Rahmati Farhad, Doosti Mohammad, Bahreini Maryam
Department of Emergency Medicine, Shohaday-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Adv J Emerg Med. 2018 Nov 17;3(1):e2. doi: 10.22114/AJEM.v0i0.108. eCollection 2019 Winter.
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.
This study assessed the financial costs of traffic casualties in a level-1 trauma university hospital.
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.
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, equal to 106 thousand $ (nearly 4.2 million rials or 153 $ per patient) and 23.9 billion rials, equal to 866.3 thousand $ (1.1 billion rials or 39.2 thousand $ per person), respectively.
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.
道路交通创伤性损伤是主要的死亡原因，尤其是在最易成为受害者的年轻男性中。在低收入和中等收入国家，这场灾难更为复杂。
本研究评估了一家一级创伤大学医院中交通伤亡的财务成本。
本研究纳入了1000名前往绍哈代 - 塔吉里什医院急诊科的创伤患者。院前和医院成本以及物理治疗、康复、门诊就诊和进一步手术干预的费用被视为直接费用。生产力损失成本被估计为间接费用。
直接成本和间接成本分别占总成本的27.4%和72.6%。永久性残疾的平均年龄为43岁。临时性和永久性残疾的平均费用分别为29.344亿里亚尔，相当于10.6万美元（每位患者近420万里亚尔或153美元）和239亿里亚尔，相当于86.63万美元（11亿里亚尔或每人3.92万美元）。
伊朗交通伤害的国家负担具有显著的破坏性，因为它每年占国内生产总值的2.19%。此外，大多数交通事故涉及年轻男性，这表明需要制定严格的预防措施并减少人力和财务成本。
