The Pattern of Fractures in Road Traffic Crashes: Findings From the National Trauma Registry in Iran.

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of research in health sciences Pub Date : 2025-06-10 DOI:10.34172/jrhs.8915

Mahgol Sadat Hassan Zadeh Tabatabaei, Mohammad Soleimani, Seyyed Hossein Shafiei, Mohammadreza Zafarghandi, Vafa Rahimi-Movaghar, Vali Baigi, Esmaeil Fakharian, Seyed Houssein Saeed-Banadaky, Vahid Hoseinpour, Homayoun Sadeghi-Bazargani, Reza Farahmand Rad, Farideh Sadeghian, Mehdi Nasr Isfahani, Vahid Rahmanian, Amir Ghadiphasha, Mohammad Shahidi, Mohamad Kogani, Sobhan Pourmasjedi, Seyed Mohammad Piri, Sara Mirzamohamadi, Armin Khavandegar, Khatereh Naghdi, Payman Salamati

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引用次数: 0

Abstract

Background: Fractures constitute a significant concern in low-income and middle-income countries, primarily due to road traffic crashes (RTCs), a leading cause of such injuries. This study aimed to analyze fracture patterns resulting from RTCs in Iran. Study Design: A cross-sectional study.

Methods: A registry-based study was conducted using data from the National Trauma Registry of Iran spanning 2016-2023. The study included 10,114 trauma patients involved in RTCs, encompassing car and motorcycle crashes with at least one fracture. International Classification of Diseases (ICD-10) codes were used for data analysis, considering both orthopedic and non-orthopedic admissions related to RTCs. Fracture incidence was compared among pedestrians, drivers/riders, and passengers/pillions.

Results: Males constituted a significant majority of the car (90.1% drivers, 72.1% pedestrians, and 47.0% passengers) and motorcycle (99.6% riders, 77.0% pedestrians, and 65.3% pillions) crashes (P<0.001). Patients under 18 comprised 18.4% of the motorcycle riders and 2.5% of the car drivers. Drivers showed the highest frequency of head injuries (26.9%, P<0.010), while pedestrians had the highest frequency of upper extremity injuries (73.1%, P<0.001). Drivers also demonstrated a higher frequency of vertebral fractures than passengers (C3-C7: 3.2% vs. 1.4%, P=0.006). Riders (33.5%) displayed a higher frequency of head and face fractures compared to pillions (24.8%) and pedestrians (17.4%) (Head: pedestrian vs. rider, P<0.001; pedestrian vs. pillion, P=0.018; rider vs. pillion, P=0.005; Face: pedestrian vs. rider, P<0.001; pedestrian vs. pillion, P<0.001; rider vs. pillion, P=0.033).

Conclusion: The study provided valuable information on the fracture patterns associated with RTCs among road user groups.

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道路交通事故中骨折的模式：来自伊朗国家创伤登记处的调查结果。

背景：骨折是低收入和中等收入国家的一个重要问题，主要是由于道路交通碰撞（rtc），这是造成此类伤害的主要原因。本研究旨在分析伊朗rtc导致的裂缝模式。研究设计：横断面研究。方法：使用2016-2023年伊朗国家创伤登记处的数据进行了一项基于登记的研究。该研究包括10,114名涉及rtc的创伤患者，包括至少一次骨折的汽车和摩托车碰撞。使用国际疾病分类（ICD-10）代码进行数据分析，同时考虑与rtc相关的骨科和非骨科入院情况。比较了行人、司机/乘客和乘客/坐垫之间的骨折发生率。结果：男性占绝大多数（90.1%的司机，72.1%的行人，47.0%的乘客）和摩托车（99.6%的骑手，77.0%的行人，65.3%的亿）碰撞（PPPP=0.006）。骑乘者（33.5%）的头部和面部骨折发生率高于骑乘者（24.8%）和行人（17.4%）（头部：行人与骑乘者，PP=0.018；骑乘者与骑乘者，P=0.005；面部：行人与骑乘者，PPP=0.033）。结论：该研究为道路使用者群体中与rtc相关的骨折类型提供了有价值的信息。

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 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.30

自引率

13.30%

发文量

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