Evaluation of Trauma Scores, Clinical Outcomes and Hospital Costs of Patients Presenting with Traffic Accidents

Main Article Content

Dilek Atik
Ramazan Unal
Burce Serra Kockan
Bensu Bulut
Hilmi Kaya
Ramazan Guven
Basar Cander


Background: Traffic accidents have been a bleeding wound due to developing technology and increasing number of vehicles. Improvement in socio-economic level has led to an increase in number of vehicles and traffic accidents with injury and death increase accordingly. High costs appear by tests and treatments as well as further health problems and loss of labour power in traffic accidents. The aim of this study was to evaluate the trauma scores, clinical outcomes and hospital cost of patients presenting to the emergency department with road traffic accidents.

Methods: Patients information; hospital automation system, forensic records and patient files were recorded. Cost information was received in hospital automation system. Hospital costs include examinations and treatments that have been performed since the first visit of the patients. According to the data obtained from the patients files, GCS (Glasgow Coma Scale), AIS(Abbreviated Injury Scale) and ISS(Injury Severity Score) scores of each patient were calculated separately. All variables were tested for conformity to normal distribution, Kolmogorov Smirnov test and compliance with parametric test criteria. The data obtained by the study carried out within the scope of clinical research are statistically nonparametric. For this reason, Kruskal-Wallis H tests were used for statistical evaluation of associated variables according to dependency status. Spearman rank correlation in non-parametric data and Pearson correlation in parametric data were used as correlation methods. The results were evaluated for a significance level of         P < .05.

Results: The average cost of traffic accidents was found to be 247.38 Turkish Lira.The average cost of motor vehicle accidents was 246.53 Turkish Lira.The average cost of extra vehicular traffic accident was 235.3 Turkish Lira. Cost average was 265.9 Turkish Lira.The effect of clinical outcomes on the cost was found statistically significant. There was a statistically significant effect of GCS, AIS, ISS trauma scores on the cost. AIS and ISS and the cost was moderately significant and a positive correlation was found.

Conclusion: Frequency of the traffic accidents, higher hospitalization rates and higher medical expenses have made the traffic accidents a significant public health problem economically We believe that community education should be increased in order to reduce traffic accidents in terms of health as well as the national economy.

Cost analysis, traffic accidents, gloscow coma score, AIS score, ISS score.

Article Details

How to Cite
Atik, D., Unal, R., Kockan, B., Bulut, B., Kaya, H., Guven, R., & Cander, B. (2019). Evaluation of Trauma Scores, Clinical Outcomes and Hospital Costs of Patients Presenting with Traffic Accidents. Asian Journal of Medicine and Health, 16(3), 1-6. https://doi.org/10.9734/ajmah/2019/v16i330144
Original Research Article


Polat O. Adli Travmatolojide Trafik Kazalarına Bakış. Adli Tıp Bülteni 1996;1: 18-25.

Tintinally JE. Emergency medicine a comrehensive study guide Internatıonally edition, McGraw-Hill Companies 4th ed American College of Emergency Physicians. 1996;1127-1128.

Türkiye İstatistik Yıllığı TC. Başbakanlık devlet istatistik enstitüsü yayin numarasi 2895 Devlet İstatistik Enstitüsü Matbaası Ankara. 2004;203-24.

Soysal Z, Çakalır C. Adli Tıp İstanbul Universitesi Cerrahpaşa Tıp Fakültesi Yayınları Rektörlük No: 4165. Fakülte No:224. İstanbul. 1991;595.

Kalaycıoglu N, Kaplan ME, Unsel M. Prognostic factors and scoring systems in ICU. Yoğun Bakım Dergisi. 2006;6(3):147-159.

Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974;2:81-4.

Sharma BR, Harish D, Sharma V, Vij K, Road-traffic accidents-a demographic and topografic analysis. Med Sci Law. 2001; 41:266-74.

Symons J, Howard E, Sweeny K, Kumnick M, Sheehan P. Reduced road traffic injuries for young people: A preliminary investment analysis. Journal of Adolescent Health. 2019;65:34-S43.

IHME. Global burden of disease study 2016 (GBD 2016) data resources. Seattle, WA: Institute for Health Metrics and Evaluation; 2015.
(Accessed April 5, 2018)

Sozluer EM, Yıldırım C, Senol V, Unalan D, Nacar M, Gunay O. Risk factors ın traffic accidents. Turkish Journal of Trauma and Emergency Surgery. 2000;4 (6):237-240.

Dogan S, Acar N, Cevik AA, Ozakın E, KayaFB, Arslantaş D. The relationship between blood alcohol concentration and ınjury severity in patients admitted to the hospital emergency department after a Motor Vehicle Accident. Eurasian J Emerg Med. 2016;15:121-5.

Sungur I, Akdur R, Piyal B. Analysis of traffic accidents in Turkey. Ankara Med 2014;14(3):114–124.

Al-Kuwaiti A, Hefny AF, Bellou A, Eid HO, Abu-Zidan FM. Epidemiology of head injury in the United Arab Emirates. Turkish Journal of Trauma and Emergency Surgery. 2012;18(3):213-218

World Health Organization. Global status report on road safety: Supporting A Decade of Action, World Health Organization, Geneva; 2013b.

Ozturk O, Eken H, Er C. Motorlu Taşıt satişlarinin trafik kazalari üzerine olan etkileri. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2006;13(4):12-15.

Ozen E, Genc E, Kaya Z. Estimation of the costs of traffic accidents in Turkey: An evaluation in terms of the insurance and financial system. Journal of Yasar University. 2014;9(33): 5649-5673.