Road safety in the Eastern Mediterranean Region – findings from the Global Road Safety Status Report

Soori, H; Hussain, Syed Jaffar; Razzak, Junaid Abdul

doi:10.26719/2011.17.10.770

Cited by 21 publications

(17 citation statements)

References 10 publications

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“…Interestingly, a mortality rate due to RTCs in Iran is lower than Afghanistan, Egypt, Libya and Iraq; however, Iran has the highest rate of nonfatal RTCs in the Eastern Mediterranean region (126). …”

Section: Discussionmentioning

confidence: 99%

Epidemiological Patterns of Road Traffic Crashes During the Last Two Decades in Iran: A Review of the Literature from 1996 to 2014

Sadeghi‐Bazargani¹,

Ayubi²,

Azami-Aghdash³

et al. 2016

Arch Trauma Res

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ContextDespite considerable attention given to health statistics of road traffic crashes (RTCs), the epidemiological aspects of injuries resulting from RTCs are not fully understood in Iran and other developing countries. The aim of this review was to study the epidemiological pattern and issues arising due to RTCs in Iran.Evidence AcquisitionThe scope of this study involves data from a broad range of published literature on RTCs in Iran. Data collection for this study was conducted by searching for keywords such as traffic accidents, traffic crashes, motorcycle accidents, motorcycle crashes, motorcycle injury, motor vehicle injury, motor vehicle crashes and motor vehicle accidents, Iran and Iranian in various databases such as Embase, PubMed, Google Scholar, Scopus, Magiran, Iranian scientific information database (SID) and IranMedex.ResultsThis study comprised of 95 articles. It is evident from this review that a large number of severe RTCs occur due to collision of two or more vehicles and most of the victims are males aged between 30 and 39 years. Male pedestrian, drivers and passengers are more likely to be severely injured in comparison to females. One of the most prevalent causes of death among adults involved in the RTCs are head injuries and the majority of deaths occur prior to hospitalization. Mortality rates for RTCs are higher in summer, especially during midnight among all age groups. The most common individual and environmental risk factors associated with RTCs include lack of attention, getting trapped in the car, listening to music, fatigue and sleepiness, duration and distance and negligence of seatbelt usage while driving.ConclusionsThe findings of the current study will be beneficial in prevention of RTCs and its associated complications and hence will be vital for policy makers, health service managers and stakeholders.

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Section: Discussionmentioning

confidence: 99%

Epidemiological Patterns of Road Traffic Crashes During the Last Two Decades in Iran: A Review of the Literature from 1996 to 2014

Sadeghi‐Bazargani¹,

Ayubi²,

Azami-Aghdash³

et al. 2016

Arch Trauma Res

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“…In Iran, however, the value for car accidents reaches up to 48%, which signifies the necessity of ongoing researches focus on epidemiology of car accidents 1 . With an estimated population of 74 million and more than 11.9 million registered four-wheel vehicles in 2011,2, 3 Iran was in the top 5 countries for deaths resulting from RTAs 1 . Classically, motorcyclist and pedestrians have been identified as the vulnerable road users in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Shahid Rajaee hospital administrative data on injuries resulting from car accidents in Shiraz, Iran: 2011–2014 data

Yadollahi

Ghiassee

Anvar

et al. 2017

Chinese Journal of Traumatology

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PurposeThe administrative data from trauma centers could serve as potential sources of invaluable information while studying epidemiologic features of car accidents. In this cross-sectional analysis of Shahid Rajaee hospital administrative data, we aimed to evaluate patients injured in car accidents in terms of age, gender, injury severity, injured body regions and hospitalization outcome in the recent four years (2011–2014).MethodsThe hospital registry was accessed at Shiraz Trauma Research Center (Shiraz, Iran) and the admission's unit data were merged with the information gathered upon discharge. A total number of 27,222 car accident patients aged over 15 years with International Classification of Diseases 10th revision (ICD-10) external causes of injury codes (V40.9-V49.9) were analyzed. Injury severity score and injured body regions were determined based on converting ICD-10 injury codes to Abbreviated Injury Scale (AIS-98) severity codes using a domestically developed electronic algorithm. A binary logistic regression model was applied to the data to examine the contribution of all independent variables to in-hospital mortality.ResultsMen accounted for 68.9% of the injuries and the male to female ratio was 2.2:1. The age of the studied population was (34 ± 15) years, with more than 77.2% of the population located in the 15–45 years old age group. Head and neck was the most commonly injured body region (39.0%) followed by extremities (27.2%). Injury severity score (ISS) was calculated for 13,152 (48.3%) patients, of whom, 80.9% had severity scores less than 9. There were 332 patients (1.2%) admitted to the intensive care units and 422 in-hospital fatalities (1.5%) were recorded during the study period. Age above 65 years [OR = 7.4, 95% CI (5.0–10.9)], ISS above 16 [OR = 9.1, 95% CI (5.5–14.9)], sustaining a thoracic injury [OR = 7.4, 95% CI (4.6–11.9)] and head injury [OR = 4.9, 95% CI (3.1–7.6)] were the most important independent predictors of death following car accidents.ConclusionHospital administrative databases of this hospital could be used as reliable sources of information in providing epidemiologic reports of car accidents in terms of severity and outcomes. Improving the quality of recordings at hospital databases is an important initial step towards more comprehensive injury surveillance in Fars, Iran.

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“…Other human factors such as driving under influence of drugs, (10, 11) low vision acuity of driver, and even poor hearing (6) have been identified as effective factors in road crashes. Several reports indicate an approximate number of 17 million vehicles in Iran, which is the largest number in East Mediterranean region (12). Human mortality rate by road crashes are 35.8 in 100000, which makes Iran one of the top countries in east Mediterranean region in this regard (12).…”

Section: Introductionmentioning

confidence: 99%

“…Several reports indicate an approximate number of 17 million vehicles in Iran, which is the largest number in East Mediterranean region (12). Human mortality rate by road crashes are 35.8 in 100000, which makes Iran one of the top countries in east Mediterranean region in this regard (12). It has been estimated that traffic crashes will double by 2030 (1); therefore, our country would be affected dramatically with effects of road crashes in future.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Fatal and Nonfatal Road Crashes in Iran

Mehmandar¹,

Soori

Amiri³

et al. 2014

Iran Red Crescent Med J

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Background:Road traffic injuries are among the leading causes of death in the world and Iran.Objectives:The aim of this study was to assess the role of age, sex, education, and time of accident on human casualties and mortalities of road crashes in Iran.Materials and Methods:This study was based on data gathered by Iranian Police Department from the records of road crashes from April 4, 2008 through April 4, 2009. Road crashes are categorized into three types: with no human casualties, with injuries, and with human mortalities.Results:The largest rate of human causalities was observed in people aged between 25 to 34 years (P < 0.001). Illiterate people had 81% smaller odds of causality in road crashes (P < 0.001) in comparison with those with a kind of academic education. Overall, 73.4% of crashes had happened during the last ten days of a month were with human casualties (P < 0.001) and human casualties rate was slightly higher in crashes happened between 1 AM to 5 AM Fatality rate was slightly higher in the females (OR = 2.6, P = 0.068). The smallest odds of fatality were found in the people aged between 18 to 24 years and the highest odds were seen in people ≥ 55 years of age (P < 0.001). In people with a university education, 61.9% of crashes were with fatality (P = 0.026). In addition, 82.8% of crashes during winter, 60.2% of crashes during autumn, and 35.8% of crashes during summer were with mortalities. Overall, 78.3% of crashes with human casualties that had happened during 1 AM to 5 AM led to mortalities. There was also a significant association between injury and its intensity with fastening seatbelts.Conclusions:Older age, university degrees, female sex, wintertime, and the time of accident seem to be the most important risk factors in road crashes that lead to fatalities in Iran. Drivers in Iran should be informed and trained regarding these risk factors, which have direct effect on casualties and mortalities in road crashes.

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Road safety in the Eastern Mediterranean Region – findings from the Global Road Safety Status Report

Cited by 21 publications

References 10 publications

Epidemiological Patterns of Road Traffic Crashes During the Last Two Decades in Iran: A Review of the Literature from 1996 to 2014

Epidemiological Patterns of Road Traffic Crashes During the Last Two Decades in Iran: A Review of the Literature from 1996 to 2014

Analysis of Shahid Rajaee hospital administrative data on injuries resulting from car accidents in Shiraz, Iran: 2011–2014 data

Risk Factors for Fatal and Nonfatal Road Crashes in Iran

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