Factors of traffic incidents at University General Hospital of Heraklion, March-August 2018

Abstract

Abstract Background Injury caused by a traffic accident is the leading cause of death in all age groups with a significant impact on public health expenditure. One of the highest accident rates in Greece is recorded in Crete Methods A retrospective archival study. It was carried out at the University General Hospital of Heraklion recording all the incidents in areas of the region of Heraklion and the transits of patients carried out from the rest of Crete. Results From March 2018 to August 2018, 493 cases were recorded in the Orthopedic Clinic by the Emergency Department. 89 incidents related to road accident injuries. Men were more involved in traffic accidents, with an average age of 42.5 years. The monthly allocation was roughly the same for all months. Insurance types were about 73.6% of the public provider, 5.7% of the private body, and 20.7% of the uninsured patients. The two-wheelers had the highest participation with 66.3%, cars with 38.8%, and 3.8% with pedestrians and cyclists. The highest incidence of injuries occurred by 22.7% was about fractures in legs and knees, pelvis, and spine fractures by 19.3%. Hip and thigh fractures followed by 14.8%. As caused factors were referred to the non-use of belts and helmets and alcohol in driving. The average hospitalization duration ranged from 7.6 days to 51 days. The average cost per patient ranged from €1,907 to €18,025. The largest total cost involved the fractures of the legs and knee with €52,315 and the spine and spine fractures with €41,459. The total cost in all three categories of insurance was approximately €25-26,000. Conclusions The percentage of road accidents in Crete remains at a high level. The highest incidence of injuries refers to legs and knee, pelvic and spinal fractures. Their hospitalization cost includes larger amounts in other European countries. Accompanied illnesses seem to have an impact on road behavior increasing the risk of a road accident. Key messages It is highlighted the implementation of more effective prevention programs aimed at youth. The proper management of the problem can bring huge financial relief to health expenditures.