Effectiveness of Integrated Trauma System Implementation on Road Traffic Fatalities and Injuries in the North of Iran Using an Interrupted Time Series Analysis.

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of research in health sciences Pub Date : 2025-01-01 Epub Date: 2024-12-25 DOI:10.34172/jrhs.2025.175
Enayatollah Homaie Rad, Farideh Sadeghian, Zahra Ghodsi, Shahrokh Yousefzadeh-Chabok, Mohammad Hosein Ranjbar Hameghavandi, Shahriar Ghashghaee, Zahra Mohtasham-Amiri, Hamid Heidari, Gerard O'Reilly, Seyed Mohammad Ghodsi, Vafa Rahimi-Movaghar
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引用次数: 0

Abstract

Background: Integrated trauma systems (ITS) have shown potential in reducing traffic crash-related injuries and mortality, although their structure and impact can vary. This study assessed the effectiveness of ITS in Guilan, Iran. Study Design: A retrospective observational study.

Methods: Utilizing a cross-sectional analysis, this descriptive-analytical study was conducted in Northern Iran from 2015 to 2019 to compare road traffic crash (RTC) data in Guilan (with ITS) against Mazandaran (without ITS), considering weather as a confounder. The study involved pre- and post-ITS intervention analyses to evaluate changes in RTC, injury, and mortality rates.

Results: Before ITS implementation, Guilan's daily RTC mean was 38.4 (SD=16.7), which significantly decreased to 30.8 (SD=13.7) after the intervention. Conversely, in the control province of Mazandaran, the daily average number of RTCs increased from 37.29 (SD=14.1) to 42.55 (SD=16.4) post-ITS implementation in Guilan. Furthermore, the mortality rate in Guilan showed a marginal decline from 27.74 (SD=12.6) pre-ITS to 26.60 (SD=11.9) post-ITS, indicating the positive impact of the ITS. In contrast, Mazandaran demonstrated a significant increase in mortality from 32.16 (SD=14.5) to 51.75 (SD=15.7). The statistical analysis confirmed a significant reduction in mortality and injury incidence in Guilan at the time of the intervention, with a marked decrease observed post-intervention (P<0.001).

Conclusion: The findings revealed that RTC prevention is feasible in Iran, with ITS in Guilan significantly reducing RTCs, injuries, and mortalities, underscoring the importance of ongoing efforts to expand ITS components nationally.

使用中断时间序列分析的综合创伤系统实施对伊朗北部道路交通伤亡的有效性。
背景:综合创伤系统(ITS)已显示出减少交通事故相关伤害和死亡率的潜力,尽管其结构和影响各不相同。本研究评估了伊朗吉兰地区ITS的有效性。研究设计:回顾性观察性研究。方法:利用横断面分析,本描述性分析研究于2015年至2019年在伊朗北部进行,将天气作为混杂因素,比较Guilan(有ITS)和Mazandaran(没有ITS)的道路交通事故(RTC)数据。该研究包括its干预前和干预后的分析,以评估RTC、损伤和死亡率的变化。结果:实施ITS前桂兰每日RTC均值为38.4 (SD=16.7),干预后为30.8 (SD=13.7)。相反,在对照省马赞达兰,实施its后,rtc的日均数量从37.29 (SD=14.1)增加到42.55 (SD=16.4)。此外,桂兰县的死亡率从ITS前的27.74 (SD=12.6)下降到ITS后的26.60 (SD=11.9),表明ITS的积极影响。相比之下,Mazandaran显示死亡率从32.16 (SD=14.5)显著增加到51.75 (SD=15.7)。统计分析证实,在干预期间,吉兰的死亡率和伤害发生率显著降低,干预后也显著降低。结论:研究结果表明,在伊朗预防RTC是可行的,吉兰的ITS显著降低了RTC、伤害和死亡率,强调了在全国范围内扩大ITS组成部分的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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