An epidemiological study of road traffic accident cases admitted in a tertiary care hospital

Pathak, S.M.; Jindal, A.K.; Verma, Anil; Mahen, Ajoy

doi:10.1016/j.mjafi.2013.04.012

Cited by 55 publications

(73 citation statements)

References 13 publications

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“…Of the patients, 70% were in the 15 -54 age range, representing the most productive age groups in society. Other study results support our study results (34)(35)(36). Of the patients, 24.6% were female and the male to female ratio was 3.06:1 (37,38).…”

Section: Discussionsupporting

confidence: 89%

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Esmaeili¹,

Sadeghi‐Bazargani²,

Vahdati³

et al. 2016

Trauma Mon

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Background: Traffic events are the second most common cause of mortality and the first cause of years of life lost (YLL) in Iran. Objectives: The aim of this study was to determine the survival of patients with traffic injury and evaluate hospital care quality using the trauma and injury severity score (TRISS) method. Methods: This cross-sectional study was conducted on 1000 patients aged 1 to 89 years old who were hospitalized in two university hospitals in East Azerbaijan, Iran. Patients were selected by using stratified sampling. Data were extracted from medical records and analyzed by STATA11 software. Injury severity score (ISS), revised trauma score (RTS), and expected survival were calculated using the TRISS software package. W-scores and Z-scores were calculated to evaluate the performance of hospitals. Finally, results were compared to those of the major trauma outcome study (MTOS). Results: Among 1000 patients, 246 (24.6%) were female. The mean age was 32.6 years (SD, 18.6). Mean ISS for living patients was 12.4 (SD, 4.3) while it was 36.9 (SD, 8.9) for fatal cases. The average RTS was reported to be 7.1 and 4.35 for alive and fatal cases, respectively (P < 0.001). Based on TRISS, 58 cases were expected to result in death; however, 65 fatalities were observed (65/1000). The W-score was -7 per 1000 and Z-score was + 0.02. The TRISS misclassification rate for survival status of patients with traffic injury was reported as 2.6%. Conclusions: Our findings indicate that the quality of care at the hospitals under study using the TRISS method was lower than the quality of care in the MTOS study. Further, survival of traffic injury patients was clearly influenced by the quality of hospital services provided.

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Section: Discussionsupporting

confidence: 89%

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Esmaeili¹,

Sadeghi‐Bazargani²,

Vahdati³

et al. 2016

Trauma Mon

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“…Pathak et al (8) found that the greatest number of RTAs in western India involved motorized two-wheelers. The high mortality in this group is due to factors such as speeding, disregard for traffic laws, lack of safety gear, and faulty vehicle or road conditions.…”

Section: Discussionmentioning

confidence: 99%

Factors Impacting Mortality in the Pre-Hospital Period After Road Traffic Accidents in Urban India

Chandrasekharan¹,

Nanavati²,

Prabhakar³

2016

Trauma Mon

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BackgroundIndia currently has the dubious distinction of experiencing the highest number of road traffic accidents in the world.ObjectivesWe believe that this study on road traffic accidents may help to identify factors in the pre-hospital setting that may influence mortality rates.Patients and MethodsA prospective observational study was carried out in a metro area in India over a period of one year. The study included consecutive patients admitted to the trauma service after road traffic accidents. Demographic information, time and place of accident, and details regarding the vehicle and the events leading up to the hospital admission were recorded. Injury severity, management in the hospital, and final outcomes in terms of mortality were noted. The data were analyzed with SPSS software.ResultsA total of 773 patients were enrolled. Of these, there were 197 deaths and 576 survivors. The majority of patients were aged 15 - 40 years (67%) and were male (87.84%). More accidents occurred at night (58.2%) than during the day (41.8%). Mortality was not significantly associated with age, sex, or time of accident. City roads (38.9%) saw more accidents than highways (26.13%), but highway accidents were more likely to be fatal. Two-wheeler riders (37.65%) and pedestrians (35.75%) formed the majority of our study population. Mortality was significantly associated with crossing the road on foot (P = 0.004). Pillion riders on two-wheeler vehicles were more likely to experience poor outcomes (relative risk [RR] = 1.9, P = 0.001). Front-seat occupants in four-wheeler vehicles were at an increased risk of not surviving the accident (61.98%; RR=2.56, P = 0.01). Lack of safety gear, such as helmets, seat belts, and airbags, was significantly associated with mortality (P = 0.05). Delays in transfers of patients to the hospital and a lack of pre-hospital emergency services was significantly associated with increased mortality (P = 0.000).ConclusionsA lack of respect for the law, weak legislation and law enforcement, disregard for personal safety, and driving vehicles under adverse conditions are some of the leading causes of road traffic accidents. There should be an emphasis on emergency trauma care in the pre-hospital setting.

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“…11 While in a study at Pune, it was found that 27.35% and 22.31% had driving experience of less than 5 years and 5-10 years respectively. 12 Out of 354 drivers of motorcycle, no one had used helmet. Absence of strict helmet usage law may be one of the reasons.…”

Section: Figure 1: Percentage Of Seat Belt Usage In Four Wheelers Incmentioning

confidence: 99%

Study on risk factors of road traffic accident victims attending a tertiary care hospital at Tirupati

Kahn

Reddy

Reddy³

et al. 2017

Int J Community Med Public Health

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Background: Road traffic accidents stand as one of the leading causes of mortality and morbidity across the globe. Increase in the number of motor vehicles, poor enforcement of traffic safety regulations, inadequacy of health infrastructure, and poor transport facilities makes the situation still worse. The objective of the study is to know the role of victims and various risk factors related to RTA. To determine the association of risk factors with type of injury and to know the pre-existing medical disorders in RTA victims.Methods: A hospital based, cross sectional study with victims of road traffic accidents admitted in S.V.R.R. Government General Hospital, Tirupati, as study subjects was done during June 2013 to May 2014 for one year where 820 victims of road traffic accidents were interviewed after taking prior consent using a predesigned questionnaire.Results: Most of the victims were drivers (48.5%) followed by passengers (31.7%) and pedestrian (19.8%). No two wheeler driver was wearing helmet. 74% of the four wheeler occupants were not using seat belts. Among drivers and pedestrians, 29.2% were under the influence of alcohol and 12.7% were listening to music. 55.8% of the passengers felt that their vehicle was going with over speed. 17.1% & 11.0% of the participants had history of hypertension and diabetes.Conclusions: There is a need to develop integrated surveillance system to identify the road traffic injury burden and the causal/risk factors. Enforcement of stringent road traffic laws to bring down the burden of road traffic accidents.

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An epidemiological study of road traffic accident cases admitted in a tertiary care hospital

Cited by 55 publications

References 13 publications

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Assessment of Survival and Hospital Care Quality in Patients with Traffic Injury in East Azerbaijan

Factors Impacting Mortality in the Pre-Hospital Period After Road Traffic Accidents in Urban India

Study on risk factors of road traffic accident victims attending a tertiary care hospital at Tirupati

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