| dc.description.abstract | Background and Aim: Injuries from traffic accidents are a major public health problem, and the third leading cause of mortality in people aged 1 to 40 years. Each year 31.8 persons per hundred thousands of Iranians are killed in car accidents. Neighboring of North Khorasan province with Razavi Khorasan, a province with a lot of pilgrims caused a large number of passengers travel via North Khorasan province. This study aimed to evaluate the road accidents and its related factors in the city of bojnurd in March 2012. Materials and Methods: this cross-sectional study was done from … to … 2012(the New Year vacation in Iran). All injured or victims from car accidents who referred to the emergency department of the Imam Ali Hospital formed the research community. Data was gathered by a questionnaire consisting vehicle specification, driver and injured characteristics. For victims and those were not able to answer, we used the family members or relatives for gathering the data. All data analysis was done in SPSS version 19.Results: during the study period, 148 injured people were admitted to the hospital. Drivers’ mean age were 33.9 with the SD of 11.9 years; among them 43.2% were used seat belt. One driver and three passengers were killed immediately, and two drivers and three passengers died in the first 24 hours of admission. Fastening seat belt by drivers reduce the hospitalization rate significantly (p-value<0.0001). 50.7% of the accidents were head-on collisions. Violation from the speed limit (41.3%), indiscretions (25.4%) and drowsiness were the most common causes of accident respectively.Conclusion: training the drivers, obligation for using seat belt by driver and passengers, rest after long hours driving , and more control of traffic police especially in two way roads could reduce the car accident or in case of accident help to prevent severe damage and injury. ReferencesThe world health report 2001. Mental health: new understanding, new hope. Geneva, World Health Organization, 2001.Kopits E, Cropper M. Traffic fatalities and economic growth.Washington, DC, the World Bank, 2003 (Policy Research WorkingPaper No. 3035).Murray C J L, Lopez A D. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Boston, MA, Harvard School of Public Heath, 1996.Peden M, McGee K, Sharma G. The injury chart book: a graphical overview of the global burden of injuries. Geneva, World Health Organization, 2002.Murray C J L. The Global Burden of Disease 2000 project: aims, methods and data sources [revised]. Geneva, World Health Organization, 2001; (GPE Discussion Paper NO. 36)http://www.lmo.ir/index.aspx ? Siteid= 1 &pageid =2369Crandall CS, Olson LM, Sklar DP. Mortality Reduction with Air Bag and Seat Belt Use in Head-on Passenger Car Collisions, American Journal of Epidemiology 2001; 153(3): 219–24.Karbakhsh M, RostamiGooran N, Zargar M. Factors influencing the severity of injuries in motor vehicle crashes. Payesh Journal 2004; 3(4): 273-278.Nazari R. Mortality and injury Severity in the Accident Victims Referred to the hefdahShahrivar Hospital of AmolL 2007, Journal babol University of Medical Sciences. 2011; 13(1): 76-81.Nilambar JHA, Srinivasa DK, Gautam R, Jagdish S, Minocha RK. Epidemiologyical Study of Road Traffic Accident Cases: A Study from South India. Indian Journal of Community Medicine 2004; 29(1):20-24.World health organization, Gender and Road Traffic Injuries, Department of Gender and Women’s Health, 2002.Rostami Kh, Zohouri H, Sayad Rezaei. The Epidemiology Study of Mortality Death Related Car Accidents, Journal of Ardabil University of Medical Sciences (JAUMS) 2009; 8(4 (30)):381-386.Sadeghian F, Khosravi A, Emamian M H, Younesian R. The pattern of road traffic injuries and related factors in Shahrood, Iran, Payesh Journal 2008; 7(3): 223-225.Yang B, Kim J. Road traffic accidents and policy intervention in Korea.Injury control and Safety Promotion 2003; 10(1-2):89-94.Claire Laberge-Nadeau et al. Crash risk and cell phone use: Important questions on the real risk for legal decision makers; 2006.Strayer D L, Drews F A, Crouch D J. A comparison of the cell-phone driver and the drunk driver. University of Utah, department of psychology 2006; 48(2): 381-391.Americans believe distracted driving increasing as a problem. A study finds - East Valley Tribune. Fri 2013; 21: 1-15.Connor J et al, Driver sleepiness and risk of serious injury to car occupants: population-based control study, British Medical Journal 2002; 324(7346): 1125.Malek M. A Study of the Relationship between the Pittsburgh Sleep Quality Index and Road Accidents among Truck Drivers, Occupational Medicine, 2011; 3(1):14-20.Fatigue, alcohol, other drugs, and medical factors in fatal-to-the-driver henry truck crashes. Volume 1.Washington, DC, National Transportation Safety Board, 1990.Odero W, Khyesi M, Heda PM. Road traffic injuries in Kenya: magnitude, causes and status of intervention. Injury Control and Safety Promotion, 2003; 10:53-61.The road to safety 2001-2005: building the foundations of a safe and secure road traffic environment in South Africa. Pretoia, Ministry of Transport, 2001 (http://www.transport.gov.za/projects/index.html, accessed 17 November 2003)Hashem R, Masaeid A l. Traffic Accidents in Jordan. Jordan Journal of Civil Engineering, 2009; 3(4). | fa_IR |
