Evidence map›Paper›PMID 39996349›Full record

Observational studyJournal of research in health sciences2025

Effectiveness of Integrated Trauma System Implementation on Road Traffic Fatalities and Injuries in the North of Iran Using an Interrupted Time Series Analysis.

Enayatollah Homaie Rad, Farideh Sadeghian, Zahra Ghodsi, Shahrokh Yousefzadeh-Chabok, Mohammad Hosein Ranjbar Hameghavandi, Shahriar Ghashghaee, Zahra Mohtasham-Amiri, Hamid Heidari, Gerard O'Reilly, Seyed Mohammad Ghodsi and 1 more

Abstract readObservational Study
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In one paragraph

Observational study in Journal of research in health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Enayatollah Homaie RadGuilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.ORCID 0000-0002-9064-0380
Farideh SadeghianSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Zahra GhodsiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Shahrokh Yousefzadeh-ChabokGuilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
Mohammad Hosein Ranjbar HameghavandiSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Shahriar GhashghaeeSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Zahra Mohtasham-AmiriSocial Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Hamid HeidariGuilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
Gerard O'ReillySchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Seyed Mohammad GhodsiBrain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-3443-9532
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7347-8767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegrated trauma systems (ITS) have shown potential in reducing traffic crash-related injuries and mortality, although their structure and impact can vary. This study assessed the effectiveness of ITS in Guilan, Iran.

methodsUtilizing a cross-sectional analysis, this descriptive-analytical study was conducted in Northern Iran from 2015 to 2019 to compare road traffic crash (RTC) data in Guilan (with ITS) against Mazandaran (without ITS), considering weather as a confounder. The study involved pre- and post-ITS intervention analyses to evaluate changes in RTC, injury, and mortality rates.

resultsBefore ITS implementation, Guilan's daily RTC mean was 38.4 (SD=16.7), which significantly decreased to 30.8 (SD=13.7) after the intervention. Conversely, in the control province of Mazandaran, the daily average number of RTCs increased from 37.29 (SD=14.1) to 42.55 (SD=16.4) post-ITS implementation in Guilan. Furthermore, the mortality rate in Guilan showed a marginal decline from 27.74 (SD=12.6) pre-ITS to 26.60 (SD=11.9) post-ITS, indicating the positive impact of the ITS. In contrast, Mazandaran demonstrated a significant increase in mortality from 32.16 (SD=14.5) to 51.75 (SD=15.7). The statistical analysis confirmed a significant reduction in mortality and injury incidence in Guilan at the time of the intervention, with a marked decrease observed post-intervention (

conclusionThe findings revealed that RTC prevention is feasible in Iran, with ITS in Guilan significantly reducing RTCs, injuries, and mortalities, underscoring the importance of ongoing efforts to expand ITS components nationally.

Indexed as

Accidents, TrafficWounds and InjuriesAdultCross-Sectional StudiesFemaleHumansInterrupted Time Series AnalysisIranMaleRetrospective StudiesIntegrated trauma systemInterrupted time series analysisMortalityTrafficWounds and injuries

Identifiers

PMID39996349
PMCPMC11833496

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