Factors Contributing to Traffic Accidents in Hospitalized Patients in Terms of Severity and Functionality

Alexandra Carolina Canonica (), Angelica Castilho Alonso, Vanderlei Carneiro da Silva, Henrique Silva Bombana, Aurélio Alberto Muzaurieta, Vilma Leyton and Júlia Maria D’Andrea Greve
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Alexandra Carolina Canonica: Laboratory of Movement, Institute of Orthopedics and Traumatology, Clinics Hospital, Medicine School, University of Sao Paulo, Sao Paulo 04503010, Brazil
Angelica Castilho Alonso: Laboratory of Movement, Institute of Orthopedics and Traumatology, Clinics Hospital, Medicine School, University of Sao Paulo, Sao Paulo 04503010, Brazil
Vanderlei Carneiro da Silva: Laboratory of Movement, Institute of Orthopedics and Traumatology, Clinics Hospital, Medicine School, University of Sao Paulo, Sao Paulo 04503010, Brazil
Henrique Silva Bombana: Department of Legal Medicine, Bioethics, Occupational Medicine and Physical Medicine and Rehabilitation, Medicine School, University of Sao Paulo, Sao Paulo 01246903, Brazil
Aurélio Alberto Muzaurieta: Medical School, University of Michigan, Ann Arbor, MI 48109, USA
Vilma Leyton: Department of Legal Medicine, Bioethics, Occupational Medicine and Physical Medicine and Rehabilitation, Medicine School, University of Sao Paulo, Sao Paulo 01246903, Brazil
Júlia Maria D’Andrea Greve: Laboratory of Movement, Institute of Orthopedics and Traumatology, Clinics Hospital, Medicine School, University of Sao Paulo, Sao Paulo 04503010, Brazil

IJERPH, 2023, vol. 20, issue 1, 1-14

Abstract: Trauma-related injuries in traffic-accident victims can be quite serious. Evaluating the factors contributing to traffic accidents is critical for the effective design of programs aimed at reducing traffic accidents. Therefore, this study identified which factors related to traffic accidents are associated with injury severity in hospitalized victims. Factors related to traffic accidents, injury severity, disability and data collected from blood toxicology were evaluated, along with associated severity and disability indices with data collected from toxicology on victims of traffic accidents at the largest tertiary hospital in Latin America. One hundred and twenty-eight victims of traffic accidents were included, of whom the majority were young adult men, motorcyclists, and pedestrians. The most frequent injuries were traumatic brain injury and lower-limb fractures. Alcohol use, hit-and-run victims, and longer hospital stays were shown to lead to greater injury severity. Women, elderly individuals, and pedestrians tend to suffer greater disability post-injury. Therefore, traffic accidents occur more frequently among young male adults, motorcyclists, and those who are hit by a vehicle, with trauma to the head and lower limbs being the most common injury. Injury severity is greater in pedestrians, elderly individuals and inebriated individuals. Disability was higher in older individuals, in women, and in pedestrians.

Keywords: external causes; traffic accidents; severity indices; disability; psychoactive substances (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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