Estimating the direct cost(s) of injuries resulting from road traffic accident in Guilan Province 2012
چکیده
Background and aim: Most mortalities and morbidities in middle
and low-income countries are due to traffic accidents which result in
different outcomes including financial burden. This study aimed at
determining the direct costs of traffic accidents in 2012 in Guilan
province0
Methods: This study was a research in health system which included
victims of traffic accidents admitted to medical centers in Guilan.
ICD-10 was used as diagnostic criteria. Data were extracted from HIS
system in Poursina Hospital in Rasht (capital of Guilan). Hospital
costs were determined in age groups based on vehicle and final
outcome. Effective factors on accidents were also considered. Costs
were estimated based on Ministry of Health cost standards for all
services.
Results: Calculated Hospital cost was 104,908,338,912 Rails
(8556690, 75 USD) with mean of 13679533,04 Rails (1115,7 USD)
and CI:13140000,68-14218000,4 Rails. Total costs were
82,718,468,560 Rails for men (6747020,27 USD) with mean of
13846412, 55 Rails (1129,39 USD) and CI:13224000,91-14467000,19
Rails. Total costs for women were obtained 22,189,870,352 Rails
(1809940/48 USD) with mean of 13091368, 94 Rails (1067, 81 USD)
and CI:12022000,39-14160000,49 Rails. The highest cost belonged to
20-29 years age group and vehicle (car accident with motorcyclist).
Para clinic, clinical and pharmaceutical costs and bed cost for patientfamily were 7,016,552,880 Rails (572312, 63 USD), 4,957,299,950
Rails (404347, 46 USD), 9,496,893,995 Rails (774624, 3 USD) and
1,354,951,800 Rails (110518, 09 USD). Cost for each death was
19,663,889 Rails (1603, 9 USD), respectively. Upper extremities had
the most injuries. Marital status, age and type of vehicle were
influencing factors on accidents0
Conclusion: Results indicated that high costs of traffic accidents
constitute a major part of health system total costs. Developing a
single trauma system and trauma care programs are recommended0