Volume 2, Issue 4 (Journal of Clinical and Basic Research(JCBR) 2018)
jcbr 2018, 2(4): 15-22 |
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Khorshah H, Eri M, Honarvar M R, Mirkarimi S K, Abbasi M, Badiei F, et al . Epidemiological Study of Road Traffic Accidents and Detection of Accident Hot Spot in Golestan Province, Northern Iran. jcbr 2018; 2 (4) :15-22
URL: http://jcbr.goums.ac.ir/article-1-172-en.html
URL: http://jcbr.goums.ac.ir/article-1-172-en.html
Hassan Khorshah1 
, Maryam Eri1 , Mohammad Reza Honarvar * 2, Seyed Kamal Mirkarimi2 , Mahdi Abbasi1 , Farhad Badiei3 , Masoumeh Gholami3 , Mohammad Montazeri3
, Maryam Eri1 , Mohammad Reza Honarvar * 2, Seyed Kamal Mirkarimi2 , Mahdi Abbasi1 , Farhad Badiei3 , Masoumeh Gholami3 , Mohammad Montazeri3
1- Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
2- Health Management and Social Development Research Center, School of Public Health, Golestan University of Medical Sciences, Gorgan, Iran
3- Deputy of Health, Golestan University of Medical Sciences, Gorgan, Iran
2- Health Management and Social Development Research Center, School of Public Health, Golestan University of Medical Sciences, Gorgan, Iran
3- Deputy of Health, Golestan University of Medical Sciences, Gorgan, Iran
Abstract: (5128 Views)
Background and objectives: Given the high burden of traffic accidents in Iran, especially in the northern areas, and the importance of identifying the characteristics and geographic distribution of road traffic accidents (RTAs) for policymaking and planning, this study was conducted to investigate the epidemiology of RTAs and determine accident hot spots in the Golestan Province, northern Iran.
Methods: This cross-sectional study was carried out on all traffic accidents in the suburban roads of the Golestan Province that were reported to the Emergency Medical Services (EMS 115) and registered in a software-based traffic accidents information management system (called SAMAH in Persian) between March 2009 and 2012. The accidents were assessed in terms of setting, time of accident, demographic characteristics of injured people, and consequences. Data were entered into SPSS (version 16) and then analyzed using independent t-test and chi-square test. The ArcGIS10 software was also used for analyzing spatial data and mapping RTAs.
Results: Overall, 10522 incidents were recorded in the system, most of which (36.2%) occurred in March 2010-2011. The frequency of RTAs in summer was almost 2-fold higher than other seasons. In addition, the frequency of RTAs was higher in the Gonbad-e-Kavous County (23.4%) and the Gorgan County (21.4%). Among the 11,415 people injured in RTAs, 9,129 (82.1 %) were male, 80.7% were transferred to hospital, and 5.9% were treated at the accident site. The mean age of injured men (29.9±14.9 years) was significantly lower than that of injured women (33.2±17 years) (P≤0.001). Moreover, 163 individuals (1.4%) died because of the RTAs, and mission was canceled in 1393 cases (12%). The most common RTA injuries were multiple traumas (34.6%), head and face injuries (28.3%), and knee and leg injuries (18.1%).
Conclusion: We demonstrated that the rate of RTAs in the Golestan Province is high. Offering training to people, especially to younger people who at higher risk of involvement in RTAs, improving road quality and signage in hot spots, and recruitment of highly-trained EMS personnel might be beneficial for reducing the number and complications of RTAs in the province.
Methods: This cross-sectional study was carried out on all traffic accidents in the suburban roads of the Golestan Province that were reported to the Emergency Medical Services (EMS 115) and registered in a software-based traffic accidents information management system (called SAMAH in Persian) between March 2009 and 2012. The accidents were assessed in terms of setting, time of accident, demographic characteristics of injured people, and consequences. Data were entered into SPSS (version 16) and then analyzed using independent t-test and chi-square test. The ArcGIS10 software was also used for analyzing spatial data and mapping RTAs.
Results: Overall, 10522 incidents were recorded in the system, most of which (36.2%) occurred in March 2010-2011. The frequency of RTAs in summer was almost 2-fold higher than other seasons. In addition, the frequency of RTAs was higher in the Gonbad-e-Kavous County (23.4%) and the Gorgan County (21.4%). Among the 11,415 people injured in RTAs, 9,129 (82.1 %) were male, 80.7% were transferred to hospital, and 5.9% were treated at the accident site. The mean age of injured men (29.9±14.9 years) was significantly lower than that of injured women (33.2±17 years) (P≤0.001). Moreover, 163 individuals (1.4%) died because of the RTAs, and mission was canceled in 1393 cases (12%). The most common RTA injuries were multiple traumas (34.6%), head and face injuries (28.3%), and knee and leg injuries (18.1%).
Conclusion: We demonstrated that the rate of RTAs in the Golestan Province is high. Offering training to people, especially to younger people who at higher risk of involvement in RTAs, improving road quality and signage in hot spots, and recruitment of highly-trained EMS personnel might be beneficial for reducing the number and complications of RTAs in the province.
Article Type: Research |
Subject:
Statistics and epidemiology
References
1. Organization WH. Global status report on road safety: time for action: World Health Organization; 2009.
2. Forouzanfar MH, Sepanlou SG, Shahraz S, BESc PN, Pourmalek F, Lozano R, et al. Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010. Archives of Iranian medicine. 2014;17(5):304.
3. Rasouli MR, Nouri M, Zarei M-R, Saadat S, Rahimi-Movaghar V. Comparison of road traffic fatalities and injuries in Iran with other countries. Chinese Journal of Traumatology (English Edition). 2008;11(3):131-4. [DOI:10.1016/S1008-1275(08)60028-0]
4. Sadeghi-Bazargani H, Ayubi E, Azami-Aghdash S, Abedi L, Zemestani A, Amanati L, et al. Epidemiological Patterns of Road Traffic Crashes During the Last Two Decades in Iran: A Review of the Literature from 1996 to 2014. Archives of trauma research. 2016;5(3):e32985. [DOI:10.5812/atr.32985]
5. Bhalla K, Naghavi M, Shahraz S, Bartels D, Murray C. Building national estimates of the burden of road traffic injuries in developing countries from all available data sources: Iran. Injury Prevention. 2009;15(3):150-6. [DOI:10.1136/ip.2008.020826]
6. Naghavi M, Shahraz S, Bhalla K, Jafari N, Pourmalek F, Bartels D, et al. Adverse health outcomes of road traffic injuries in Iran after rapid motorization. Arch Iran Med. 2009;12(3):284-94.
7. Modarres SR, Shokrollahi MH, Yaserian M, Rahimi M, Amani N, Manouchehri A. Epidemiological characteristics of fatal traumatic accidents in Babol, Iran: A hospital-based survey. Bulletin of emergency & trauma. 2014;2(4):146.
8. Najimi-Varzaneh A, Fesharaki MG. Prevalence of Road Traffic Accidents in Iran: A Systematic Review, GIS and Meta-Analysis. Iranian Red Crescent Medical Journal. 2018;20(10). [DOI:10.5812/ircmj.83852]
9. Entezami N, Hashemi-Nazari SS, Soori H, Khosravi A, Ghadirzadeh MR. Epidemiology of fatal road traffic accidents in Northern provinces of Iran during 2009 to 2010. Safety Promotion and Injury Prevention. 2015;3(1):1-8 (in persian).
10. Rukewe A, Taiwo O, Fatiregun A, Afuwape O, Alonge T. GEOGRAPIC INFORMATION SYSTEMS IN DETERMINING ROAD TRAFFIC CRASH ANALYSIS IN IBADAN, NIGERIA. Journal of the West African College of Surgeons. 2014;4(3):20.
11. Charkazi A, Esmaeili A, Garkaz G, Qoreishi Z, Gerey S, Nazari S. Epidemiologic Survey of Road Traffic Accidents in Patients Admitted in Emergency Department of Alejalil Hospital in Aq-Qala City, Golestan Province. journal of health. 2012;3(2):42-9.
12. Afkhaminia F, Yazdani Charati J, Rahimi E, Mousavi Nasab N. Epidemiological Study of the Suburban Accident Mortalities Recorded in Golestan, Iran in 2015. Jorjani Biomedicine Journal. 2018;6(1):67-73. [DOI:10.29252/jorjanibiomedj.6.1.67]
13. Mohammadi G. Road traffic crash injuries and fatalities in the city of Kerman, Iran. International journal of injury control and safety promotion. 2013;20(2):184-91. [DOI:10.1080/17457300.2012.686039]
14. Mohtasham-Amiri Z, Dastgiri S, Davoudi-Kiakalyeh A, Imani A, Mollarahimi K. An epidemiological study of road traffic accidents in Guilan Province, Northern Iran in 2012. Bulletin of Emergency & Trauma. 2016;4(4):230.
15. Abbasi HR MS, 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.
16. Manouchehrifar M HH, Derakhshandeh N. . Treatment Costs of Traffic Accident Casualties in a Third-level Hospital in Iran; a Preliminary Study. Emerg (Tehran). 2014;2(1):40-2.
17. Bahadorimonfared A, Soori H, Mehrabi Y, Delpisheh A, Esmaili A, Salehi M, et al. Trends of fatal road traffic injuries in Iran (2004–2011). PloS one. 2013;8(5):e65198. [DOI:10.1371/journal.pone.0065198]
18. Ditsuwan V VL, Barendregt JJ, Bertram M, Vos T. The national burden of road traffic injuries in Thailand. Popul Health Metr. 2011;9(1):2. [DOI:10.1186/1478-7954-9-2]
19. Hijar M AA, Carrillo C, Solorzano L. Road traffic injuries in an urban area in Mexico. An epidemiological and cost analysis. Accid Anal Prev. 2004;36(1):37-42. [DOI:10.1016/S0001-4575(02)00112-4]
20. Organization WH. Global status report on road safety 2015: World Health Organization; 2015.
21. Khorshidi A, Ainy E, Nazari SSH, Soori H. Temporal patterns of road traffic injuries in Iran. Archives of trauma research. 2016;5(2). [DOI:10.5812/atr.27894]
22. Sadeghi-Bazargani H, Ayubi E, Azami-Aghdash S, Abedi L, Zemestani A, Amanati L, et al. Epidemiological patterns of road traffic crashes during the last two decades in Iran: a review of the literature from 1996 to 2014. Archives of trauma research. 2016;5(3). [DOI:10.5812/atr.32985]
23. Sasser S VM, Kellermann A, Lormand JD. Prehospital trauma care systems. : Geneva,World Health Organization; 2005.
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