A 20 Years Analysis of Fatal Traffic Accidents in Elderly; Eskisehir Turkey

Year 2020, Volume: 42 Issue: 3, 282 - 288, 27.05.2020

Kenan Karbeyaz , İşılay Balcı Ümit Şimşek

https://doi.org/10.20515/otd.512471

Cited By: 2

Abstract

Since the elderly are not included
much in social life, they are more prone to traumas and accidents when compared
with the young. However, when the elderly are exposed to traumas, the mortality
and morbidity are more when compared with the young. In this study, the purpose
is to evaluate the fatal traffic accidents in which the geriatric age group was
involved in 20 years. With this study, the characteristics of the fatal
accidents in our study will be determined, and possible precautions will be
discussed in the light of these data. The autopsy reports of the elderly who
were over the age of 65 and who died in traffic accidents were included in the
study. The cases were investigated according to their ages, genders, accident
scenes, accident types, accident time. In the period covered by the study, 413
elderly in Eskişehir were determined to have died as a result of traffic
accidents. Mean age was 73.17 ± 6.46, 321 (77.7%) were male and 92 were female
(22.3%). 65,1% (n=272) of the cases were pedestrians. High mortality rate of
road traffic injuries in this group especially in pedestrians should be taken
into consideration and strategies aimed at the road-user safety including
periodic medical examination and improvement of road structure and facilities.

Keywords

Elderly, Traffic Accident, Forensic Medicine

Eskişehir’de Yaşlılık Dönemi Ölümlü Trafik Kazalarının 20 Yıllık Analizi

Abstract

Yaşlıların trafik kazalarına maruz kalma şekilleri ve kaza sonrası
yaralanma özelliklerinin genç yaş grubundan ayrı değerlendirilmesi gerektiği
düşünülmektedir. Bu kapsamda ilimizde 20 yıllık dönemde geriatrik yaş grubunu
ilgilendiren ölümlü trafik kazası olgularının değerlendirilmesi amaçlandı. Bu
çalışmada 1997-2016 arasındaki 20 yıllık dönemde adli nitelikli ölümlerden 65
yaş üstü olup ölüm nedeni trafik kazasına bağlı olan olgular çalışma kapsamına
alınacaktır. Olgular, demografik veriler, olay yeri, kaza türü, ölenin kaza
anındaki konumu ve ölüm sebeplerine göre incelendi. Çalışmanın kapsadığı
dönemde Eskişehir’de 413 yaşlının trafik kazası sonucu öldüğü belirlendi. Yaş
ortalamasının 73,17±6,46 olduğu, olguların 321’inin (% 77,7) erkek, 92’sinin
kadın olduğu (% 22,3) belirlendi. Olguların % 65,1’inin (n=272) yaya olduğu ve
279 olguda ölümcül yaranın kafa bölgesinde olduğu (% 66,7) belirlendi. Bu yaş
grubunda trafik kazasında ölenlerin yüksek oranda yaya oldukları göz önüne
alındığında, trafik güvenliği ve yolların yaşlı güvenliği dikkate alınarak
düzenlenmesi ve kontrol edilmesi gerektiği düşünülmüştür. 

Keywords

Yaşlılık, trafik kazası, adli tıp

References

• 1.Abou‐Raya, S, ElMeguid, L. A. Road traffic accidents and the elderly. Geriatrics & gerontology international, 2009; 9(3), 290-297.
• 2.Tosato M, Zamboni V, Ferrini A, Cesari M. The aging process and potential interventions to extend life expectancy. Clin Interv Aging 2007; 2: 401–412.
• 3.Eser, M., Keten, A., Icme, F., Kilinc, I., Keten, H. S., Kurumu, A. T., ... & Kahramanmaraş, A. H. Investıgatıon Of Traffıc Accıdents In Gerıatrıc Age Group. Turkish Journal Of Geriatrics, 2013; 16(3), 277-280.
• 4.Hefny AF, Abbas AK, Abu-Zidan FM. Geriatric fall-related injuries. Afr Health Sci. 2016;16(2):554-9
• 5. Markogiannakis H, Sanidas E, Messaris E, Koutentakis D, Alpantaki K, Kafetzakis A, et al. Motor vehicle trauma: analysis of injury profiles by road-user category. Emerg Med J. 2006;23(1):27-31.
• 6.Etehad H, Yousefzadeh-Chabok Sh, Davoudi-Kiakalaye A, Moghadam Dehnadi A, Hemati H, Mohtasham-Amiri Z. Impact of road traffic accidents on the elderly.Arch Gerontol Geriatr. 2015 Nov-Dec;61(3):489-93.
• 7.Langford, J., Fitzharris, M., Koppel, S, Newstead, S. Effectiveness of mandatory license testing for older drivers in reducing crash risk among urban older Australian drivers. Traffic Injury Prevention, 2004;5(4), 326–335.
• 8.Langford, J., Fitzharris, M., Newstead, S., Koppel, S. Some consequences of different older driver licensing procedures in Australia. Accident Analysis and Prevention, 2004;36(6), 993–1001.
• 9. Tay, R.. Ageing driver licensing requirements and traffic safety. Ageing and Society, 2012;32(4): 655–672.
• 10.Chien WC, Chung CH, Lai CH, Chou CH. A retrospective population-based study of injury types among elderly in Taiwan. Int J Inj Contr Saf Promot. 2014;21(1):3-8.
• 11. Yee W Y, Cameron P A, Bailey MJ. Road traffic injuries in the elderly. Emerg Med J 2006;23:42–46.
• 12. Timur O, Tasar PT, Ulusoy MG, Irez A, Yildirim F, Binici DN, Sahin S, Kok AN. Autopsies in the elderly: Erzurum study. J Forensic Leg Med. 2017 Sep 12;52:143-147.
• 13. Akar T, Karapirli M, Akcan R, Demirel B, Akduman B, Dursun AZ, Sari S, Özkök A. Elderly deaths in Ankara, Turkey. Arch Gerontol Geriatr. 2014 Sep-Oct;59(2):398-402
• 14. Hekimoğlu Y, Kartal E, Etli Y, Gümüş O, Demir U, Aşırdizer M. Retrospectively Analysis of Deaths of Persons above 65 Years of Age Which Autopsied in Van City of Turkey among 2010 and 2014 Years. Van Tıp Derg 2017;24(3): 150-156.
• 15. Gören, S., Subaşı, M., Tıraşçı, Y., Kaya, Z. . Deaths related to traffic accident. Turkiye Klinikleri Journal Of Forensic Medicine, 2005;2(1), 9-13.
• 16.İstatistiklerle Yaşlılar. tuik.gov.tr. Access date:01.11.2017.
• 17. Bork T, Tokdemir M, Turkoglu A. Evaluation of traffic accidents for which autopsies were conducted in an Eastern Turkish City: a five-year study. Journal of Turgut Ozal Medical Center. 2016;23(4):375-83
• 18.Cardona AMS, Arango DC, Fernández DYB, Martínez AA, Mortality in traffic accidents with older adults in Colombia, Rev Saude Publica. 2017;51:21
• 19. Katayama Y, Kitamura T, Kiyohara K, Iwami T, Kawamura T, Hayashida S, Ogura H, Shimazu T. Factors associated with prehospital death among traffic accident patients in Osaka City, Japan: A population-based study. Traffic Inj Prev. 2018 Jan 2;19(1):49-53.
• 20.Zangooei Dovom H1, Shafahi Y, Zangooei Dovom M. Fatal accident distribution by age, gender and head injury, and death probability at accident scene in Mashhad, Iran, 2006-2009. Int J Inj Contr Saf Promot. 2013;20(2):121-33.
• 21. Heinrich D, Holzmann C, Wagner, Fischer A, Pfeifer R, Graw M, Schick S. What are the differences in Injury Patterns of young and elderly Traffic Accident Fatalities considering death on scene and death in hospital?, International Journal of Legal Medicine. 2017;131(4):1023-1037
• 22. Karbeyaz K, Balcı Y, Çolak E, Gündüz T. Eskişehir ilinde 2002-2007 yılları arasında gerçekleşen ölümlü trafik kazalarının fatal özellikleri. Türkiye Klinikleri J Foren Med2009;(6):65-73.
• 23.Cameron PA, Rainer TH, Mak P. Motor vehicle deaths in Hong Kong: opportunities from improvement. Journal of Trauma 2004;56(4):890-3.