Kavosi Zahra, Jafari Abdosaleh, Hatam Nahid, Enaami Meysam
Social Determinants of Health Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Health Economics Department, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Arch Trauma Res. 2015 Mar 20;4(1):e22594. doi: 10.5812/atr.22594. eCollection 2015 Mar.
Traumatic Brain Injuries (TBIs) as a result of traffic accidents are one of the major causes of deaths, which lead to the loss of individuals' productive and working years of life.
This study aimed to calculate the economic burden of traumatic brain injuries in fatal crashes at Shahid Rajaei Trauma Hospital, Shiraz, Iran for a period of five years.
In this descriptive, cross-sectional study the population included people who had died as a result of TBIs during 2009 to 2013 in Shiraz Shahid Rajaei Trauma Hospital. Cost and demographic data were obtained from the participants' medical records using data gathering forms, and some other information was also collected via telephone calls to the victims' families. Economic burden of TBIs due to traffic accidents, which led to death, was estimated using the human capital as direct costs of treatment, and the number of potential years of life lost and lost productivity as indirect costs.
Deaths resulting from TBIs due to traffic accidents in Shiraz imposed 6.2 billion Rials (511000 USD) of hospital costs, 6390 potential years of life lost, and 506 billion Rials (20 million USD) of productivity lost. In the present study, the mean age of the individuals who died was 38.4 ± 19.41 and the productivity lost per capita was 1.8 billion Rials (73000 USD).
The findings of this study indicated that the economic burden of TBIs was high in fatal accidents in Fars Province so that it was equivalent to 0.00011% of Iran's Gross Domestic Product (GDP) in 2013. Therefore, more attention has to be paid to the rules to prevent the fatal accidents.
交通事故导致的创伤性脑损伤（TBI）是主要死因之一，会导致个人失去有生产力的工作年限。
本研究旨在计算伊朗设拉子沙希德拉贾伊创伤医院五年内致命车祸中创伤性脑损伤的经济负担。
在这项描述性横断面研究中，研究对象包括2009年至2013年期间在设拉子沙希德拉贾伊创伤医院因创伤性脑损伤死亡的患者。使用数据收集表从参与者的病历中获取成本和人口统计学数据，还通过电话联系受害者家属收集了一些其他信息。因交通事故导致死亡的创伤性脑损伤的经济负担，以人力资本作为治疗的直接成本进行估算，以潜在生命损失年数和生产力损失作为间接成本。
设拉子因交通事故导致的创伤性脑损伤死亡造成了62亿里亚尔（511000美元）的医院成本、6390个潜在生命损失年数以及5060亿里亚尔（2000万美元）的生产力损失。在本研究中，死亡个体的平均年龄为38.4±19.41岁，人均生产力损失为18亿里亚尔（73000美元）。
本研究结果表明，法尔斯省致命事故中创伤性脑损伤的经济负担很高，相当于2013年伊朗国内生产总值（GDP）的0.00011%。因此，必须更加重视预防致命事故的规则。
