Abstract

Determine the loss of years of healthy life due to road incidents of motorcyclists in the city of Medellin from 2012 to 2015. Descriptive study with data on health care of injured motorcyclists and deaths adjusted with the Preston and Coale method, and OPS proportional distribution for the period 2012-2015. The years of life lost due to premature death (YLLs), years lived with disability (YLDs), and the disability-adjusted life years (DALYs) were calculated according to the new methodology designed for that purpose. The loss of years of healthy life due to road incidents of motorcyclists in the four-year period was 80,046 DALYs (823.8 per 100,000 inhabitants), with a higher proportion in men (81.3% and a ratio of 5 to 1 compared to women); the YLDs was 66.6% with marked differences in favor of men. There was nearly a 38% difference in the ages of 15 to 19 as well as a 19% difference from 30 to 49, compared to women. Premature death (YLLs) contributed to 33.4% of DALYs, with significant presentation in the above-mentioned age groups. The greatest loss of years of healthy life due to road incidents of motorcyclists in Medellin was due to non-fatal injuries and was concentrated in young men. If the trend of motorcycle road incidents continues, both local and national road safety plans will fail to accomplish the expected results, especially among motorcycle users.

Highlights

  • An accident is defined as a random event that occurs by chance and disrupts the normal order of things

  • The greatest loss of years of healthy life due to road incidents of motorcyclists in Medellin was due to non-fatal injuries and was concentrated in young men

  • In order to attain a more holistic vision in accordance with the guidelines of the World Bank (WB), the World Health Organization (WHO), and the Institute of Health Metrics and Evaluation (IHME), an initiative was proposed to construct a single indicator that reflects the losses due to premature mortality as well as disability

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Summary

Introduction

An accident is defined as a random event that occurs by chance and disrupts the normal order of things. In this event, uncontrollable causes act that can affect various actors, and in which circumstances that cannot be foreseen or avoided. Injuries have been incorrectly known as accidents. This misconception was strengthened because injuries were not considered as priority events in public health. According to the World Health Organization (WHO), injuries have specific causes, are predictable, preventable, and have repetitive patterns, just like violence-related injuries in all settings [1]. Current approaches to injury prevention require that the term "accident" be replaced by "injury" or "event" or "incident." If the conceptual error of considering preventable events as "accidents" is understood, the objective of reducing the incidence of injuries and deaths in traffic events could be achieved

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