Pediatric transport related injuries in Tehran: the necessity of implementation of injury prevention protocols

Zargar, Moosa; Roudsari, Bahman Sayyar; Shadman, Mazyar; Kaviani, Ahmad; Tarighi, Payam

doi:10.1016/s0020-1383(02)00378-9

Cited by 37 publications

(53 citation statements)

References 10 publications

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“…This review shows that most of the RTIs among Iranian children and adolescents are preventable using appropriate preventive strategies such as safety facilities, safe vehicles, and safe traffic behavior. It was found that factors such as age, gender, road safety, and type of trauma, time and place of RTIs, season, type of transport, and insurance status can influence the mortality rate among Iranian children and adolescents as RTIs victims (7)(8)(9)(10)(11)(12)(13)(14)(15). RTIs are also a leading cause of disability and death in children under five years old in Iran (1).…”

Section: Discussionmentioning

confidence: 99%

Road Traffic Injuries Among Iranian Children and Adolescents: An Epidemiological Review

Behzadnia¹,

Shahmohammadi²

2016

J Pediatr Rev

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Context: Road traffic injuries (RTIs) are the leading cause of death and globally kill 1.2 million people every year and leave 20 -50 million people injured and disabled. In Iran, traffic related fatalities are the leading cause of death among all inadvertent fatal injuries imposed on children under five. Herein, authors review the epidemiological studies performed on vehicle accidents among Iranian children and adolescents to improve the knowledge about these preventable events. Evidence Acquisition: International databases including PubMed, Google scholar, science direct Cochrane library, and national data bases such as scientific information database (SID) were searched for terms; children, motor vehicle accident, road traffic injuries, Iran 2000 -2015. Publication in Persian or English language related to the subject including Iranian children and adolescent's age groups were included. Among the 312 articles, 11 (two abstracts and nine full texts) were selected. Nine full texts were reviewed. Results: From 22865 victims, about 3578 children and adolescents under 19 years old were identified. Males were more affected than females. Pedestrian injury with 43.66% was the most common case of road traffic injuries. Head trauma was the most common cause of injuries reported by eight of the reviewed articles. Most of the accidents occurred between 1:00 -6:00 PM. Most of RTIs occurred in summer. Care by emergency medical services (EMS) (29.14%) was reported by five out of the nine reviewed article. Conclusions: Most of the road traffic injuries among Iranian children and adolescents are preventable using appropriate preventive strategies such as safety facilities, safe vehicles, and safe traffic behavior, and establishing comprehensive public education programs for older children and their parents. ContextRoad traffic injuries (RTIs) are major causes of death and disability in adolescents and young adults worldwide. Globally, RTIs kill 1.2 million people every year and lead to 20 -50 million people injured and disabled. According to the report of united nations international children's emergency fund (UNICEF), road traffic injuries (RTIs) are the second leading cause of death for young people aged 5 -25 years. Based on this report, among all unintentional fatal injuries imposed on Iranian children under five, RTI fatalities are the leading cause of death (1, 2). Causes of RTIs are multi factorial including people, vehicle and road environmental factors. According to the reports of some studies, human factors have the most important effect on RTIs. Other influencing factors include driver behavior, speed, and violation of traffic regulations, poor driving skills, decentralization, fatigue and physical disabilities (3, 4). RTIs also impact on the economy of the developing countries. The costs of RTIs, among all external causes of morbidity and mortality, represent one of the highest financial burdens to health care systems of the developing countries including Iran (2, 5). It is estimated that traffic fataliti...

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Section: Discussionmentioning

confidence: 99%

Road Traffic Injuries Among Iranian Children and Adolescents: An Epidemiological Review

Behzadnia¹,

Shahmohammadi²

2016

J Pediatr Rev

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“…Although research in developing countries has indicated the disproportionate number of children and young males injured in pedestrian traffic accidents (Mock et al, 1999b;Vasconcellos, 1999;Zargar et al, 2003;Montazeri, 2004;Razzak et al, 2004;Roudsari et al, 2004) as well as the common involvement of motor vehicles in pedestrian injuries (Mock et al, 1999b), no study has explored the association between pedestrian activity at the time of injury, the type of vehicle involved, and the resulting activity limitation. Such information would provide a basis for specific prevention interventions in poor countries.…”

Section: Introductionmentioning

confidence: 99%

Relationship between mechanisms and activities at the time of pedestrian injury and activity limitation among school adolescents in Kathmandu, Nepal

Poudel‐Tandukar

Nakahara

Ichikawa

et al. 2006

Accident Analysis & Prevention

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This study assessed the relationship between pedestrian activity at the time of injury, the type of vehicle involved and resulting activity limitation among school adolescents in the Kathmandu and Lalitpur districts of Nepal. A cross-sectional study of 1557 students in grades 6-8 across 14 schools was conducted using a self-administered questionnaire from August to September 2003. Twenty-three percent of adolescents reported pedestrian injuries, 38% were from urban and 21% from semi-urban areas. Adolescents were commonly injured by motorcycles and motor vehicles while crossing the road; however, while walking and playing, they were commonly injured by bicycles and motorcycles. Bicycles and motor vehicles were less likely to be involved in injury while crossing the roads and playing, respectively (p < 0.001). Activity was more likely to be limited for a longer period of time (>7 days) with injuries endured while crossing the road (p < 0.001). In urban areas, boys and girls were more likely to be injured while crossing the road and walking, respectively (p < 0.05), and both were commonly injured by motorcycles. In semi-urban areas, boys and girls were commonly injured while walking and were more likely to be injured by motorcycles and bicycles, respectively (p < 0.05). In both areas, more boys than girls were injured while playing. These findings have important implications for pedestrian safety interventions in poor countries.

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“…This surge in trauma was likely a direct result of the disaster itself; similar results have been demonstrated among pediatric populations in field hospital reports from other disaster settings. 9,10,11 Furthermore, a large group of Haitians fled the capital city in the aftermath of the earthquake, and it is possible that part of the surge in PIH/ZL trauma volume in the weeks following the disaster reflects this migration. 15 Knowledge of the presence of international volunteers at PIH/ZL hospitals could also have contributed to a surge in demand for trauma surgery, even for conditions unrelated to the earthquake.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Natural Disaster on Pediatric Surgical Delivery: A Review of Haiti Six Months Before and After the 2010 Earthquake

Hughes¹,

Nash²,

Alkire³

et al. 2012

hpu

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Little is known about pediatric surgical disease in resource-poor countries. This study documents the surgical care of children in central Haiti and demonstrates the influence of the 2010 earthquake on pediatric surgical delivery. Methods . We conducted a retrospective review of operations performed at Partners in Health/Zanmi Lasante hospitals in central Haiti. Results . Of 2,057 operations performed prior to the earthquake, 423 were pediatric (20.6%). Congenital anomalies were the most common operative indication (159/423 operations; 33.5%). Pediatric surgical volume increased significantly after the earthquake, with 670 operations performed (23.0% post-earthquake v . 20.6% pre-earthquake, p=.03). Trauma and burns became the most common surgical diagnoses after the disaster, and operations for non-traumatic conditions decreased significantly (p<.01). Conclusion . Congenital anomalies represent a significant proportion of baseline surgical need in Haiti. A natural disaster can change the nature of pediatric surgical practice by significantly increasing demand for operative trauma care for months afterward.

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Pediatric transport related injuries in Tehran: the necessity of implementation of injury prevention protocols

Cited by 37 publications

References 10 publications

Road Traffic Injuries Among Iranian Children and Adolescents: An Epidemiological Review

Road Traffic Injuries Among Iranian Children and Adolescents: An Epidemiological Review

Relationship between mechanisms and activities at the time of pedestrian injury and activity limitation among school adolescents in Kathmandu, Nepal

The Impact of Natural Disaster on Pediatric Surgical Delivery: A Review of Haiti Six Months Before and After the 2010 Earthquake

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