{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T18:30:00Z","timestamp":1766082600456,"version":"3.48.0"},"reference-count":39,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Today, one of the greatest global challenges, particularly in developing countries, is traffic accidents and their associated consequences. The severity of injuries from these accidents often leads to serious outcomes for victims, including long-term disabilities and high mortality rates. Deaths from traffic accidents may occur at the scene, during transportation, or in hospitals. In light of the existing challenges in coordination between law enforcement and healthcare systems regarding traffic accident fatalities in our country, this study aims to: 1. Determining the 30-day survival rate and its relationship with injury severity among traffic accident victims in Khorramabad in 2025. 2. Identifying key challenges and proposing effective solutions for improving traffic accident management in Khorramabad.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      This mixed-methods study will be conducted in three phases:\n                      <jats:bold>1. Phase 1 (Quantitative):<\/jats:bold>\n                      A prospective cohort study will investigate the relationship between injury severity (as measured by scales such as ISS)and 30-day survival rates.\n                      <jats:bold>2. Phase 2 (Qualitative):<\/jats:bold>\n                      Purposive sampling will be used to conduct semi-structured interviews with stakeholders (victims, families, EMTs, healthcare providers, etc.). Qualitative data will be analyzed via inductive content analysis (Hsieh &amp; Shannon approach) to identify challenges and solutions in traffic accident management.\n                      <jats:bold>3. Phase 3 (Integration):<\/jats:bold>\n                      Findings from Phases 1 and 2 will be finalized and presented to policymakers, managers, and experts. The Delphi method will be used to prioritize challenges\/solutions and finalize evidence-based recommendations.Results will be disseminated through: Peer-reviewed publications in reputable journals. Policy briefs tailored for officials to improve traffic accident management.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0338841","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T18:25:51Z","timestamp":1766082351000},"page":"e0338841","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["30-day survival and injury severity in traffic accidents in Iran: A mixed-method study protocol"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1947-3583","authenticated-orcid":true,"given":"Amin","family":"Talebi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9532-5646","authenticated-orcid":true,"given":"Hamidreza","family":"Khankeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Saatchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehrdad","family":"Farrokhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timoor","family":"Hosseini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"issue":"1","key":"pone.0338841.ref001","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1186\/s12873-022-00686-6","article-title":"Analysis of injuries and deaths from road traffic accidents in Iran: bivariate regression approach","volume":"22","author":"S Shahsavari","year":"2022","journal-title":"BMC Emerg Med"},{"issue":"9","key":"pone.0338841.ref002","doi-asserted-by":"crossref","first-page":"3934","DOI":"10.3390\/su12093934","article-title":"Investigating the impact of various risk factors on victims of traffic accidents","volume":"12","author":"J Wang","year":"2020","journal-title":"Sustainability"},{"key":"pone.0338841.ref003","doi-asserted-by":"crossref","first-page":"575","DOI":"10.2147\/OAEM.S344705","article-title":"Survival rates and factors related to the survival of traffic accident patients transported by emergency medical services","volume":"13","author":"T Huabbangyang","year":"2021","journal-title":"Open Access Emerg Med"},{"key":"pone.0338841.ref004","volume-title":"Global status report on road safety 2018","author":"WHO V","year":"2018"},{"issue":"2","key":"pone.0338841.ref005","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1080\/19475705.2016.1265012","article-title":"Assessment of the effects of expressway geometric design features on the frequency of accident crash rates using high-resolution laser scanning data and GIS","volume":"8","author":"MI Sameen","year":"2017","journal-title":"Geomatics Nat Hazards Risk"},{"key":"pone.0338841.ref006","article-title":"Global road safety 2010\u201318: an analysis of global status reports","author":"HE Rosen","year":"2022","journal-title":"Injury"},{"key":"pone.0338841.ref007","volume-title":"Global status report on road safety 2023 [Internet]","author":"WHO","year":"2023"},{"issue":"1","key":"pone.0338841.ref008","doi-asserted-by":"crossref","first-page":"47","DOI":"10.32598\/hdq.8.1.452.1","article-title":"Epidemiological study of fatal road accidents in Eastern Iran in a five-year period","volume":"8","author":"H Zare","year":"2022","journal-title":"Health Emerg Disas Q"},{"issue":"1","key":"pone.0338841.ref009","first-page":"43","article-title":"Economic burden of road traffic accidents; report from a single center from South Eastern Iran","volume":"4","author":"A Sargazi","year":"2016","journal-title":"Bull Emerg Trauma"},{"key":"pone.0338841.ref010","volume-title":"Strategic action framework to strengthen road safety systems in the Eastern Mediterranean Region","author":"Region WHOEM","year":"2024"},{"issue":"2","key":"pone.0338841.ref011","doi-asserted-by":"crossref","first-page":"90","DOI":"10.29252\/beat-060202","article-title":"Effectiveness of interventions for prevention of road traffic injuries in iran and some methodological issues: a systematic review","volume":"6","author":"S Azami-Aghdash","year":"2018","journal-title":"Bull Emerg Trauma"},{"key":"pone.0338841.ref012","unstructured":"Organisation ILM. 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