Original Article

Cost Analysis of Accidents According to Demographic Factors in Iran

Abstract

Background: The first cause of death and disability constituting to the burden of disease in Iran has been accident and injury incidents. Young people are more at risk, these accidents have a negative effect on the national gross domestic product (GDP), on the one hand, and they increase the costs of the health system on the other hand. Therefore, this study aimed to analyze the costs and epidemiological pattern of accidents.

Methods: The study variables in the first 8 months of 2016 included from Tehran Province, Iran; age, sex, how to transfer to the hospital, consequences of an accident, the injured area, and costs. Overall, 400 cases were investigated by referring to the patients` files and deriving the intended data. SPSS software used to analyze the data and statistical tests of t-test and ANOVA were applied.

Results: Most accidents have happened in summer months of Jun, Jul and Aug. Most of the files (48%) were related to the age group of 16-30. The mean cost was 9024.82 dollar. In total, 39% of the road accidents had occurred by motorcycle and 90.8% of the patients discharged from the hospital.

Conclusion: Since about half of the traffic accidents were related to the age of 16 to 30 who were the active population of a community, therefore, any disability or death in these groups could cause an economic burden on the community and increase DALY. Thus, it appears essential to develop proper programs such as education for appropriate driving and strict rules for giving driving license to these ages.

 

 

1. Rezaei S, Akbarisari A, Arab M, Ghasempour S (2013). Economic burden of road traffic crashes in Tehran province, Iran in 2009. Health Information Management, 10(3): 498-509 [persian]
2. Tlemissov AS, Dauletyarova MA, Bulegenov TA et al (2016). Epidemiology of geriatric trauma in an urban Kazakhstani setting. Iran J Public Health, 45(11):1411-1419.
3. Kim WC, Byiringiro JC, Ntakiyiruta G et al (2016). Vital statistics: estimating injury mortality in Kigali, Rwanda. World J Surg, 40(1):6-13.
4. Stewart BT, Yankson IK, Afukaar F et al (2016). Road traffic and other unintentional injuries among travelers to developing countries. Med Clin North Am, 100(2):331-43.
5. World Health Organization (2017). Road traffic injuries: World health organization; 2017.
6. Alam K, Mahal A (2016). The economic burden of road traffic injuries on households in South Asia. PLoS One, 11(10):e0164362.
7. Ainy E, Soori H, Ganjali M et al (2014). Estimating cost of road traffic injuries in Iran using willingness to pay (WTP) method. PLoS One, 9(12):e112721.
8. Patel A, Krebs E, Andrade L et al (2016). The epidemiology of road traffic injury hotspots in Kigali, Rwanda from police data. BMC Public Health, 16:697.
9. He H, Paichadze N, Hyder AA, Bishai D (2015). Economic development and road traffic fatalities in Russia: analysis of federal regions 2004–2011. Inj Epidemiol, 2(1):19.
10. Peden M, Scurfield R, Sleet D et al (2004). World report on road traffic injury prevention. World Health Organization, Geneva.
11. Nantulya VM, Reich MR (2003). Equity dimensions of road traffic injuries in low-and middle-income countries. Inj Control Saf Promot,10(1-2):13-20.
12. Murray CJ (2015). Shifting to Sustainable Development Goals--Implications for Global Health. N Engl J Med, 373(15):1390-1393.
13. Rezaei S, Arab M, Matin BK, Sari AA (2014). Extent, consequences and economic burden of road traffic crashes in Iran. J Inj Violence Res, 6(2):57-63.
14. Afzali S, Saleh A, Rabiei MAS, Taheri K (2013). Frequency of alcohol and substance abuse observed in drivers killed in traffic accidents in Hamadan, Iran. Arch Iran Med, 16(4):240-242.
15. Manouchehrifar M, Hatamabadi HR, Derakhshandeh N (2014). Treatment Costs of Traffic Accident Casualties in a Third-level Hospital in Iran; a Preliminary Study. Emerg (Tehran), 2(1):40-42.
16. Devos S, van Belleghem G, Van Lier T et al (2017). Attributable health care costs of traffic victims until 1 year after hospitalisation. J Transp Health, 4:171-179.
17. Alinia S, Rezaei S, Daroudi R, Hadadi M, Akbari Sari A (2013). Extent, nature and hospital costs of fireworks-related injuries during the Wednesday Eve festival in Iran. J Inj Violence Res, 5(1):6-11.
18. 18. Hejazi R, Shamsudin MN, Radam A et al (2013). Estimation of traffic accident costs: a prompted model. Int J Inj Contr Saf Promot, 20(2):152-157.
19. Kavosi Z, Jafari A, Hatam N, Enaami M (2015). The economic burden of traumatic brain injury due to fatal traffic accidents in shahid rajaei trauma hospital, shiraz, iran. Arch Trauma Res, 4(1):e22594.
20. Mahdian M, Sehat M, Fazel MR et al (2015). Epidemiology of Urban Traffic Accident Victims Hospitalized More Than 24 Hours in a Level III Trauma Center, Kashan County, Iran, During 2012-2013. Arch Trauma Res, 4(2):e28465.
21. Majdzadeh R, Eshraghian MR, Khalagi K et al (2011). Crash-related factors associated with the severity of road traffic injuries in Iran. Int J Inj Contr Saf Promot, 18(3):175-180.
22. Nguyen H, Ivers RQ, Jan S et al (2013). The economic burden of road traffic injuries: evidence from a provincial general hospital in Vietnam. Inj Prev, 19(2):79-84.
23. Banstola A, Mytton J (2017). Cost-effectiveness of interventions to prevent road traffic injuries in low-and middle-income countries: a literature review. Traffic Inj Prev,18(4):357-362.
24. Moafian G, Aghabeigi MR, Heydari ST et al (2013). An epidemiologic survey of road traffic accidents in Iran: analysis of driver-related factors. Chin J Traumatol, 16(3):140-144.
25. Torabi A, Tarrahi M, Mahmoudi G (2009). The situation of motorcycle crashes and its hospital costs in patients referred to Khorramabad Hospital. Payesh, 8(3):253-62. [persian]
26. Üzümcüoğlu Y, Özkan T, Lajunen T et al (2016). Life quality and rehabilitation after a road traffic crash: A literature review. Transportation research part F. Traffic Psychology Behaviour, 40:1-13.
27. Hı́jar M, Arredondo A, Carrillo C, Solórzano L (2004). Road traffic injuries in an urban area in Mexico: An epidemiological and cost analysis. Accid Anal Prev, 36(1):37-42.
28. Omoke N, Chukwu C, Madubueze C, Oyakhiolme O (2012). Outcome of road traffic injuries received in the emergency room of a teaching hospital, Southeast Nigeria. Trop Doct, 42(1):18-22.
29. Zhang G, Yau KK, Chen G (2013). Risk factors associated with traffic violations and accident severity in China. Accid Anal Prev, 59:18-25.
30. Chini F, Farchi S, Camilloni L et al (2016). Health care costs and functional outcomes of road traffic injuries in the Lazio region of Italy. Int J Inj Contr Saf Promot, 23(2):145-54.
Files
IssueVol 48 No 7 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v48i7.2965
Keywords
Epidemiology Cost analysis Accidents Iran

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
HASHEMPOUR R, TAHMASEBI A, VEYSI M, AMINI M, TAVAKOLI N. Cost Analysis of Accidents According to Demographic Factors in Iran. Iran J Public Health. 2019;48(7):1346-1353.