Epidemiological characteristics of fatal traffic accidents in Fars province, Iran: a community-based survey

Heydari, Seyed Taghi; Hoseinzadeh, Amin; Ghaffarpasand, Fariborz; Hedjazi, Arya; Zarenezhad, Mohammad; Moafian, Ghasem; Aghabeigi, Mohammad Reza; Foroutan, Ali; Sarikhani, Yaser; Peymani, Payam; Ahmadi, Seyed-Mehdi; Joulaei, Hassan; Dehghankhalili, Maryam; Lankarani, Kamran Bagheri

doi:10.1016/j.puhe.2013.05.003

Cited by 67 publications

(75 citation statements)

References 13 publications

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“…Non -standard safety designs of vehicles and roads (23) and failure to take safety measures (16) are two important reasons for the high rate of traffic accidents. Thus, traffic accident morbidity and mortality imposes a heavy burden on the public health system globally, especially in developing countries like Iran, and requires prioritization (16,23,24). In our study, mortality due to traffic accidents was more common in 1 -4 years age group.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, mortality due to traffic accidents was more common in 1 -4 years age group. This might partly be due to insufficient knowledge or the failure of caregivers of younger children to take safety measures such as using the child safety seat in the car in Iran as a developing country (16). On the other hand, small children are too short to be visualized by drivers as pedestrians (25) and their sensory facilities (visual and auditory) are not fully developed (1).…”

Section: Discussionmentioning

confidence: 99%

“…Shiraz Legal Medicine Organization Registry was used as the data source for this study. According to Iranian law, the exact cause of death in all injury related cases or accidents must be determined by an autopsy (16). All such deaths in Shiraz are referred to the legal medicine center in this city and are included in the database of Shiraz Legal Medicine Organization Registry.…”

Section: Methodsmentioning

confidence: 99%

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Injury-related Pediatric Mortality in Shiraz, Iran: A Community-based Survey

2018

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Background: Childhood and adolescent injuries are among the most significant health system hazards, especially in developing countries including Iran. In this report, we evaluated the main characteristics of all cases of pediatric injury-related mortality in Shiraz in a 5 -year -period. Methods: This cross -sectional study comprised all injury-related deaths in children and adolescents up to 18 years of age, from September 2011 to September 2016 in Shiraz, Iran. The required information about demographic factors including age, sex, cause of death, the manner and location of death and time period between injury and death was collected for all the cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Injury-related Pediatric Mortality in Shiraz, Iran: A Community-based Survey

2018

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“…T raumatic brain injury (TBI) of all severities is one of the greatest health care-related problems facing our country and the entire world today [1][2][3][4]. The majority of the 1.7 million estimated TBIs occurring in the United States each year are mild [5].…”

Section: Introductionmentioning

confidence: 99%

The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

Hamrah¹,

Mehrvarz²,

Mirghassemi³

2018

BEAT

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Objective: To determine the frequency of the brain CT-scan findings in patients with mild traumatic brain injury (TBI) and scalp lacerations. Methods: This cross-sectional study was conducted during a 1-year period from March 2016 to March 2017 in Level I trauma center in Shiraz, Southern Iran. We included all the adult patients (≥18 years) admitted to our emergency room with mild TBI (GCS on admission of 15) and scalp lacerations. All the patients underwent Brain CT-Scan and the scans were reviewed by two radiologists who were unaware of the patients' clinical findings. The results are reported as proportions and frequencies. Results: Overall we included a total number of 94 patients with minimal TBI who had a scalp laceration on admission. The mean age of the patients was 30.78±8.01 (ranging from 18 to 47) years. There were 58 (61.7%) men and 36 (38.3%) women among the patients. The most common finding of the Brain CT-Scan was subgaleal hematoma in 76 (80.9%) patients followed by base skull base fracture in 7 (7.4%), linear skull fracture in 7 (7.4%), brain contusion in 3 (3.2%) and subdural hematoma in 1 (1.1%). Conclusion:The results of the current study indicate that scalp lacerations are associated with intracranial injuries in about 20% of the patients with mild TBI. Thus brain CT-scan is recommended in all the patients with mild TBI and scalp lacerations.

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“…It has been predicted that the figures will increase by 65% worldwide from 2000 to 2020 and by 85% in low-income countries (7). If the trend continues (and if no intervention is implemented), road traffic accidents will be the third leading cause of death and disabilities in 2020 (8). Traffic injuries in Iran are the second leading causes of death after cardiovascular diseases and the first causes of lost years of life and they are among the most important problems that threaten our country's health status (9).…”

Section: Introductionmentioning

confidence: 99%

Studying the Epidemiology of Fatal Traffic Accidents in the Khuzestan Province

Behbahani

Mohammadi

Nazari

et al. 2016

Jundishapur J Health Sci

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Background: Traffic accidents with about 1.24 million deaths and 20 to 50 million cases of injury or disability per year are one of the most important public health challenges around the world. In Iran, traffic accidents, with an annual incidence of 32 cases per 100 thousand people, are considered as the second leading cause of death and the most common cause of injury. Objectives: This study aimed to evaluate the epidemiological pattern and mortality rate caused by traffic accidents during year 2012 in the Khuzestan province and its cities. Materials and Methods:In this cross-sectional study, all data related to fatal traffic accident referrals to legal medicine center of Khuzestan province during year 2012 were obtained and analyzed. Road traffic accidents mortality rate during this year was calculated for the province and its cities. The data were analyzed using Stata 11 statistical software. Results: In 2012, one thousand and twenty deaths related to traffic accidents occurred in Khuzestan province. The incidence of deaths due to accidents in Khuzestan province was 22.5 and the standardized age of incidence was 24.3 per 100 thousand people. Regarding gender, 78.24% of the dead individuals were male and 21.76% were female. The most common final causes of death were head trauma (76.27% cases) and bleeding (12.55% cases). The most deceased people were drivers (42.55%), passengers (34.90%), and pedestrians (21.27%). The highest traffic accidents mortality rate in Khuzestan province was observed in Hoveizeh (55.43 per one hundred thousand), Omidiye (55.30 per one hundred thousand) and Ramhormuz (53.12 per one hundred thousand), and the lowest incidence rates belonged to Lali (5.35 per one hundred thousand) and Shadegan (9.78 per one hundred thousand). Conclusions: This study showed that drivers, passengers and pedestrians were the most vulnerable road users. Regarding the fact that most of them were illiterate or had primary education and were self-employed or laborers, it seems essential to develop plans not only to train the road users but also to evaluate the safety of vehicles and roads and post-accident care programs, and consequently, implement special programs fully and strictly in order to reduce traffic fatalities.

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Epidemiological characteristics of fatal traffic accidents in Fars province, Iran: a community-based survey

Cited by 67 publications

References 13 publications

Injury-related Pediatric Mortality in Shiraz, Iran: A Community-based Survey

Injury-related Pediatric Mortality in Shiraz, Iran: A Community-based Survey

The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

Studying the Epidemiology of Fatal Traffic Accidents in the Khuzestan Province

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