Factors affecting hospital length of stay and hospital charges associated with road traffic-related injuries in Iran

Haghparast‐Bidgoli, Hassan; Saadat, Soheil; Bogg, Lennart; Yarmohammadian, Mohammad Hossein; Hasselberg, Marie

doi:10.1186/1472-6963-13-281

Cited by 52 publications

(52 citation statements)

References 40 publications

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“…Accordingly, LOS in hospital was higher in the patients with lower extremity injuries and in those with higher ISS, which is consistent with the results of various studies [33,48]. In fact, injuries to the head, followed by brain damage and intracranial hemorrhage, causes immediate death thus reducing the LOS in hospital.…”

Section: Discussionsupporting

confidence: 80%

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

Ghaem

Soltani

Yadollahi

et al. 2017

BEAT

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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.

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Section: Discussionsupporting

confidence: 80%

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

Ghaem

Soltani

Yadollahi

et al. 2017

BEAT

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“…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].…”

Section: Discussionsupporting

confidence: 81%

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

Saatian

Ahmadpoor

Mohammadi

et al. 2018

BEAT

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Objective: To determine the epidemiological aspects of patients with traumatic brain injury (TBI) in a regional trauma center. Methods: A cross-sectional study was conducted on patients with TBI during 2013 to 2016 in a single center in Hamedan, central Iran. The distribution and relationships of TBI was assessed with gender, age, type of trauma, traumatic cause, exiting status and Length of Hospitalization (LOH). Data were analyzed by Stata V11 statistical software. Results: In general, 9426 patients with TBI were enrolled in analyses. The mean ± SD age of patients was 29.70 (±21.46) years. Multivariate logistic regression indicated that being male [OR: 1.29; 95% CI (2.92-4.73), P ≤0.001], 41-50 to 71-80 and 90+ years old' age groups (1.325 days [OR: 2.01; 95% CI (1.60-2.52), p≤0.001] and different types of trauma were significantly related to mortality. Conclusion: TBI is one of the main causes of mortality and LOH of the young population. By providing preventive measures and a traumatic care system, the burden of trauma can be greatly reduced, the implementation of the trauma care system in Hamedan province is a necessity.

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“…RTIs are also a leading cause of disability and death in children under five years old in Iran (1). In the current review, most of the children and adolescents were ≤ 14years old (7,8,10,12,14). The 5 -14 age group was also reported with the highest incidence rate of cycling injuries in Iran by Karkhaneh et al (7,16).…”

Section: Discussionmentioning

confidence: 61%

“…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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Factors affecting hospital length of stay and hospital charges associated with road traffic-related injuries in Iran

Cited by 52 publications

References 40 publications

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

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

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

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

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