Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! By
The Pattern of Fractures in Road Traffic Crashes: Findings From the National Trauma Registry in Iran Publisher Pubmed



Mshz Tabatabaei Mahgol Sadat Hassan ZADEH ; M Soleimani MOHAMMAD ; Sh Shafiei Seyyed HOSSEIN ; Mr Zafarghandi Mohammad REZA ; V Rahimimovaghar VAFA ; V Baigi VALI ; E Fakharian ESMAEIL ; Sh Saeedbanadaky Seyed HOUSSEIN ; V Hoseinpour VAHID ; H Sadeghibazargani HOMAYOUN
Authors

Source: Journal of Research in Health Sciences Published:2025


Abstract

Background: Fractures constitute a significant concern in low-income and middle-income countries, primarily due to road traffic crashes (RTCs), a leading cause of such injuries. This study aimed to analyze fracture patterns resulting from RTCs in Iran. Study Design: A cross-sectional study. Methods: A registry-based study was conducted using data from the National Trauma Registry of Iran spanning 2016–2023. The study included 10,114 trauma patients involved in RTCs, encompassing car and motorcycle crashes with at least one fracture. International Classification of Diseases (ICD-10) codes were used for data analysis, considering both orthopedic and nonorthopedic admissions related to RTCs. Fracture incidence was compared among pedestrians, drivers/riders, and passengers/pillions. Results: Males constituted a significant majority of the car (90.1% drivers, 72.1% pedestrians, and 47.0% passengers) and motorcycle (99.6% riders, 77.0% pedestrians, and 65.3% pillions) crashes (P < 0.001). Patients under 18 comprised 18.4% of the motorcycle riders and 2.5% of the car drivers. Drivers showed the highest frequency of head injuries (26.9%, P < 0.010), while pedestrians had the highest frequency of upper extremity injuries (73.1%, P < 0.001). Drivers also demonstrated a higher frequency of vertebral fractures than passengers (C3-C7: 3.2% vs. 1.4%, P = 0.006). Riders (33.5%) displayed a higher frequency of head and face fractures compared to pillions (24.8%) and pedestrians (17.4%) (Head: pedestrian vs. rider, P < 0.001; pedestrian vs. pillion, P = 0.018; rider vs. pillion, P = 0.005; Face: pedestrian vs. rider, P < 0.001; pedestrian vs. pillion, P < 0.001; rider vs. pillion, P = 0.033). Conclusion: The study provided valuable information on the fracture patterns associated with RTCs among road user groups. © 2025 Elsevier B.V., All rights reserved.
Related Docs
View other Related Docs
1. Distribution Assessment of Maxillofacial Fractures in Trauma Admitted Patients in Yazd Hospitals: An Epidemiologic Study, Dental Research Journal (2011)
2. Factors Affecting Hospital Length of Stay and Hospital Charges Associated With Road Traffic-Related Injuries in Iran, BMC Health Services Research (2013)
3. Pre-Hospital Trauma Care Resources for Road Traffic Injuries in a Middle-Income Country - a Province Based Study on Need and Access in Iran, Injury (2011)
Experts (# of related papers)
View all Related Experts
Mehdi Nasr Isfahani (3)
Mohammad Hossein Yarmohammadian (2)
Other Related Docs
4. The Epidemiology of Spinal Fractures: A Nationwide Data-Based Study in Iran, Qatar Medical Journal (2024)
5. Epidemiological Study of Fatal Road Accidents in Eastern Iran in a Five-Year Period, Health in Emergencies and Disasters Quarterly (2022)
6. 11-Year Trend of Mortality From Fatal Road Traffic Injuries in the Center of Iran; a Cross-Sectional Study, Archives of Academic Emergency Medicine (2024)
7. Does a Given Abbreviated Injury Scale Value in Different Body Regions Contribute to the Same Risks of In-Hospital Mortality and Icu Admission in Trauma Patients?, Frontiers in Emergency Medicine (2024)
8. Association of Socio-Economic Status With Injuries in Children Andadolescents: The Caspian-Iv Study, International Journal of Pediatrics (2016)
9. Utilizing Injury Severity Score, Glasgow Coma Scale, and Revised Trauma Score for Trauma-Related In-Hospital Mortality and Icu Admission Prediction; Originated From 7-Year Results of a Nationwide Multicenter Registry, Frontiers in Emergency Medicine (2024)
10. Assessing Global Risk Factors for Non-Fatal Injuries From Road Traffic Accidents and Falls in Adults Aged 35–70 Years in 17 Countries: A Cross-Sectional Analysis of the Prospective Urban Rural Epidemiological (Pure) Study, Injury Prevention (2016)
11. The Incidence of Hip Fracture in Shiraz, Iran: A Promising Rate Comparing to Previous Studies, Osteoporosis International (2017)
12. Quality Assessment of Published Randomized, Controlled Trials in Trauma Monthly Journal, Trauma Monthly (2018)
13. Evaluation of Accidents Occurrence and Associated Risk Factors Among 11-14-Year-Old Children in Isfahan Province, Iran, in Year 2015, Journal of Isfahan Medical School (2019)
14. Predictors of Traumatic Brain Injury Mortality: In Adults (18-45 Years) Trauma Patients, Trauma Monthly (2024)
15. Frequency Distribution of Fractures Among Hepatitis C Virus (Hcv)- or Human Immunodeficiency Virus (Hiv)-Positive Patients Referred to Hospital Orthopedic Surgery Wards, Journal of Isfahan Medical School (2015)
16. Association Between Outcome of Severe Traumatic Brain Injury and Demographic, Clinical, Injury-Related Variables of Patients, Iranian Journal of Nursing and Midwifery Research (2018)
17. Risk Factors of Work-Related Head and Neck Injuries: A National Survey, Iranian Journal of Public Health (2022)
18. Assessment of the Trends of Accidents Among Elderly People in Isfahan Province, Iran, in 2012-2015 by Cause and Location of the Accidents, Journal of Health System Research (2021)
19. Evaluation the Treatment Outcomes and Disabilities in Hand Injuries, Journal of Isfahan Medical School (2015)
20. Barriers and Facilitators to Provide Effective Pre-Hospital Trauma Care for Road Traffic Injury Victims in Iran: A Grounded Theory Approach, BMC Emergency Medicine (2010)