Evaluation of the characteristics and outcome of hospitalized patients due to traffic accidents based on the data of Urmia trauma registry from 2017 to 2022

Abstract

Objective(s): The rate of road accidents in Iran is 20 times higher than the world average and in recent years the rate of disability caused by car accidents in the country has doubled compared to European countries. The purpose of this study was to evaluate the characteristics and outcomes of hospitalized patients due to traffic accidents based on the data of Urmia trauma registry. Methods: The present study was conducted on all patients admitted for trauma caused by traffic accidents to a teaching hospital in Urmia, Iran, from 2017 to 2022. Data were analyzed using logistic regression. Results: A total of 2086 patients were studied, of which 1966 (94.25%) recovered and 120 (5.75%) died. The mean age (standard deviation) of the recovered people was 34.50 (18.44) and for the dead people it was 34.3 (18.92) years (p>0.05). The logistic regression results showed that there was a significant relationship between the chance of death with gender (OR for men =1.714, P=0.030), low educational level (OR=2.153, P=0.002), being single (OR=1.894, P=0.014) and noncompliance with safety rules including, having driving license (OR=17.270, P=0.008), alcohol consumption (OR=10.338, P<0.001), drugs abuse (OR=5.556, P=0.032), and not using seat belts for car drivers (OR=3.466, P=0.017) and helmet use for motorcyclists (OR=5.532, P=0.040). Conclusions: The findings suggest there is need to implement appropriate interventions for those who are at higher risk of death due car or motorcycle accidents.

Keywords

• traffic accidents
• trauma registration system
• behavioral factors
• injury
• mortality