Epidemiology and cost-analysis of emergency department patients treated following traffic accidents in Iran: A retrospective cross-sectional study
Anahita Behzadi1, Mohsen Shahba2, Sina Etemadi3, Behzad Mohamadi4, Mehran Karvar5, Yahya Jafari6, Marjan Hedayatipour3
1 Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Neurosurgery, School of Medicine, Kerman University of Medical Science, Kerman, Iran
3 Department of Health Management, Policy and Economics, School of Management and Medical Information Sciences, Kerman University of Medical Science, Kerman, Iran
4 Department of Health Services Management, School of Health, Bam University of Medical Sciences, Bam, Iran
5 Leishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran
6 Department of Health Services Management, School of Public Health, Bam University of Medical Science, Bam, Iran
Mr. Behzad Mohamadi
Department of Health Services Management, School of Public Health, Bam University of Medical sciences, Bam
Source of Support: None, Conflict of Interest: None
Introduction: Epidemiological analysis of traffic accidents can provide information for future plans to lower the cost and burden of road traffic accidents (RTAs). This study was aimed to determine the epidemiological characteristics of patients with RTAs.
Methods: We conducted a retrospective cross-sectional study of RTA patients presenting in 2016 to the Emergency Department at Shahid Bahonar Medical Education Center in Kerman, Iran. A checklist including variables such as age, sex, month, in which the patient referred, final outcome, overall cost and the site of injury used to collect data. The diagnostic criteria were in accordance to ICD 10.
Results: Of the total of 3277 patients who were studied, 2713 (82.78%) were men and 564 (16.66%) were women. Most of the accidents occurred at the age group of 16–30 years and the average cost of treatment in the hospital was 2152.45 USD. The most affected area was the lower limb. The majority of accidents occurred in spring and summer. The mortality rate was (2.74%).
Discussion: Injuries and deaths due to RTAs are a major public health problem, especially in young age groups. Therefore, more preventive programs targeting young adults should be considered to reduce the burden of RTAs.
Conclusion: Epidemiology and cost analysis of results showed that men caused more accidents and costs burden for both health system and society. Considering they have a more share of activity, economy and workforce, it will cause more damage and adverse consequences for economy and social life of the society.