Evidence map›Paper›PMID 34067502›Full record

ArticleInternational journal of environmental research and public health2021

Health Care Resources and 24,910 Deaths Due to Traffic Accidents: An Ecological Mortality Study in Poland.

Agnieszka Genowska, Jacek Jamiołkowski, Krystyna Szafraniec, Justyna Fryc, Andrzej Pająk

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Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Agnieszka GenowskaDepartment of Public Health, Medical University of Bialystok, 15-295 Bialystok, Poland.ORCID 0000-0002-1432-1062
Jacek JamiołkowskiDepartment of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, 15-269 Bialystok, Poland.
Krystyna SzafraniecDepartment of Epidemiology and Population Studies, Jagiellonian University Medical College, 31-066 Krakow, Poland.
Justyna FrycFaculty of Medicine, Medical University of Bialystok, 15-540 Bialystok, Poland.ORCID 0000-0002-7895-1012
Andrzej PająkDepartment of Epidemiology and Population Studies, Jagiellonian University Medical College, 31-066 Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeaths due to traffic accidents are preventable and the access to health care is an important determinant of traffic accident case fatality. This study aimed to assess the relation between mortality due to traffic accidents and health care resources (HCR), at the population level, in 66 sub-regions of Poland.

methodsAn area-based HCR index was delivered from the rates of physicians, nurses, and hospital beds. Associations between mortality from traffic accidents and the HCR index were tested using multivariate Poisson regression models.

resultsIn the sub-regions studied, the average mortality from traffic accidents was 11.7 in 2010 and 9.3/100.000 in 2015. After adjusting for sex, age and over time trends in mortality, out-of-hospital deaths were more frequently compared to hospitalized fatal cases (incidence rate ratio (IRR) = 1.68, 95% CI 1.45-1.93). Compared to sub-regions with high HCR, mortality from traffic accidents was higher in sub-regions with low and moderate HCR (IRR = 1.25, 95% CI 1.11-1.42 and IRR = 1.19, 95% CI 1.02-1.38, respectively), which reflected the differences in out-of-hospital mortality most pronounced in car accidents.

conclusionsPoor HCR is an important factor that explains the territorial differentiation of mortality due to traffic accidents in Poland. The high percentage of out-of-hospital deaths indicates the importance of preventive measures and the need for improvement in access to health care to reduce mortality due to traffic accidents.

Indexed as

Accidents, TrafficDelivery of Health CareHumansIncidencePolandhealth care disparitieshealth inequalitieshospitalized fatal casesout-of-hospital deathstraffic accidents

Identifiers

PMID34067502
PMCPMC8197000

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.