Effective factors of severity of traffic accident traumas based on the Haddon matrix: a systematic review and meta-analysis

Saeed Golfiroozi; Hossein-Ali Nikbakht; Seyede Almas Fahim Yegane; Saeed Gholami Gharab; Layla Shojaie; Seyed Ahmad Hosseini; Abdolhalim Rajabi; Mousa Ghelichi-Ghojogh

doi:10.1097/MS9.0000000000001792

Effective factors of severity of traffic accident traumas based on the Haddon matrix: a systematic review and meta-analysis

Ann Med Surg (Lond). 2024 Feb 8;86(3):1622-1630. doi: 10.1097/MS9.0000000000001792. eCollection 2024 Mar.

Authors

Saeed Golfiroozi¹, Hossein-Ali Nikbakht², Seyede Almas Fahim Yegane³, Saeed Gholami Gharab⁴, Layla Shojaie⁵, Seyed Ahmad Hosseini⁶, Abdolhalim Rajabi⁷, Mousa Ghelichi-Ghojogh⁶

Affiliations

¹ Department of Emergency Medicine, School of Medicine.
² Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol.
³ Department of Surgery.
⁴ Emergency Medicine, Management Research Center, Health Management Reaearch Institute, Iran University of Medical Sciences, Tehran, Iran.
⁵ Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA.
⁶ Neonatal and Children's Research Center, Department of Biostatistics and Epidemiology, School of Health, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran.
⁷ Environmental Health Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan.

Abstract

Objective: This study aims to investigate the factors affecting the severity of trauma caused by traffic accidents based on martrix Haddon; a systematic review and meta-analysis.

Methods: In this study searched five international databases in this study, including Medline/PubMed, ProQuest, Scopus, Web of Knowledge, and Google Scholar, for published articles by the end of 2022. Data were entered into the statistical program and analyses were performed using STATA 17.0 software. Odds ratio (OR) values were computed for severity accidents.

Results: Results of study showed that among the risk factors related to the host, not using helmet increased the risk of injury severity by 3.44 times compared to people who have used helmets (OR _{Not using helmet/Using helmet} = 3.44, 95% CI: 2.27-5.00, P=0.001, I²=0.00%). Also, crossing over a centre divider has a protective role for the risk of injury severity compared to undertaking (OR _{crossing over a centre divider/undertaking}=0.39, 95% CI: 0.20-0.75, P=0.01, I²=25.79%). in terms of the type of accident, accident of car-car reduces the risk of injury severity by 23% compared to accident of car-pedestrian (OR _{accident of car-car/accident of car-pedestrian}=0.77, 95% CI: 0.61-0.96, P=0.02, I²=0.00%).

Conclusions: It is necessary to pay attention to the intersection of human, vehicle and environmental risks and their contribution and how they interact. Based on the Haddon matrix approach, special strategies can be designed to prevent road damage. Safety standards for vehicles should also be addressed through stricter legal requirements and inspections.

Keywords: Meta-analysis; haddon matrix; prevention; severity of trauma; traffic accident.

Publication types

Review