari SS, Ghadirzadeh MR. Epidemiology Study of Road Traffic Accidents Resulting in Death: In Lorestan Province in 2012.J Saf Promot Inj Prev.2016;3(4):257-62.
19. Taravatmanesh S, Hashemi-Nazari SS, Ghadirzadeh MR, Taravatmanesh L. Epidemiology of fatal traffic injuries in the Sistan and Baluchistan province in 2011. J Saf Promot Inj Prev. 2015;3(3):161-8.
20. Abbasi M, Sadeghi M, Azami AA, Esmaeili SM, Kavousi J, Aryafard A. Factors Related to Road Traffic Accidents Leading to Injury or Death in Shahroud City. J Saf Promot Inj Prev. 2016;4(2): 83-9.
21. Meera TH, Nabachandra H. A study of pattern and injury severity score in blunt thoraco-abdominal trauma cases in Manipal. Published by World Information Syndicate. 2005;5(2):47.
22. Ghadiri asl N. Epidemiological study of casualty victims in Qazvin province in 2010- Department of Health, Qazvin University of Medical Sciences & Health Services. 2018;22(3);58-67.
23. Erfanpoor S, Hashemi Nazari S,Ghadirzadeh M. An epidemiology study of fatal road traffic accidents in khorasan razavi province in 2011. Journal of Faculty of Medicine, Mashhad University of Medical Sciences.2017; 59(4);261-268.
24. Honnungar RS, Aramani SC, Kumar A, Kumar T, Jirli PS. An epidemiological survey of fatal road traffic accidents and their relationship with head injuries. Journal of Indian Academy of Forensic Medicine. 2011;33(2):135-7.
25. Kanchan T, Kulkarni V, Bakkannavar SM, Kumar N, Unnikrishnan B. Analysis of fatal road traffic accidents in a coastal township of South India. Journal of forensic and legal medicine. 2012;19(8):448-51.
26. Kumar A, Lalwani S, Agrawal D, Rautji R, Dogra T. Fatal road traffic accidents and their relationship with head injuries: An epidemiological survey of five years. The Indian Journal of Neurotrauma. 2008;5(2):63-7.
27. Faux S.G, et al. The ROARI project– Road Accident Acute Rehabilitation Initiative: a randomised clinical trial of two targeted early interventions for road-related trauma. Clinical Rehabilitation. 2015;29(7):639-652.
28. Lau, G., E. Seow, and E. S. Y. Lim. A review of pedestrian fatalities in Singapore from 1990 to 1994. ANNALS-ACADEMY OF MEDICINE SINGAPORE. 1998;27(6):830-837
Files | ||
Issue | Vol 6 No 3 (2020) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/jbe.v6i3.5104 | |
Keywords | ||
Mortality Epidemiology Road accidents Intensive care unit |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |