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

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 repor...

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Main Authors: Mahla Babaie, Mohammadamin Joulani, Mohammad Hosein Ranjbar Hameghavandi, Mohammad Hossein Asgardoon, Marzieh Nojomi, Gerard M. O'Reilly, Morteza Gholami, Zahra Ghodsi, Vafa Rahimi-Movaghar
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Chinese Journal of Traumatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1008127522001158
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author Mahla Babaie
Mohammadamin Joulani
Mohammad Hosein Ranjbar Hameghavandi
Mohammad Hossein Asgardoon
Marzieh Nojomi
Gerard M. O'Reilly
Morteza Gholami
Zahra Ghodsi
Vafa Rahimi-Movaghar
author_facet Mahla Babaie
Mohammadamin Joulani
Mohammad Hosein Ranjbar Hameghavandi
Mohammad Hossein Asgardoon
Marzieh Nojomi
Gerard M. O'Reilly
Morteza Gholami
Zahra Ghodsi
Vafa Rahimi-Movaghar
author_sort Mahla Babaie
collection DOAJ
description 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.
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spelling doaj.art-91a60616515f49a18cc97efd3c0497f72023-09-21T04:36:14ZengElsevierChinese Journal of Traumatology1008-12752023-09-01265267275Risk of permanent medical impairment after road traffic crashes: A systematic reviewMahla Babaie0Mohammadamin Joulani1Mohammad Hosein Ranjbar Hameghavandi2Mohammad Hossein Asgardoon3Marzieh Nojomi4Gerard M. O'Reilly5Morteza Gholami6Zahra Ghodsi7Vafa Rahimi-Movaghar8Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Student Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran; Universal Scientific Education and Research Network, Tehran, IranStudent Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Iranian Student Society for Immunodeficiencies, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, IranPreventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran; Department of Sociology & Anthropology, Nipissing University, North Bay, Ontario, CanadaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Emergency and Trauma Centre, The Alfred, Melbourne, Australia; National Trauma Research Institute, The Alfred, Melbourne, AustraliaMetabolic Disorders Research Center, Endocrinology and Metabolism Molecular -Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran; Universal Scientific Education and Research Network, Tehran, Iran; Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran; Corresponding author. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.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.http://www.sciencedirect.com/science/article/pii/S1008127522001158MorbidityWounds and injuriesAutomobilesMotor vehiclesAccidentsTraffic
spellingShingle Mahla Babaie
Mohammadamin Joulani
Mohammad Hosein Ranjbar Hameghavandi
Mohammad Hossein Asgardoon
Marzieh Nojomi
Gerard M. O'Reilly
Morteza Gholami
Zahra Ghodsi
Vafa Rahimi-Movaghar
Risk of permanent medical impairment after road traffic crashes: A systematic review
Chinese Journal of Traumatology
Morbidity
Wounds and injuries
Automobiles
Motor vehicles
Accidents
Traffic
title Risk of permanent medical impairment after road traffic crashes: A systematic review
title_full Risk of permanent medical impairment after road traffic crashes: A systematic review
title_fullStr Risk of permanent medical impairment after road traffic crashes: A systematic review
title_full_unstemmed Risk of permanent medical impairment after road traffic crashes: A systematic review
title_short Risk of permanent medical impairment after road traffic crashes: A systematic review
title_sort risk of permanent medical impairment after road traffic crashes a systematic review
topic Morbidity
Wounds and injuries
Automobiles
Motor vehicles
Accidents
Traffic
url http://www.sciencedirect.com/science/article/pii/S1008127522001158
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