Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis

Introduction: At the beginning of the novel coronavirus disease COVID-19 pandemic, many countries around the world closed their centers and imposed restrictions on urban and interurban traffic. This situation had a significant impact on the occurrence of road traffic accidents. The present systemati...

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Main Authors: Kavous Shahsavarinia, Hanieh Salehi-Pourmehr, Hooman Zafardoust, Sepideh Harzand-Jadidi, Robab Mehdipour, Neda Kabiri
Format: Article
Language:English
Published: Tabriz University of Medical Sciences Press 2023-11-01
Series:Journal of Research in Clinical Medicine
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Online Access:https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-35.pdf
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author Kavous Shahsavarinia
Hanieh Salehi-Pourmehr
Hooman Zafardoust
Sepideh Harzand-Jadidi
Robab Mehdipour
Neda Kabiri
author_facet Kavous Shahsavarinia
Hanieh Salehi-Pourmehr
Hooman Zafardoust
Sepideh Harzand-Jadidi
Robab Mehdipour
Neda Kabiri
author_sort Kavous Shahsavarinia
collection DOAJ
description Introduction: At the beginning of the novel coronavirus disease COVID-19 pandemic, many countries around the world closed their centers and imposed restrictions on urban and interurban traffic. This situation had a significant impact on the occurrence of road traffic accidents. The present systematic review aimed to determine the prevalence of road accidents during the COVID-19 implemented lockdowns. Methods: This systematic review and meta-analysis were conducted based on the Joanna Briggs Institute (JBI) instructions. Two independent reviewers screened articles based on the inclusion criteria for the review and eligible studies for methodological quality using an appropriate appraisal checklist based on the study type. The statistical analysis was performed using the Comprehensive Meta-Analysis (CMA) software. Considering the heterogeneity among studies, a random effect model was adopted to estimate the pooled effect with 95% CI for binary outcomes. Results: The initial search of databases yielded 849 potentially relevant articles, of which, 44 studies were included in this systematic review and of them, 36 were considered for metaanalysis. The random effect model showed an overall prevalence of injury before the lockdown of 24.9% (95% confidence interval: 20.0%-30.5%). Also, the prevalence of injury during the COVID-19 lockdown was 18.8% (95% CI: 14.7%-23.6%). Begg and Mazumdar’s correlation found no publication bias in the meta-analysis. Conclusion: Road traffic injuries, as one of the main causes of death worldwide, took on a new face with the advent of COVID-19. We have found that there is a relatively high prevalence of road traffic accidents before COVID-19 compared to pandemic period.
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spelling doaj-art-5bd555a106ee40f9846d389a098505e92025-08-20T02:46:50ZengTabriz University of Medical Sciences PressJournal of Research in Clinical Medicine2717-06162023-11-01111353510.34172/jrcm.2023.33386jrcm-33386Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysisKavous Shahsavarinia0Hanieh Salehi-Pourmehr1Hooman Zafardoust2Sepideh Harzand-Jadidi3Robab Mehdipour4Neda Kabiri5Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranResearch Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IranEmergency and trauma care research center, Tabriz University of Medical Sciences, Tabriz, IranRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranResearch Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IranResearch Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: At the beginning of the novel coronavirus disease COVID-19 pandemic, many countries around the world closed their centers and imposed restrictions on urban and interurban traffic. This situation had a significant impact on the occurrence of road traffic accidents. The present systematic review aimed to determine the prevalence of road accidents during the COVID-19 implemented lockdowns. Methods: This systematic review and meta-analysis were conducted based on the Joanna Briggs Institute (JBI) instructions. Two independent reviewers screened articles based on the inclusion criteria for the review and eligible studies for methodological quality using an appropriate appraisal checklist based on the study type. The statistical analysis was performed using the Comprehensive Meta-Analysis (CMA) software. Considering the heterogeneity among studies, a random effect model was adopted to estimate the pooled effect with 95% CI for binary outcomes. Results: The initial search of databases yielded 849 potentially relevant articles, of which, 44 studies were included in this systematic review and of them, 36 were considered for metaanalysis. The random effect model showed an overall prevalence of injury before the lockdown of 24.9% (95% confidence interval: 20.0%-30.5%). Also, the prevalence of injury during the COVID-19 lockdown was 18.8% (95% CI: 14.7%-23.6%). Begg and Mazumdar’s correlation found no publication bias in the meta-analysis. Conclusion: Road traffic injuries, as one of the main causes of death worldwide, took on a new face with the advent of COVID-19. We have found that there is a relatively high prevalence of road traffic accidents before COVID-19 compared to pandemic period.https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-35.pdfroad traffic accidentcovid-19lockdownsystematic reviewmeta-analysis
spellingShingle Kavous Shahsavarinia
Hanieh Salehi-Pourmehr
Hooman Zafardoust
Sepideh Harzand-Jadidi
Robab Mehdipour
Neda Kabiri
Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis
Journal of Research in Clinical Medicine
road traffic accident
covid-19
lockdown
systematic review
meta-analysis
title Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis
title_full Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis
title_fullStr Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis
title_full_unstemmed Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis
title_short Prevalence of road traffic accidents during the COVID-19 pandemic: A systematic review and meta-analysis
title_sort prevalence of road traffic accidents during the covid 19 pandemic a systematic review and meta analysis
topic road traffic accident
covid-19
lockdown
systematic review
meta-analysis
url https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-35.pdf
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