The Cost Analysis of Patients with Traffic Traumatic Injuries Presenting to Emergency Department; a Cross-sectional Study
Introduction: Road traffic traumatic injuries are the leading cause of death especially among young men who are mostly vulnerable victims. This catastrophe is more complicated in low to middle income countries. Objective: This study assessed the financial costs of traffic casualties in Iran. Method: One thousand trauma patients presenting to the emergency department of Shohaday-e-Tajrish Hospital were included in the study. The prehospital and hospital costs as well as the expenses of physiotherapy, rehabilitation, outpatient visits and further surgical interventions were considered as direct expenses. The costs of productivity loss were estimated as indirect expenses. Results: The direct and indirect costs were assessed 27.4% and 72.6% of total, respectively. The mean age of permanent disability was 43 years old. The average expenses of temporary and permanent disabilities were 2934.4 million rials (nearly 4.2 million rials per patient) and 23.9 billion rials (1.1 billion rials per person), respectively. Conclusion: The national burden of traffic injuries in Iran is significantly destructive as it consists of 2.19 % of Gross Domestic Product annually. Besides, young men are involved in most of the traffic accidents representing the need to establish rigorous preventive instructions and reduce human, and financial costs.
2. World Health Organization- Statistics by country or region 2002 [Available from: www.WHO.Int/Whosis/Country/Indicators].
3. Ahadi MR, Razi-Ardakani H. Estimating the Cost of Road Traffic Accidents in Iran using Human Capital Method. IJTE. 2015;2(3):163-78.
4. Rezaei S, Sari AA, Arab M, Ghasempour S. Economic Burden of Road Traffic Crashes in Tehran Province, Iran in 2009. Health Info Manag. 2013;10(3):1-12.
5. World Health Statistics 2016, Monitoring Health for the Sustainable Developmental Goals [Available from: http://www.who.int/countries/irn/en].
6. Masoumi K, Forouzan A, Barzegari H, Rahim F, Zohrevandi B, Nabi S. Effective Factors in Severity of Traffic Accident-Related Traumas; an Epidemiologic Study Based on the Haddon Matrix. Emergency. 2015;4(2):78-82.
7. Soltani G, Ahmadi B, Pourreza A, Rahimi A. Investigating Prevalence of deaths from Traffic Accidents and Factors Associated with it in Yazd in 2009. SSU_Journals. 2014;21(6):831-9.
8. Jha N, Srinivasa D, Roy G, Jagdish S, Minocha R. Epidemiological study of road traffic accident cases: A study from South India. Indian J Community Med. 2004;29(1):20-4.
9. Singh A, Bhardwaj A, Pathak R, Ahluwalia S. An epidemiological study of road traffic accident cases at a tertiary care hospital in rural Haryana. Indian J Community Health. 2012;23(2):53-5.
10. Ismail MA, Abdelmageed S. Cost of road traffic accidents in Egypt. World Acad Sci Enginer Tech. 2010;66:1322-8.
11. Dao NX. The cost of road traffic accident in vietnam. proceedings of the eastern asia society for transportation studies, vol. 5. 2005.
12. Rezaei S, Arab M, Karami MB, Akbari SA. Extent, consequences and economic burden of road traffic crashes in Iran. J Inj Violence Res. 2014;6(2):57-63.
13. Ainy E, Soori H, Ganjali M, Le H, Baghfalaki T. Estimating Cost of Road Traffic Injuries in Iran Using Willingness to Pay (WTP) Method. PLoS ONE. 2014;9(12): e112721.
14. Maraci M, Tabaresfahani M. The Burden of Road Traffic Injuries in Isfahan, Iran in 2010. J Kerman Uni Med Sci. 2013;20(5):505-19.
15. Manouchehrifar M, Hatamabadi HR, Derakhshandeh N. Treatment Costs of Traffic Accident Casualties in a Third-level Hospital in Iran; a Preliminary Study. Emergency. 2014;2(1):40-2.
16. Sehat M, Naieni K, Asadi-Lari M, Foroushani A, Malek-Afzali H. Socioeconomic Status and Incidence of Traffic Accidents in Metropolitan Tehran: A Population-based Study. Int J Prev Med. 2012;3(3):181-90.
17. Fatmi Z, Hadden W, Razzak J, Qureshi H, Hyder A, Pappas G. Incidence, patterns and severity of reported unintentional injuries in Pakistan for persons five years and older: results of the National Health Survey of Pakistan 1990-94. BMC Public Health. 2006;7:152.
18. Karbakhsh M, Zandi N, Rouzrokh M, Zarei M. Injury epidemiology in Kermanshah: the National Trauma Project in Islamic Republic of Iran. East Mediterr Health J. 2008;15(1):57-64.
19. Onieva-García M, Martínez-Ruiz V, Lardelli-Claret P, Jiménez-Moleón J, Amezcua-Prieto C, de Dios Luna-Del-Castillo J, et al. Gender and age differences in components of traffic-related pedestrian death rates: exposure, risk of crash and fatality rate. Inj Epidemiol. 2016;3(1):14.
20. Mohaymany AS, Kashani AT, Ranjbari A. Identifying driver characteristics influencing overtaking crashes. Traffic Inj Prev. 2010;11(4):411-6.
21. Anantharaman V, Logaraj M. Epidemiology of Road Traffic Accidents (RTA) Reported at a Tertiary care hospital in Chennai. National J Res Community Med. 2015;4(1):101-5.
22. Kanchan T, Menezes RG, Bakkannavar SM. Age and gender variations in trend of road traffic fatalities in Manipal, India. Med Sci Law. 2010;50(4):192-6.
23. Issa Y. Effect of driver's personal characteristics on traffic accidents in Tabuk city in Saudi Arabia. J transport lit. 2016;10(3):25-9.
24. Fakharian E, Taghaddosi M, Masoud SA. Epidemiology of head trauma in Kashan. KAUMS Journal (FEYZ). 2003;7(1):64-70.
25.Javouhey E, Guerin A-C, Chiron M. Incidence and risk factors of severe traumatic brain injury resulting from road accidents: a population-based study. Accid Anal Prev. 2006;38(2):225-33.
26. Swedler DI, Bowman SM, Baker SP, editors. Gender and age differences among teen drivers in fatal crashes. Annals of Advances in Automotive Medicine/Annual Scientific Conference; 2012: Association for the Advancement of Automotive Medicine.
27. Mishra B, Sinha MN, Sukhla S, Sinha A. Epidemiological study of road traffic accident cases from Western Nepal. Indian J community Med. 2010;35(1):115-21.
28. Kiran ER, Saralaya KM, Vijaya K. A prospective study on road traffic accidents. J Punjab Acad Forensic Med Toxicol. 2004;4:12-6.
29. Mashreky SR, Rahman A, Khan T, Faruque M, Svanström L, Rahman F. Hospital burden of road traffic injury: major concern in primary and secondary level hospitals in Bangladesh. Public health. 2010;124(4):185-9.
30. Torabi A, Tarahi M, Mahmoudi GA. Epidemiology of motorcycle accident in Khoramabad, Iran. Payesh. 2009;8(3):253-62.
31. Hailemichael F, Suleiman M, Pauolos W. Magnitude and outcomes of road traffic accidents at Hospitals in Wolaita Zone, SNNPR, Ethiopia. BMC Res Notes. 2014;8:135.