Predictors of pre-hospital vs. hospital mortality due to road trafc injuries in an Iranian population: results from Tabriz integrated road trafc injury registry
Dublin Core
Title
Predictors of pre-hospital vs. hospital mortality due to road trafc injuries in an Iranian population: results from Tabriz integrated road trafc injury registry
Subject
Road trafc, Accidents, Brain trauma, Mortality, Hospital death, Pre-hospital
Description
Background: Road Trafc Injuries (RTIs) is considered as one of the main health challenges and causes of mortality,
worldwide and especially in Iran. Predicting the place where RTIs-related death takes place is vital in decreasing this
type of mortality. The purpose of the present study was to identify the predictors of RTI fatalities with respect to the
place of death (hospital vs. pre-hospital) during the recent decade in East Azerbaijan Province, Iran.
Methods: Overall, 7347 RTI fatalities were retrieved from the road trafc injuries registry which is supported by the
Forensic Medicine Organization in East Azerbaijan. Among these cases, 2758(37.5%)) were hospital deaths. The regis‑
tered variables of these cases were analysed using bivariate and multiple logistic regression (STATA version 15).
Results: Out of 7347 deaths, 5862 (79.8%) were men and the rest were women 1485 (20.2%).The mean age was
40.3 (SD=20.8). Of the total number of cases, 2758 (37.5%) died in hospital death and the rest 4589 (62.5) were
pre-hospital death. According to the results of the present study, inter-city RTI (OR=1.7, CI 95%=(1.5–2)) and RTIs
inside the city of Tabriz (OR=1.4, CI 95%=(1.2–1.6)) increases the chance of hospitals death. In addition, having a
heavy counterpart vehicle compared to no counterpart vehicle decreased the chances of hospitals death (OR=0.46,
CI 95%=(0.39–0.55)) while motorcycle or bike counterpart vehicle compared to no counterpart vehicle increased
the chances of hospital death (OR=2.26, CI 95%=(1.59–3.22)). Also the users of the motorcycle or bike vehicle
compared to the pedestrians increased the chances of hospital death (OR=1.43, CI 95%=(1.19–1.71)) while any the
other vehicle users compared to the pedestrians have signifcantly lower chances for hospital death. Other factors
that increased hospitals death were transferring injured people by ambulance (OR=1.3, CI 95%=(1.1–1.6)) and being
elderly (OR=1.5, CI 95%=(1.2–1.7)). Moreover, it was found that the annual trend of change in hospital death is
strongly afected by the above-identifed factors.
Conclusions: The efective predictors in hospital death were RTI location, type of counterpart vehicle, used vehi‑
cles and lighting condition. The identifed factors related to the location of deaths by RTI can be divided into the RTI
severity-related factors as well as factors related to the services quality and speed of delivery. According to the present
results, through professional training of people in the feld and providing immediate assistance in RTIs pre-hospital
mortality can be signifcantly prevented.
worldwide and especially in Iran. Predicting the place where RTIs-related death takes place is vital in decreasing this
type of mortality. The purpose of the present study was to identify the predictors of RTI fatalities with respect to the
place of death (hospital vs. pre-hospital) during the recent decade in East Azerbaijan Province, Iran.
Methods: Overall, 7347 RTI fatalities were retrieved from the road trafc injuries registry which is supported by the
Forensic Medicine Organization in East Azerbaijan. Among these cases, 2758(37.5%)) were hospital deaths. The regis‑
tered variables of these cases were analysed using bivariate and multiple logistic regression (STATA version 15).
Results: Out of 7347 deaths, 5862 (79.8%) were men and the rest were women 1485 (20.2%).The mean age was
40.3 (SD=20.8). Of the total number of cases, 2758 (37.5%) died in hospital death and the rest 4589 (62.5) were
pre-hospital death. According to the results of the present study, inter-city RTI (OR=1.7, CI 95%=(1.5–2)) and RTIs
inside the city of Tabriz (OR=1.4, CI 95%=(1.2–1.6)) increases the chance of hospitals death. In addition, having a
heavy counterpart vehicle compared to no counterpart vehicle decreased the chances of hospitals death (OR=0.46,
CI 95%=(0.39–0.55)) while motorcycle or bike counterpart vehicle compared to no counterpart vehicle increased
the chances of hospital death (OR=2.26, CI 95%=(1.59–3.22)). Also the users of the motorcycle or bike vehicle
compared to the pedestrians increased the chances of hospital death (OR=1.43, CI 95%=(1.19–1.71)) while any the
other vehicle users compared to the pedestrians have signifcantly lower chances for hospital death. Other factors
that increased hospitals death were transferring injured people by ambulance (OR=1.3, CI 95%=(1.1–1.6)) and being
elderly (OR=1.5, CI 95%=(1.2–1.7)). Moreover, it was found that the annual trend of change in hospital death is
strongly afected by the above-identifed factors.
Conclusions: The efective predictors in hospital death were RTI location, type of counterpart vehicle, used vehi‑
cles and lighting condition. The identifed factors related to the location of deaths by RTI can be divided into the RTI
severity-related factors as well as factors related to the services quality and speed of delivery. According to the present
results, through professional training of people in the feld and providing immediate assistance in RTIs pre-hospital
mortality can be signifcantly prevented.
Creator
Sadeghi‑Bazargani Homayoun, Jamali‑Dolatabad Milad, Golestani Mina and Sarbakhsh Parvin
Publisher
BMC Emergency Medicine
Date
(2022) 22:37
Contributor
Fajar bagus W
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Sadeghi‑Bazargani Homayoun, Jamali‑Dolatabad Milad, Golestani Mina and Sarbakhsh Parvin, “Predictors of pre-hospital vs. hospital mortality due to road trafc injuries in an Iranian population: results from Tabriz integrated road trafc injury registry,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/4049.