Analysis of mortality rate of road traffic accidents and its trend in 11 years in Iran

Shahbazi, Fatemeh; Soori, Hamid; Khodakarim, Soheila; Ghadirzadeh, Mohammad Reza; Nazari, Seyed Saeed Hashemi

doi:10.4103/atr.atr_72_18

Cited by 10 publications

(10 citation statements)

References 21 publications

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“…In this study, most of the fatality reported in the winter season. Winter is a dry and hottest season in Ethiopia and during dry and hot time RTAs fatality were likely to increase which was consistent with another study [22,23,24]. Our findings are different from a study conducted in Iran and Ethiopia which shows the majority of the fatality reported in the rainy season [15,24].…”

Section: Discussionsupporting

confidence: 70%

Epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: a study based on traffic police records (2018–2020)

Alemayehu¹,

Woldemeskel

Baru

et al. 2023

BMC Emerg Med

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Introduction Road traffic accidents are a major cause of fatal and nonfatal injuries, causing permanent disabilities, and other indirect health complications. Each year, road traffic accidents (RTA) cause a lot of fatalities and injuries in Ethiopia, putting the country among the list of the most affected countries by RTA in the world. Despite the high rates of road traffic collisions in Ethiopia, very little is known about the factors that contribute to fatal RTA in the country. Objectives the objective of this study is to assess the epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: A study based on traffic police records (2018–2020). Method A retrospective observational study design was conducted used in this study. All road traffic accident victims reported to Addis Ababa police station between 2018 and 2020 were study population and the collected data was evaluated with Statistical Package for the Social Sciences (SPSS) version 26 software. Binary logistic regression model was used to indicate the association between dependent and independent variables. Statistically, significant associations were declared at P < 0.05. Result There were 8458 recorded road traffic accidents in Addis Ababa during 2018–2020. Among these accidents, 1274 (15.1%) caused death while 7184 (84.1%) caused an injury. Males accounted for 77.1% of the decedents (sex ratio of almost 3.36:1). The majority 1020 (80%) of the fatality occurred on a straight road and 1106 (86.8%) of the fatality occurred in dry weather. Weekday 1.243 (AOR, 1.234, 95 CI, 1.071–1.443), driver educational status below grade twelve 0.326(AOR 0.326, CI, 0.285–0.374), and commercial truck vehicle 1.682 (OR, 1.696, CI, 1.410–2.040) were statistically associated with fatality after adjusting for potential confounding variables. Conclusion The prevalence of RTA fatality in Addis Ababa is high. The accidents that occurred during the weekdays were more fatal. Driver’s educational status, weekdays, and vehicle type were factors associated with mortality. There is a need to introduce road safety interventions that targeted identified factors in this study to reduce fatalities attributed to RTIs.

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Section: Discussionsupporting

confidence: 70%

Epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: a study based on traffic police records (2018–2020)

Alemayehu¹,

Woldemeskel

Baru

et al. 2023

BMC Emerg Med

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“…However, the role of the other two components (ie, exposure and injuryrisk) is not very clear. 34 35 …”

Section: Discussionmentioning

confidence: 99%

“…Consistent with the previous studies, higher mortality rate in the individuals aged ≥70 years can be explained by high frailty, high severity of injuries, low physical endurance and cognitive abilities. However, the role of the other two components (ie, exposure and injuryrisk) is not very clear 34 35…”

Section: Discussionmentioning

confidence: 99%

“…However, according to the WHO report, most of the countries have not achieved this goal. 1 The age-standardised mortality rate due to RTIs in Iran was 59.87 (95% uncertainty interval (UI): 50.33 to 71.35) and 34.82 (95% UI: 28.97 to 42.3) per 100 000 in 1990 and 2016, respectively. RTIs are the second leading cause of death and disability-adjusted life-years (DALYs) in Iran.…”

Section: Introductionmentioning

confidence: 99%

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Burden of road traffic injuries in Iran: a national and subnational perspective, 1990−2019

et al. 2022

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ObjectivesReliable and valid information on burden of road traffic injuries (RTIs) is essential for short-term and long-term planning. We designed the present study to describe the levels and trends of burden of RTIs in Iran from 1990 to 2019.MethodsThis is an observational epidemiological study. We used the Global Burden of Disease (GBD) 2019 estimates to report RTIs incidence, prevalence, mortality and disability-adjusted life-years (DALYs) by sex, age group and road user category in Iran and each of the 31 provinces from 1990 to 2019.ResultsAge-standardised incidence, prevalence, death and DALY rates of RTIs decreased by 31.7% (95% uncertainty interval (UI): 29.4 to 33.9), 34.9% (33.8 to 36.0), 57.7% (48.1 to 62.3) and 60.1% (51.7 to 65.2), respectively between 1990 and 2019. The 2019 age-standardised DALY rates varied from smallest value in Tehran 303.8 (216.9 to 667.2) per 100 000 to largest value in Sistan-Baluchistan 2286.8 (1978.1 to 2627.9) per 100 000. The burden of RTIs was mainly related to injuries sustained by drivers or passengers of motorised vehicles with three or more wheels and pedestrians’ injuries, mostly affected males aged 15–29 years and individuals aged ≥70 years.ConclusionThe reducing trend in the burden of RTIs in Iran possibly reflects the effectiveness of the intervention programmes. However, with regard to the Sustainable Development Goals the burden is still at an alarming level. Further reductions are necessary for specific road user groups such as adolescent and adult male drivers or passengers of motorised vehicles, also pedestrians aged ≥70 years.

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“…In recent years, dressings with different compositions have been introduced to protect and accelerate the healing of skin damage caused by burns, fractures, and other accidents leading to skin damage. Recently, bacterial cellulose (BC) has been used in dressings to reduce the duration of wound healing [ 5 , 6 ], however, more recent studies have shown that BC alone has no antimicrobial activity [ 7 ]. In general, inorganic nanomaterials play an important role in antibacterial applications due to their large area and particle shape properties [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the therapeutic effect of dressing containing Silver (Ag coat) in the process of healing skin blisters caused by limb fractures: a clinical trial study

Teimouri

Lalehzar

2023

BMC Surg

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Background The main activity of the skin is to create a protective barrier against damage. Loss of the skin due to injury or disease and failure to regenerate the affected area may result in disability, infection, or even death. We conducted a clinical trial to evaluate the therapeutic effect of dressing containing silver in process of healing skin blisters caused by limb fractures. Method This is a pioneering randomized trial that compares the effectiveness of two dressings containing silver (Ag coat) and Gaz Vaseline among patients with skin blisters due to bone fractures who were randomly selected from patients referred to the Kashani Medical Training Center. There were two treatment groups containing 16 patients treated with Ag coat and 15 patients treated with Gaz Vaseline. Pictures were taken of blisters on days 0, 7, and 14 to evaluate the healing process. The amount of pain, duration of the visit (measured by minutes), and general condition of the wound were checked. The amount of pain, duration of visit (measured by minutes) and general condition of the wound was checked. All continuous and categorical data are presented as mean ± standard deviation (SD) and frequency (percentage), respectively. Paired sample T-test and repeated measure analysis of variance (ANOVA), Chi-squared test was used. All pictures were analyzed by Mosaic soft ward. Result During this study, there was no significant difference between the mean of age and BMI and frequency of gender in the two study groups (P > 0.05). There was a significant difference in mean between the duration of the visit, number of dressings, and net cost of dressing $$(p <0.05)$$ ( p < 0.05 ) . In the macroscopic study and analysis for evaluation and comparing wound area with the Mosaic soft ward, there was significant relation in time (p1 = 0.00). There is no significant difference between the groups (p2 = 0.84). There was a significant difference between time and group (p3 = 0.00). On day 14 the wound area between groups had a significant difference (p4 = 0.00) (Table 3). In the VAS score there was a significant difference in time, and group (p1,2 = 0.00), there was no significant relation between time and group (p3 = 0.62). On all days the wound area between groups had a significant difference (p4 = 0.00). Conclusion In conclusion, Ag coat dressing, not only has a significant effect on wound healing but also, decreases pain, shorter visit time, and its more cost-effective.

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Analysis of mortality rate of road traffic accidents and its trend in 11 years in Iran

Cited by 10 publications

References 21 publications

Epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: a study based on traffic police records (2018–2020)

Epidemiological characteristics of deaths from road traffic accidents in Addis Ababa, Ethiopia: a study based on traffic police records (2018–2020)

Burden of road traffic injuries in Iran: a national and subnational perspective, 1990−2019

Evaluation of the therapeutic effect of dressing containing Silver (Ag coat) in the process of healing skin blisters caused by limb fractures: a clinical trial study

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