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Evaluation of Mortality in Patients Involved In-vehicle and Out-of-vehicle Traffic Accidents

Yıl 2023, Cilt: 4 Sayı: 3, 137 - 142, 21.09.2023
https://doi.org/10.56766/ntms.1309803

Öz

Aims: Traffic accidents are among the most common causes of mortality due to trauma. This study aimed to examine demographic and clinical characteristics that may affect mortality among patients who were involved in traffic accidents inside and outside a vehicle.
Methods: In this retrospective study conducted with 2,120 patients, the patients were divided into two groups according to whether they had an in-vehicle or out-of-vehicle traffic accident. The patients in both groups were evaluated according to age, gender, personal characteristics, time of accident, Glasgow Coma Scale (GCS) scores, injury sites, and diagnoses. Then, factors that could be effective in mortality were compared between the two groups using statistical methods.
Results: The rate of patients who had had a non-vehicle traffic accident was 19.1% (p=0.001), and 13 patients in this group had a GCS score of 3 (p=0.000). The most common injury site was the head and neck region at a rate of 24.8% (p=0.000). Mortality occurred in 3.2% and 0.9% of the patients in the out-of-vehicle and in-vehicle accident groups, respectively (p=0.001).
Conclusion: Mortality was higher in out-of-vehicle traffic accidents than in in-vehicle traffic accidents. Mortality was also higher among patients with low GCS scores, regardless of whether an accident occurred inside or outside a vehicle.

Destekleyen Kurum

None

Proje Numarası

None

Kaynakça

  • 1. Ekmekyapar M, Ilgar M. Clinical analysis of geriatric patients admitted to the emergency trauma department: A cross-sectional study. Ann Med Res. 2022; 29(12): 1432-37.
  • 2. Nantulya VM, Reich MR. The neglected epidemic: road traffic injuries in developing countries. BMJ. 2002; 324:1139-41.
  • 3. Suigwe AN, Ofiachi RO. Mortality in the accident and emergency unit of Nnamdi Azikiwe University Teaching Hospital, Nnewi: Patterns and factors involved. Niger J Clin Pract. 2002; 5:61‑63.
  • 4. Dirlik M, Çakır Bostancıoğlu B, Elbek T, et al. Features of the traffic accidents happened in the province of Aydın be¬tween 2005 and 2011. Ulus Travma Acil Cerrahi Derg. 2014; 20:353-58.
  • 5. Joshi AK, Joshi C, Singh M, Singh V. Road traffic accidents in hilly regions of northern India: What has to be done? World J Emerg Med. 2014; 5:112-15.
  • 6. Bilgin UE, Meral O, Koçak A, Aktaş EÖ, Kıyan S, Altuncı YA. Legal examination of the patients admitted to the Emergency Service of Ege University Hospital due to traffic accidents in 2011 [Article in Turkish]. Ege J Med. 2013; 52:93-99.
  • 7. Conti A, Torino R. Fatal road accidents in Brescia: Comparison be¬tween three different periods. Int J Risk Saf Med. 2004; 16:149-58.
  • 8. Karbeyaz K, Balcı Y, Çolak E, Gündüz T. Charateristics of the traffic accidents in Eskişehir between the years 2002 and 2007. J Foren Med. 2009; 6:65-73.
  • 9. Aydeniz E, Ünaldı M, Güneysel Ö, Eryiğit H. The Retrospective Evalua¬tion of Injuries Owing to Traffic Collisions in Emergency Department. J Kartal TR. 2014; 25:5-12.
  • 10. Töro K, Hubay E, Sotonyi P, Keller E. Fatal traffic injuries among pedestrians, bicyclists and motor vehicle occupants. Forensic Sci Int. 2005; 151:151-56.
  • 11. Perel P, Arango M, Clayton T, et al. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. 2008; 336:425-29.
  • 12. Gonzalez-Robledo J, Martín-Gonzalez F, Moreno-García M, Sanchez-Barba M, Sanchez-Hernandez F. Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit. Med Intensiva. 2015; 39:412-21.
  • 13. Göksu E, Çete Y, Kanalıcı H, Kılıçaslan İ. Demographic and clinical properties of patients presenting with traffic accidents and its association with blood alcohol concentration. Turk J Emerg Med. 2008; 8:26-31.
  • 14. Serinken M, Özen M. Characteristics of injuries due to traffic accidents in the pediatric age group [Article in Turkish]. Ulus Travma Acil Cerrahi Derg. 2011; 17:243-47.
  • 15. Meral O, Aktaş EÖ, Ersel M. Examination of morbidity and mortality of cases according to intra-vehicle position and accident mechanism. Ulus Travma Acil Cerrahi Derg. 2018; 24(3):216-23.
  • 16. Brown CK, Cline DM. Factors affecting injury severity to rear-seated oc¬cupants in rural motor vehicle crashes. Am J Emerg Med. 2001; 19:93-98.
  • 17. Broughton J. The actual threat posed by unrestrained rear seat car passen¬gers. Accid Anal Prev. 2004; 36:627-29.
  • 18. Varol O, Eren ŞH, Oğuztürk H, Korkmaz İ, Beydilli İ. Investigation of the Patients Who Admitted After Traffic Accident to the Emer¬gency Department [Article in Turkish]. Cumhur Med J. 2006; 28:55-60. 19. Wong E, Leong MK, Anantharaman V, Raman L, Wee KP, Chao TC. Road traffic accident mortality in Singapore. J Emerg Med. 2002;22(2):139-46.
  • 20. Chiang YT, Lin TH, Hu RH, Lee PC, Shih HC. Predicting factors for major trauma patient mortality analyzed from trauma registry system. Asian J Surg. 2021; 44(1):262-68.
Yıl 2023, Cilt: 4 Sayı: 3, 137 - 142, 21.09.2023
https://doi.org/10.56766/ntms.1309803

Öz

Proje Numarası

None

Kaynakça

  • 1. Ekmekyapar M, Ilgar M. Clinical analysis of geriatric patients admitted to the emergency trauma department: A cross-sectional study. Ann Med Res. 2022; 29(12): 1432-37.
  • 2. Nantulya VM, Reich MR. The neglected epidemic: road traffic injuries in developing countries. BMJ. 2002; 324:1139-41.
  • 3. Suigwe AN, Ofiachi RO. Mortality in the accident and emergency unit of Nnamdi Azikiwe University Teaching Hospital, Nnewi: Patterns and factors involved. Niger J Clin Pract. 2002; 5:61‑63.
  • 4. Dirlik M, Çakır Bostancıoğlu B, Elbek T, et al. Features of the traffic accidents happened in the province of Aydın be¬tween 2005 and 2011. Ulus Travma Acil Cerrahi Derg. 2014; 20:353-58.
  • 5. Joshi AK, Joshi C, Singh M, Singh V. Road traffic accidents in hilly regions of northern India: What has to be done? World J Emerg Med. 2014; 5:112-15.
  • 6. Bilgin UE, Meral O, Koçak A, Aktaş EÖ, Kıyan S, Altuncı YA. Legal examination of the patients admitted to the Emergency Service of Ege University Hospital due to traffic accidents in 2011 [Article in Turkish]. Ege J Med. 2013; 52:93-99.
  • 7. Conti A, Torino R. Fatal road accidents in Brescia: Comparison be¬tween three different periods. Int J Risk Saf Med. 2004; 16:149-58.
  • 8. Karbeyaz K, Balcı Y, Çolak E, Gündüz T. Charateristics of the traffic accidents in Eskişehir between the years 2002 and 2007. J Foren Med. 2009; 6:65-73.
  • 9. Aydeniz E, Ünaldı M, Güneysel Ö, Eryiğit H. The Retrospective Evalua¬tion of Injuries Owing to Traffic Collisions in Emergency Department. J Kartal TR. 2014; 25:5-12.
  • 10. Töro K, Hubay E, Sotonyi P, Keller E. Fatal traffic injuries among pedestrians, bicyclists and motor vehicle occupants. Forensic Sci Int. 2005; 151:151-56.
  • 11. Perel P, Arango M, Clayton T, et al. Predicting outcome after traumatic brain injury: practical prognostic models based on large cohort of international patients. BMJ. 2008; 336:425-29.
  • 12. Gonzalez-Robledo J, Martín-Gonzalez F, Moreno-García M, Sanchez-Barba M, Sanchez-Hernandez F. Prognostic factors associated with mortality in patients with severe trauma: from prehospital care to the Intensive Care Unit. Med Intensiva. 2015; 39:412-21.
  • 13. Göksu E, Çete Y, Kanalıcı H, Kılıçaslan İ. Demographic and clinical properties of patients presenting with traffic accidents and its association with blood alcohol concentration. Turk J Emerg Med. 2008; 8:26-31.
  • 14. Serinken M, Özen M. Characteristics of injuries due to traffic accidents in the pediatric age group [Article in Turkish]. Ulus Travma Acil Cerrahi Derg. 2011; 17:243-47.
  • 15. Meral O, Aktaş EÖ, Ersel M. Examination of morbidity and mortality of cases according to intra-vehicle position and accident mechanism. Ulus Travma Acil Cerrahi Derg. 2018; 24(3):216-23.
  • 16. Brown CK, Cline DM. Factors affecting injury severity to rear-seated oc¬cupants in rural motor vehicle crashes. Am J Emerg Med. 2001; 19:93-98.
  • 17. Broughton J. The actual threat posed by unrestrained rear seat car passen¬gers. Accid Anal Prev. 2004; 36:627-29.
  • 18. Varol O, Eren ŞH, Oğuztürk H, Korkmaz İ, Beydilli İ. Investigation of the Patients Who Admitted After Traffic Accident to the Emer¬gency Department [Article in Turkish]. Cumhur Med J. 2006; 28:55-60. 19. Wong E, Leong MK, Anantharaman V, Raman L, Wee KP, Chao TC. Road traffic accident mortality in Singapore. J Emerg Med. 2002;22(2):139-46.
  • 20. Chiang YT, Lin TH, Hu RH, Lee PC, Shih HC. Predicting factors for major trauma patient mortality analyzed from trauma registry system. Asian J Surg. 2021; 44(1):262-68.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Research Articles
Yazarlar

Fatma Çakmak 0000-0002-5770-3554

Ali Gür 0000-0002-7823-0266

Bahar Keskin Çelik 0000-0002-7716-835X

Proje Numarası None
Yayımlanma Tarihi 21 Eylül 2023
Gönderilme Tarihi 5 Haziran 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: 3

Kaynak Göster

EndNote Çakmak F, Gür A, Keskin Çelik B (01 Eylül 2023) Evaluation of Mortality in Patients Involved In-vehicle and Out-of-vehicle Traffic Accidents. New Trends in Medicine Sciences 4 3 137–142.