Epidemiological Profile of Extremity Fractures and Dislocations in Road Traffic Accidents in Kashan, Iran:a Glance at the Related Disabilities | ||
The Archives of Bone and Joint Surgery | ||
مقاله 10، دوره 5، شماره 3، مرداد 2017، صفحه 186-192 اصل مقاله (460 K) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2017.8427 | ||
نویسندگان | ||
Mehrdad Mahdian1؛ Mohammad R. Fazel* 1؛ Mojtaba Sehat2؛ Gholamreza Khosravi3؛ Mahdi Mohammadzadeh1 | ||
1Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran | ||
2Department of Epidemiology, Kashan University of Medical Sciences, Kashan, Iran | ||
3Department of Orthopedics, Kashan University of Medical Sciences, Kashan, Iran | ||
چکیده | ||
Background: Apart from the mortality, road traffic injuries are associated with significant morbidities. This study has aimed to examine the pattern of traffic accident-related extremity fractures/dislocations and their related disabilities. Methods: A retrospective hospital-based study was conducted to assess the characteristics of limb fractures/dislocations among road traffic accident victims registered in Trauma Research Center registry of Kashan University of Medical Sciences, Kashan, Iran, during 2012-2013. Age and sex distribution, cause of injury, and site of fractures/dislocations were recorded. Years lived with disability (YLD) was calculated as a scale to measure the disability. One-way ANOVA and chi-square tests were used for data analysis. Results: From a total of 962 subjects, 812 (84.4%) were males (the male/female sex ratio: 5.4:1). The mean age of victims was 32.7±17.9. Leg (37%) and forearm (19%) fractures were the most frequent fractures. Shoulder dislocations were among the most affected joints accounting for 36.6% of the cases. The total calculated YLD was 135.6 (34.4 for temporal and 101.2 for lifelong disabilities, and totally 117.3 and 18.3 for males and females, respectively). The highest YLD was for motorcyclists (104) and while the most YLD was for 15-29 years (68.2). Conclusion: Young men motorcyclist accidents are a major problem in Kashan region. Generally, they have been accounted for the highest YLD due to fractures/dislocations, especially in lower extremity. Although the calculated YLD will be decreased with increasing age, the elder people also had the high rate of traffic-related limb injuries. | ||
کلیدواژهها | ||
Dislocation؛ Fracture؛ Road traffic accident؛ years lived with disability | ||
مراجع | ||
1. Soroush D, Talebi Deloei M, Reihani H, Vakili V, Mahmoodi Gharaee A, Tafakori A, et al. Characteristics of road traffic injuries in the second largest city of Iran. J Emerg Pract Trauma. 2015; 1(2):48-51. 2. Dalal K, Lin Z, Gifford M, Svanström L. Economics of global burden of road traffic injuries and their relationship with health system variables. Int J Prev Med. 2013; 4(12):1442-50. 3. World Health Organization. WHO global status report on road safety 2013: supporting a decade of action. Geneva: World Health Organization; 2013. 4. Gabbe BJ, Lyons RA, Fitzgerald MC, Judson R, Richardson J, Cameron PA. Reduced population burden of road transport-related major trauma after introduction of an inclusive trauma system. Ann Surg. 2015; 261(3):565-72. 5. Zargar M, Khaji A, Karbakhsh M. Pattern of motorcyclerelated injuries in Tehran, 1999 to 2000: a study in 6 hospitals. Eastern Mediterran Health J. 2006; 12(1- 2):81-7. 6. Thanni LO, Kehinde OA. Trauma at a Nigerian teaching hospital: pattern and documentation of presentation. Afr Health Sci. 2006; 6(2):104-7. 7. Celine TM, Antony J. A study on injuries sustained in road traffic accidents at a tertiary care level. Int J Environ Health Engine. 2014; 3(1):23. 8. Ainy E, Soori H, Riahi M, Vahabzadeh E, Mohebi A, Amiri M. The effect of new road traffic laws on fatal and non-fatal injury rates in Iran. Int J Epidemiol Res. 2014; 1(1):16-23. 9. 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. 10. Hasanzadeh J, Moradinazar M, Najafi F, Ahmadi- Jouybary T. Trends of mortality of road traffic accidents in Fars province, southern Iran, 2004–2010. Iran J Public Health. 2014; 43(9):1259-65. 11. Heydari ST, Hoseinzadeh A, Ghaffarpasand F, Hedjazi A, Zarenezhad M, Moafian G, et al. Epidemiological characteristics of fatal traffic accidents in Fars province, Iran: a community-based survey. Public Health. 2013; 127(8):704-9. 12. Moharamzad Y, Taghipour H, Hodjati Firoozabadi N, Hodjati Firoozabadi A, Hashemzadeh M, Mirjalili M, et al. Mortality pattern according to autopsy findings among traffic accident victims in Yazd, Iran. Chin J Traumatol. 2008; 11(6):329-34. 13. Paravar M, Hosseinpour M, Salehi S, Mohammadzadeh M, Shojaee A, Akbari H, et al. Pre-hospital trauma care in road traffic accidents in kashan, Iran. Arch Trauma Res. 2013; 1(4):166-71. 14. Pan RH, Chang NT, Chu D, Hsu KF, Hsu YN, Hsu JC, et al. Epidemiology of orthopedic fractures and other injuries among inpatients admitted due to traffic accidents: a 10-year nationwide survey in Taiwan. Sci World J. 2014; 2014:637872. 15. Elachi IC, Yongu WT, Odoyoh OO, Mue DD, Ogwuche EI, Ahachi CN. An epidemiological study of the burden of trauma in Makurdi, Nigeria. Int J Crit Illn Inj Sci. 2015; 5(2):99-102. 16. Jiang Y, Hesser JE. Using disability-adjusted life years to assess the burden of disease and injury in Rhode Island. Public Health Rep. 2012; 127(3):293-303. 17. Lapostolle A, Gadegbeku B, Ndiaye A, Amoros E, Chiron M, Spira A, et al. The burden of road traffic accidents in a French Departement: the description of the injuries and recent changes. BMC Public Health. 2009; 9(1):386. 18. Naghavi M, Abolhassani F, Pourmalek F, Lakeh MM, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran 2003. Popul Health Metr. 2009; 7(1):9. 19. Murray CJ, Lopez AD. Global burden of disease. Boston: Harvard University Press; 1996. 20. Tainio M, Olkowicz D, Teresi G, De Nazelle A, Nieuwenhuijsen MJ. Severity of injuries in different modes of transport, expressed with disabilityadjusted life years (DALYs). BMC Public Health. 2014; 14(1):765. 21. Dhondt S, Pirdavani A, Macharis C, Bellemans T, Putman K. Translating road safety into health outcomes using a quantitative impact assessment model. Inj Prev. 2012; 18(6):413-20. 22. Batista Fdos S, Silveira LO, Castillo JJ, de Pontes JE, Villalobos LD. Epidemiological profile of extremity fractures in victims of motorcycle accidents. Acta Ortop Bras. 2015; 23(1):43-6. 23. Enweluzo GO, Giwa SO, Obalum DC. Pattern of extremity injuries in polytrauma in Lagos, Nigeria. Niger Postgrad Med J. 2008; 15(1):6-9. 24. Ganveer GB, Tiwari RR. Injury pattern among non-fatal road traffic accident cases: a cross-sectional study in Central India. Indian J Med Sci. 2005; 59(1):9-12. 25. Kara H, Bayir A, Ak A, Akinci M, Tufekci N, Degirmenci S, et al. Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study. Clin Interv Aging. 2014; 9(1):17-21. 26. Gichuhi K. Injury pattern among non-fatal road traffic crash victims. East Afr Orthop J. 2007; 1(1):23-5. 27. Mahdian M, Sehat M, Fazel MR, Moraveji A, Mohammadzadeh M. Epidemiology of urban traffic accident victims hospitalized more than 24 hours in a level III trauma center, Kashan county, Iran, during 2012-2013. Arch Trauma Res. 2015; 4(2):e28465. 28. Lateef F. Riding motorcycles: is it a lower limb hazard? Singapore Med J. 2002; 43(11):566-9. 29. Parreira JG, Gregorut F, Perlingeiro JA, Solda SC, Assef JC. Comparative analysis of injuries observed in motorcycle riders involved in traffic accidents and victims of other blunt trauma mechanisms. Rev Assoc Med Bras. 2012; 58(1):76-81. 30. Subramanian R. Motor vehicle traffic crashes as a leading cause of death in the United States, 2002. Young. 2005; 1(3):1-2. 31. Arnett JJ. Developmental sources of crash risk in young drivers. Inj Prev. 2002; 8(Suppl 2):ii17-23. 32. Seid M, Azazh A, Enquselassie F, Yisma E. Injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study. BMC Emerg Med. 2015; 15(1):10. 33. Ortho RS, Ali L, Ubbot M. The epidemiology of fractures and dislocations at district hospital Kathua (J&K). JK-Practitioner. 2007; 14(2):114-7. 34. Elderly Safety-Focus on Accidental Injuries. Fact sheet: prevention of road traffic injuries among elderly. Barcelona, Spain: European Network for Safety Among Elderly; 2006. 35. Kline Mangione K, Craik RL, Lopopolo R, Tomlinson JD, Brenneman SK. Predictors of gait speed in patients after hip fracture. Physiother Can. 2008; 60(1):10-8. 36. Ditsuwan V, Veerman LJ, Barendregt JJ, Bertram M, Vos T. The national burden of road traffic injuries in Thailand. Popul Health Metr. 2011; 9(1):2. | ||
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