Factors associated with prehospital death among traffic accident patients in Osaka City, Japan: A population-based study.
Traffic Injury Prevention · 2017-06-28 · Observational study
Abstract
OBJECTIVE: Although it is important to assess the factors associated with traffic accident fatalities to decrease them as a matter of public health, such factors have not been fully identified. METHODS: Using a large-scale data set of ambulance records in Osaka City, Japan, we retrospectively analyzed all traffic accident patients transported to hospitals by emergency medical service personnel from 2013 to 2014. In this study, prehospital death was defined as that occurring at the scene or in the emergency department immediately after hospital arrival. We assessed prehospital factors associated with prehospital death due to traffic accidents by logistic regression models. RESULTS: This study enrolled 28,903 emergency patients involved in traffic accidents, of whom 68 died prehospital. In a multivariate model, elderly patients aged ≥75 years (adjusted odds ratio [AOR] = 4.34; 95% confidence interval [CI], 2.29-8.23), nighttime (AOR = 2.75; 95% CI, 1.65-4.70), and type of injured person compared to bicyclists such as pedestrians (AOR = 9.58; 95% CI, 5.07-17.99), motorcyclists (AOR = 2.75; 95% CI, 1.21-6.24), and car occupants (AOR = 2.98; 95% CI, 1.39-6.40) were significantly associated with prehospital death due to traffic accidents. In addition, the AOR for automobile versus nonautomobile as the collision opponent was 4.76 (95% CI, 2.30-9.88). CONCLUSIONS: In this population, the factors associated with prehospital death due to traffic accidents were elderly people, nighttime, and pedestrian as the type of patient. The proportion of prehospital deaths due to traffic accidents was also high when the collision component was an automobile.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Mortality & survival · Older adults · Time intervals · Urban
Related articles
- Factors Impacting Mortality in the Pre-Hospital Period After Road Traffic Accidents in Urban India. (Trauma Mon, 2016)
- Prehospital road traffic injuries among the elderly in Beijing, China: data from the Beijing Emergency Medical Center, 2004-2010. (Chin Med J (Engl), 2013)
- Epidemiological characteristics of elderly population receiving pre-hospital emergency care after road traffic injuries in Punjab, Pakistan. (Int J Emerg Med, 2025)
- Road injury-related mortality in a medium-sized Brazilian city after some preventive interventions. (Traffic Inj Prev, 2008)
- Substance use and pre-hospital crash injury severity among U.S. older adults: A five-year national cross-sectional study. (PLoS One, 2023)
- Factors contributing to disparities in trauma care between urban vs rural trauma centers: Towards improving trauma care access and quality of care delivery. (Injury, 2024)