Risk of permanent medical impairment after road traffic crashes: A systematic review.

Mahla Babaie; Mohammadamin Joulani; Mohammad Hosein Ranjbar Hameghavandi; Mohammad Hossein Asgardoon; Marzieh Nojomi; Gerard M O'reilly; Morteza Gholami; Zahra Ghodsi; Vafa Rahimi-movaghar

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Risk of permanent medical impairment after road traffic crashes: A systematic review.

Author: Mahla BABAIE ^{1
,

2
,

3} ; Mohammadamin JOULANI ⁴ ; Mohammad Hosein RANJBAR HAMEGHAVANDI ⁵ ; Mohammad Hossein ASGARDOON ^{1
,

6} ; Marzieh NOJOMI ^{7
,

8} ; Gerard M O'REILLY ^{9
,

10
,

11} ; Morteza GHOLAMI ^{12
,

13} ; Zahra GHODSI ^{1
,

14} ; Vafa RAHIMI-MOVAGHAR ^{1
,

15
,

16
,

17}
Author Information

1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
2. Student Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
3. Universal Scientific Education and Research Network, Tehran, Iran.
4. Student Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
5. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
6. Iranian Student Society for Immunodeficiencies, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
7. Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran
8. Department of Sociology & Anthropology, Nipissing University, North Bay, Ontario, Canada.
9. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
10. Emergency and Trauma Centre, The Alfred, Melbourne, Australia
11. National Trauma Research Institute, The Alfred, Melbourne, Australia.
12. Metabolic Disorders Research Center, Endocrinology and Metabolism Molecular -Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
13. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
14. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
15. Universal Scientific Education and Research Network, Tehran, Iran
16. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
17. Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran. Electronic address: v_rahimi@sina.tums.ac.ir.
Publication Type:Review
Keywords: Accidents; Automobiles; Morbidity; Motor vehicles; Traffic; Wounds and injuries
MeSH: Humans; Accidents, Traffic; Disabled Persons; Abbreviated Injury Scale; Databases, Factual; Wounds and Injuries/etiology*
From: Chinese Journal of Traumatology 2023;26(5):267-275
CountryChina
Language:English
Abstract: PURPOSE:To systematically review the risk of permanent disability related to road traffic injuries (RTIs) and to determine the implications for future research regarding permanent impairment following road trafﬁc crashes.
METHODS:We conducted this systematic review according to the preferred reporting items for systematic reviews and meta-analysis statement. An extended search of the literature was carried out in 4 major electronic databases for scientific research papers published from January 1980 to February 2020. Two teams include 2 reviewers each, screened independently the titles/abstracts, and after that, reviewed the full text of the included studies. The quality of the studies was assessed using the strengthening the reporting of observational studies in epidemiology (STROBE) checklist. A third reviewer was assessed any discrepancy and all data of included studies were extracted. Finally, the data were systematically analyzed, and the related data were interpreted.
RESULTS:Five out of 16 studies were evaluated as high-quality according to the STROBE checklist. Fifteen studies ranked the initial injuries according to the abbreviated injury scale 2005. Five studies reported the total risk of permanent medical impairment following RTIs which varied from 2% to 23% for car occupants and 2.8% to 46% for cyclists. Seven studies reported the risk of permanent medical impairment of the different body regions. Eleven studies stated the most common body region to develop permanent impairment, of which 6 studies demonstrated that injuries of the cervical spine and neck were at the highest risk of becoming permanent injured.
CONCLUSION:The finding of this review revealed the necessity of providing a globally validated method to evaluate permanent medical impairment following RTIs across the world. This would facilitate decision-making about traffic injuries and efficient management to reduce the financial and psychological burdens for individuals and communities.