Epidemiologic study of traffic crash mortality among motorcycle users in Iran (2011-2017) / 中华创伤杂志(英文版)

PURPOSE@#Motorcycle accident is a major cause of road traffic injuries and the motorcyclists are considered as vulnerable road users. The present study aimed to determine the epidemiological characteristics of fatal motorcycle crashes in Iran.@*METHODS@#In this cross-sectional study, a total of 28,356 motorcycle traffic fatalities registered in the Legal Medicine Organization of Iran were analyzed during the period between March 2011 and March 2017. The examined variables included demographic characteristics, helmet use, crash mechanisms, crash location, position state, type of counterpart vehicle, cause of death and place of death. In the study, road traffic mortalities involving drivers and/or passenger of motorcycles were included. Cases or events registered without these conditions were excluded from the study. To analyse the data, SPSS statistics 25 and GraphPad Prism 8 softwares were used.@*RESULTS@#Of the 122,682 fatal traffic injury cases, 28,356 (23.1%) were motorcycle users, of whom 95.3% were male and 4.7% were female. Most of the motorcycle fatalities belonged to the age group of 18-24 years (29.1%). Head trauma was the major cause of death (59.0%). Also, the overall proportion of safety helmet use among motorcycle crash victims was estimated at 37.4%. Most of the road traffic crash cases (46.8%) happened out of city and half of people (49.9%) died in hospital. About 77.4% of the victims were motorcycle riders and 21.1% were pillion passengers. The highest rate of mortality belonged to the self-employed (38.4%) and then workers (21.8%) and students (10.2%). In addition, most fatalities occurred in people with low education (77.5%) and the least occurred in university graduates (5.5%). Among 31 provinces of Iran, Fars had the highest (9.3%) occurrence rate and Kohgiluyeh and Buyer-Ahmad had the lowest (0.5%). Most of the crash mechanisms were due to motorcycle-vehicle crashes (80.2%), followed by rollover (9.8%).@*CONCLUSION@#Comprehensive public education and special rules are needed to reduce the rate of deaths in motorcycle crashes.

Epidemiologic evaluation of traffic accidents in Isfahan, [2002-2003]

More than 1.26 million people are killed each year as a result of road traffic crashes. Most of the road traffic fatalities occur in low and middle income countries. WHO reported that in 2020 more than 2.34 million people will be killed due to road traffic accidents. With study of pattern of road traffic accidents, we are able to prevent or decrease many of these fatalities. This is a cross sectional study which is done with cooperation of Isfahan Legal Medicine Center In this study record of the deceased who died of accidents from 1381 to 1382, and their cadavers were brought to different Isfahan Legal Medicine Centers for issueing burial permit, were examined and for every one of them a checklist was prepared. After data collection they were analyzed with software SPSS. Between 2002 to 2003, 1446 people died because of road accidents, 1202 [81.3%] of them were men and 244 [16.9%] were women had. The most frequency of mortalities were in motor cyclists, the age range of 16 to 20 years and the final cause of death was head injury. The least frequency belonged to bicyclists. The consequences of this study was not so much different specially from developing countries except for bicycling which has more mortality rate in other studies, whereas it has less mortality rate in our country, that is because of bicycle usage is less common in daily transportation of Isfahan