Epidemiology and Outcome Determinants of Pedestrian Injuries in a Level I Trauma Center in Southern Iran; A Cross-Sectional Study

Abstract

Objective: To epidemiologically assess the accidents and incidents in the injured pedestrians referred to Shahid Rajaee Hospital, Shiraz in order to provide basic preventive strategies and reduce injuries and fatalities caused by traffic accidents in pedestrians. Methods: This cross-sectional study was conducted on 5840 injured pedestrians referred to Shahid Rajaee Hospital, Shiraz from 2009 to 2014. The baseline characteristic including the demographic and clinical information, the mechanism of injury, injury severity score (ISS) and outcome determinants. We also recorded the outcome measures and the mortality. Multivariate logistic regression analysis was performed to investigate the factors related to mortality rate and Length of Stay (LOS) in hospital. Results: In our study, the history of 5840 injured pedestrians was analyzed. The mean age of the patients was 41.3219.21± years. Multivariate logistic regression indicated that mortality increased with age. Moreover, the odds of mortality was more in patients with Injury Severity Score (ISS) between 16 and 24 [OR: 12.94, 95% CI (3.78-32.66), p=0.001] and injuries in the head and neck [OR: 7.92, 95% CI (4.18-14.99), p=0.020]. LOS in hospital was also higher in patients with ISS>25 [OR: 16.65, p=0.001]. Conclusion: Pedestrians have always been one of the most vulnerable road users. Our study indicated that the adverse consequences and mortalities in pedestrians increased with age. Hence, approaches are required to improve primary prevention programs and reduce deaths and injuries due to this major public health problem.

An Epidemiological Study of Traumatic Spinal Injuries in Iranian Patients from 2007 to 2017

“…The TSCI-related mortality rate was reported higher in the age range of 25 -34 and 55 -64 years, with a statistically significant difference. A study by Ghaem et al showed that trauma-related mortality was higher in patients older than 55 years (17). Besides, Majdan et al argued that the TSCIrelated mortality rate was higher in patients older than 65 years (18), which is in agreement with our study.…”

Epidemiology and Pattern of Traumatic Brain Injury in a Developing Country Regional Trauma Center

“…In current study, LOH was longer in males than in females and by increase the age, LOH was also increased, which these are agreed to results of the previous studies [27][28][29]. Length of hospital stay is multifactorial and can be reduced by review of the care protocol to effect incremental changes that have a significant impact on reducing stay [30,31].…”

Epidemiology of road traffic accidents in Tabriz municipality: A crosssectional study

“…Hasani et al studied the factors related to death in pedestrian accidents and found that the age group over 65 years old was the most common group involved with mortality, signaling a set of interventions focusing on the elderly, as these citizens have a reduced eye sight and have moderate moment disabilities, making them susceptible to fatal accidents. 13,14 Similar results were also demonstrated by Ghaem et al 15 . Moradi et al 16 found that the geographical position of the neighborhoods also had an important role in pedestrian accidents, as it was shown that areas near to financial centers and market and shopping malls of Tehran, Iran, had the most pedestrian accidents.…”