How Vulnerable Are the Elderly in Road Traffic-Autopsy Study?

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Živana Slović, Ivana Andrić, Danijela Todorović, Filip Mihajlović, Snežana Đorđević, Olgica Mihaljević, Miloš Todorović, Katarina Vitošević
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Abstract

Background: The aim of this study was to analyze characteristic and pattern of road traffic injuries in this special aging group, as well to examine the relevance of certain injuries or risk factors to outliving the injuries.

Methods: This epidemiological, analytical, retrospective, autopsy study investigated the road traffic deaths for period between 2001 and 2022. The subjects were divided into two age groups, elderly (65 years and older) and middle aged (16-64 years old).

Results: We included 213 (32%) elderly participants out of all 665 RTA subjects who died from sustained injuries or complications of the injuries. The majority of elderly subjects (61%) were pedestrians, and elderly participants in RTA were more likely to survive the injuries. The most common injuries among the elderly in all group of participants were chest injuries 81% (and among them, rib fractures were present in 76%). Cranio-cerebral injury is the most common cause of death in RTA subjects, singular (45%) or in combination with other causes. In the group of elderly RTA subjects complication of injury is represented in 36 subjects (17%), while as cause of death is represented in 22 subjects (10%). Elderly are less likely to have positive BAC, and even in cases when BAC was increased, the levels were on the lower scale.

Conclusion: More effort should be made to enhance road safety for elderly pedestrians, especially considering the expected rapid growth in the elderly population.

道路交通解剖研究中的老年人有多脆弱?
研究背景本研究的目的是分析这一特殊老龄群体中道路交通伤害的特征和模式,并研究某些伤害或风险因素与伤后存活的相关性:这项流行病学分析性、回顾性尸检研究调查了 2001 年至 2022 年期间的道路交通死亡案例。研究对象分为两个年龄组,即老年人(65 岁及以上)和中年人(16-64 岁):在所有 665 名死于持续伤害或伤害并发症的道路交通意外受试者中,我们纳入了 213 名(32%)老年受试者。大多数老年受试者(61%)是行人,在道路交通意外中,老年受试者更有可能在受伤后存活下来。在所有参与者中,老年人最常见的损伤是胸部损伤,占 81%(其中 76%为肋骨骨折)。颅脑损伤是 RTA 受试者最常见的死亡原因,无论是单一原因(45%)还是与其他原因共同造成的。在颅脑损伤并发症的老年颅脑损伤患者中,有 36 人(17%)死于颅脑损伤并发症,有 22 人(10%)死于颅脑损伤并发症。老年人的血液中酒精浓度呈阳性的可能性较小,即使在血液中酒精浓度升高的情况下,其水平也处于较低水平:结论:应加大力度加强老年行人的道路安全,特别是考虑到老年人口预计将快速增长。
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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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