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Identifier 000423653
Title Διερεύνηση δημογραφικών και κλινικών παραγόντων των περιστατικών που εισήχθησαν στην Ορθοπεδική Κλινική του Πανεπιστημιακού Γενικού Νοσοκομείου Ηρακλείου Κρήτης, από τον Μάρτιο 2018 έως τον Αύγουστο 2018 από τροχαίο ατύχημα
Alternative Title Investigation of demographic and clinical factors of the incidents hospitalized at the Orthopedic Clinic of the University General Hospital of He raklion, Crete from March 2018 to August 2018 due to a traffic accident.
Author Μαρτιμιανάκη, Αθηνά
Thesis advisor Τσιλιγιάννη, Ιωάννα
Reviewer Παπαδακάκη, Μαρία
Τοσουνίδης, Θεόδωρος
Σηφάκη-Πιστόλλα, Δήμητρα
Abstract Introduction: Road traffic accidents are one of the most important public health issues in the world. Injury caused by a traffi c 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. Purpose: To investigate and outline the profile of the patients involved i n traffic accidents in the region of Heraklion, Crete. In particular the factors that cause road accidents are examined, as well as the type of fractures, the hospitalization cost, the insurance type and the co morbidity. The study will contribute to the p lanning of a future intervention to prevent and deal with road accidents in Crete. Methodology: This is a retrospective archival study of a quantitative and qualitative nature. It was carried out at the University General Hospital of Heraklion, Crete, rec ording all the incidents that hospitalized the Orthopedic Clinic during the days that the hospital was on general duty, and exactly those who had been injured by a traffic accident in areas of the region of Heraklion and also the transits of patients carri ed out from the rest of Crete or the southern Aegean with the same cause of admission. The data concerned the period from March 2018 to August 2018, were drawn from the hospital files while crossed and enriched by the data collected by EKAV. At the same ti me was attempted to collect data by the Traffic Department of Heraklion, Crete. The evaluation and processing of the data was done at the level of characteristics that complete the patients' profile of hospitalization such as the age, gender, hospitalizati on costs, etc. Depending on the resulting variables, statistically and clinically important conclusions were extracted. The check was performed at a statistical significance level α 5% and confidence interval CI 95%. Results: Overall, during the study period from March 2018 to August 2018, 493 cases were recorded in the Orthopedic Clinic by the Emergency Department as extraordinary imports. Out of these imports, the 89 incidents related to road accident injuries. Demographics, sex and age of patients a re described. Men are more involved into traffic accidents, with an average age of 42.5 years. The monthly allocation was roughly the same for all months, from March to August. Insurance types was about to 73.6% of the public provider, 5.7% of the private body and 20.7% of the uninsured patients. Concerning the characteristics of the traffic accident, 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 refered the non use of belt and helmets and alcohol in driving. Average hospitalization duration ranged f rom 7.6 days to 51 days. The corresponding average cost per patient ranged from 1,907 to 18,025 The largest total cost involved the fract ures of the legs and knee with 52,315 and the s pine and spine fractures with 41,459 The total cost in all three categories of insurance is approximately 25 26,000 Co morbidity involved pathological and psychiatric problems too. Conclusions: T he percentage of road accidents in Crete remains in a high level. Highest incidence of injuries refers to legs and knee, pelvic and spinal fractures. Their hospitalization cost includes larger amounts than equivalent spending in other European countries, w hich is further strengthened after the increase of uninsured citizens. Additionally, accompanied illnesses seem to have an impact on road behavior increasing the risk of a road accident.
Language Greek
Subject Causing factors
Co morbidity
Hospitalization cost
Insurance type
Traffic accident
Type of injuries
Είδος ασφάλισης
Είδος τραυματισμού
Ημέρες νοσηλείας
Κόστος νοσηλείας
Τροχαίο ατύχημα
Issue date 2019-07-17
Collection   Faculty/Department--School of Medicine--Department of Medicine--Post-graduate theses
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