ABSTRACT
Objective: To systematically review the epidemiological patterns and interventions for prevention of road traffic injuries [RTIs] among elderly
Methods: Searching keywords including: accident, trauma, road injury, road traffic injuries, aging, old, elder, strategy, intervention, road traffic crash prevention and traffic accident in databases including, Google scholar, SID, IranMedex, PubMed and Scopus. English and non-Persian articles, articles presented in congresses, articles that considered elderly people to have age under than 60 years were excluded. The reporting quality of articles was assessed by two experts using Strengthening the Reporting of Observational Studies in Epidemiology [STROBE] check list
Results: RTIs compromised 23.6% of total injuries among elderly. The most frequent injuries were about car accidents [51.4%]. Pedestrian injuries composed 48.1% of the RTIs. Head and neck [32.1%] were most injured body parts. There was a significant difference between elderly and non-elderly people in terms of RTIs associated mortality [Odd=2.57 [1.2-5.4 CI 95%]]. Overall 25 main domains of intervention and 73 subordinate domains were extracted in five categories [human, road and environment, tools and cars, medical, legal and political issues]
Conclusion: According to the notable prevalence and fatality of RTIs, lack of sufficient studies and valid evidence of the present study can provide an appropriate evidence for better interventions for RTIs prevention among elderly
ABSTRACT
Objective: To review the effectiveness of Road Traffic Injuries [RTIs] interventions implemented for prevention of RTIs in Iran and to introduce some methodological issues
Methods: Required data in this systematic review study were collected through searching the following key words: "Road Traffic Injuries", "Road Traffic accidents", "Road Traffic crashes", "prevention", and Iran in PubMed, Cochrane Library electronic databases, Google Scholar, Scopus, MagIran, SID and IranMedex. Some of the relevant journals and web sites searched manually. Reference lists of the selected articles were also checked. Gray literature search and expert contact was also conducted
Results: Out of 569 retrieved articles, finally 8 articles included. Among the included studies the effectiveness of 10 interventions were assessed containing: seat belt, enforcements of laws and legislations, educational program, wearing helmet, Antilock Braking System [ABS], motorcyclists' penalty enforcement, pupil liaisons' education, provisional driver licensing, Road bumps and traffic improvement's plans. In 7 studies [9 interventions] reduction of RTIs rate were reported. Decreased rate of mortality from RTIs were reported in three studies. Only one study had mentioned financial issue [Anti-lock Brake System intervention]. Inadequate data sources, inappropriate selection of statistical index and not mention about the control of Confounding Variables [CV], the most common methodological issues were
Conclusion: The results of most interventional studies conducted in Iran supported the effect of the interventions on reduction of RTIs. However due to some methodological or reporting shortcoming the results of these studies should be interpreted cautiously