Clinical effective risks of mortality in road traffic injury victims depending on the severity of damage
DOI:
https://doi.org/10.15574/PS.2024.82.57Keywords:
risks, mortality, traffic injury, severity of damageAbstract
Road traffic accidents cause significant trauma to the population and are one of the main causes of mortality in working age. The novelty of the study risk-oriented patterns of severity of damage and mortality of victims of road accidents have been established.
The aim - to create of a fundamental basis for the formation of clinical routes and protocols for victims of road accidents by establishing and verification the relationship between the severity of damage and the death of the victims.
Material and methods. An analysis of 1,696 cases of road traffic injuries was carried out, and the standardized New Injury Severity Score (NISS) assessment system was used.
Results. A probable, but indirect dependence of the clinical effective risk of a negative outcome of the traumatic process in victims on the severity of the damage was established. It was established that the sign of participation in the traffic the formation of clinical effective risks of a negative outcome of the traumatic process, starting with the severity of damage according to the NISS with 25 points. With the same qualitative characteristics, pedestrians have the highest risk of fatality, drivers have the lowest risk. The synergistic effect of the severity of damage and the clinical and anatomical form of the injury was established.
Conclusions. The risk of a fatal outcome of a road traffic injury in general directly depends on the severity of damage to the victim, although the dependence is not direct. The clinical and anatomical form of damage together with the severity of the damage have a synergistic effect on the formation of the clinically effective risk of mortality in victims of a road traffic accident, and the predominant influence is the clinical and anatomical form of damage.
No conflict of interests was declared by the authors.
References
Alsofayan Y, Alhajjaj FS, Alowais JM et al. (2023, Jul 17). The Epidemiology of Prehospital Ambulance Crashes: A National Experience Across Saudi Red Crescent Authority. Cureus. 15(7): e42049. https://doi.org/10.7759/cureus.42049; PMid:37601993 PMCid:PMC10432848
Azami-Aghdash S, Aghaei MH, Sadeghi-Bazarghani H. (2018). Epidemiology of road traffic injuries among elderly people; A systematic review and meta-analysis. Bulletin of Emergency and Trauma. 6(4): 279-291. https://doi.org/10.29252/beat-060403; PMid:30402515 PMCid:PMC6215074
Balogh Z, Offner PJ, Moore EE, Biffl WL. (2000). NISS predicts postinjury multiple organ failure better than the ISS. The Journal of Trauma and Acute Care Surgery. 48: 624-628. https://doi.org/10.1097/00005373-200004000-00007; PMid:10780593
Bychkov AA, Dubrovin IA, Gerasimov AN, Grukhovskiy SV, Mosoyan AS. (2019). Comparative characteristics of injuries to individual body parts of the driver and passengers inside the passenger compartment of a moving vehicle in a traffic accident. Sud Med Ekspert. 62(3): 12-16. https://doi.org/10.17116/sudmed20196203112; PMid:31198198
Celso B, Tepas J, Langland-Orban B et al. (2006). A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems. Journal of Trauma-Injury Infection & Critical Care. 60; 2: 371-378. https://doi.org/10.1097/01.ta.0000197916.99629.eb; PMid:16508498
Chelly H, Bahloul M, Ammar R et al. (2019). Clinical characteristics and prognosis of traumatic head injury following road traffic accidents admitted in ICU "analysis of 694 cases". Eur J Trauma Emerg Surg. 45: 245-253. https://doi.org/10.1007/s00068-017-0885-4; PMid:29234838
Dong S, Khattak A, Ullah I, Zhou J, Hussain A. (2022). Predicting and Analyzing Road Traffic Injury Severity Using Boosting-Based Ensemble Learning Models with SHAPley Additive exPlanations. International Journal of Environmental Research and Public Health. 19(5): 2925. https://doi.org/10.3390/ijerph19052925; PMid:35270617 PMCid:PMC8910532
Dubrovin IA, Mosoyan AS, Grukhovskiy SV, Bychkov AA. (2020). General characteristics of the driver's head injury in road accidents. Sud Med Ekspert. 63(2): 19-24. https://doi.org/10.17116/sudmed20206302119; PMid:32297494
Forman J, Poplin GS, Shaw CG et al. (2019). Automobile injury trends in the contemporary fleet: Belted occupants in frontal collisions. Traffic Inj Prev. 20(6): 607-612. Epub 2019 Jul 8. https://doi.org/10.1080/15389588.2019.1630825; PMid:31283362
Gogiya M. (2021). Structure of abdominal injury and its consequences. The Journal of V. N. Karazin Kharkiv National University, Series "Medicine". (42). https://doi.org/10.26565/2313-6693-2021-42-05
Han W, Zhao J, Chang Y. (2021, Dec 2). Driver behaviour and traffic accident involvement among professional heavy semi-trailer truck drivers in China. PLoS One. 16(12): e0260217. https://doi.org/10.1371/journal.pone.0260217; PMid:34855802 PMCid:PMC8638885
Masoumi K, Forouzan A, Barzegari H et al. (2016). Effective Factors in Severity of Traffic Accident-Related Traumas; an Epidemiologic Study Based on the Haddon Matrix. Emerg (Tehran). 4(2): 78-82. PMID: 27274517; PMCID: PMC4893755
Nilsbakken IMW, Cuevas-Østrem M, Wisborg T et al. (2023). Effect of urban vs. remote settings on prehospital time and mortality in trauma patients in Norway: a national population-based study. Scand J Trauma Resusc Emerg Med. 31(1): 53. https://doi.org/10.1186/s13049-023-01121-w; PMid:37798724 PMCid:PMC10557189
Poplin GS, McMurry TL, Forman JL et al. (2015). Nature and etiology of hollow-organ abdominal injuries in frontal crashes. Accid Anal Prev. 78: 51-57. https://doi.org/10.1016/j.aap.2015.02.015; PMid:25744173
Seid M, Azazh A, Enquselassie F et al. (2015). Injury characteristics and outcome of road traffic accident among victims at Adult Emergency Department of Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: a prospective hospital based study. BMC Emerg Med. 15: 10. https://doi.org/10.1186/s12873-015-0035-4; PMid:25990560 PMCid:PMC4493961
Shahsavari S, Mohammadi А, Mostafaei S et al. (2022). Analysis of injuries and deaths from road traffic accidents in Iran: bivariate regression approach. MC Emergency Medicine. 22(1): 130. https://doi.org/10.1186/s12873-022-00686-6; PMid:35843936 PMCid:PMC9290223
Trifunović A. (2023). Do Statistics Show Differences between Distance Estimations of 3D Objects in the Traffic Environment Using Glances, Side View Mirrors, and Camera Display? Mathematics. 11 (5): 1258. https://doi.org/10.3390/math11051258
Vitalis N, Runyoro A, Selemani M. (2022). Assessing Factors for Occurrence of Road Accidents in Tanzania Using Panel Data Analysis: Road Safety Perspective. Journal of Transportation Technologies. 12: 123-136. https://doi.org/10.4236/jtts.2022.121008
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Paediatric Surgery (Ukraine)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The policy of the Journal “PAEDIATRIC SURGERY. UKRAINE” is compatible with the vast majority of funders' of open access and self-archiving policies. The journal provides immediate open access route being convinced that everyone – not only scientists - can benefit from research results, and publishes articles exclusively under open access distribution, with a Creative Commons Attribution-Noncommercial 4.0 international license(СС BY-NC).
Authors transfer the copyright to the Journal “PAEDIATRIC SURGERY.UKRAINE” when the manuscript is accepted for publication. Authors declare that this manuscript has not been published nor is under simultaneous consideration for publication elsewhere. After publication, the articles become freely available on-line to the public.
Readers have the right to use, distribute, and reproduce articles in any medium, provided the articles and the journal are properly cited.
The use of published materials for commercial purposes is strongly prohibited.
