Analysis of Road Traffic Accident Fatalities in Karachi, Pakistan: An Autopsy-Based Study

Khurshid, Aiman; Sohail, Aruba; Khurshid, Maman; Shah, Mir Umer Farooq Alam; Jaffry, Asra A

doi:10.7759/cureus.14459

Cited by 14 publications

(18 citation statements)

References 17 publications

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“…The results showed that there was a significant decrease in road traffic accidents during the lockdown period that may be caused by reduced traffic burden. 7 Our study did not reveal any statistically significant difference regarding age, gender, and area of belonging related to unnatural deaths in Sahiwal, but a quite evident difference was observed regarding the manner of death. The proportion of accidental deaths was increased from 4% to 36% which was contrary to a study conducted in Greece where such types of death cases were greatly reduced during a lockdown.…”

Section: Discussioncontrasting

confidence: 73%

Pattern of unnatural deaths during COVID-19 lockdown in comparison with deaths reported during 2019 in Sahiwal city

Nadeem¹,

Sarwar²,

Rehman³

et al. 2021

JRMC

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Background: Lockdown, a social isolation restriction measure has a direct impact on covid-19 transmission but its effect on unnatural deaths remains unknown. Objective: This study has been designed to observe the effects of covid-19 lockdown on unnatural deaths in Sahiwal by comparing with the same period in 2019. Study design: Descriptive retrospective study. Setting: The study was conducted in mortuary of DHQ Teaching Hospital Sahiwal attached with the Department of Forensic Medicine & Toxicology Sahiwal medical college, Sahiwal. Study Duration: Covid-19 lockdown period from 24th March 2020 to 9th May 2020 and the same period in 2019. Materials and Methods: This study includes 62 cases of unnatural deaths, out of which 23 Cases in 2019 and 39 cases in 2020. We have included age, sex, marital status, area of belonging, manner of death, and cause of death as variables in our study. Results: In total 62 cases, in 2019 there were 15 males and 8 females with a mean age of 37.30±19.55 years and in 2020, there were 27 males and 12 females with a mean age of 32.85±15.16 years. The age group in which most number of deaths occurred was 30-59 years (46.8%). In 2019 majority of victims died due to homicide 15(65.2%) while during the lockdown period 14 (35.9%) victims lost their lives in accidents. Firearm injuries were the cause of death in 11(47.8%) cases in 2019 while in the COVID 19 lockdown period the majority of cases 13 (33.3%) were those who died due to roadside accidents. Conclusions: We could not detect significant difference in the two periods examined with respect to sociodemographic factors, but manner of death was significantly affected.

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Section: Discussioncontrasting

confidence: 73%

Pattern of unnatural deaths during COVID-19 lockdown in comparison with deaths reported during 2019 in Sahiwal city

Nadeem¹,

Sarwar²,

Rehman³

et al. 2021

JRMC

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“…The decrease in number of admissions could also be attributed to a parents preferring to treat the child at home rather than taking the child to the hospital duet to fear of getting infected (26). A number of international studies have reported lockdown to decrease the numbers of road traffic accidents globally (29)(30)(31) which might be the reason for an overall decrease in the volume of admissions as reported by us and other studies (26)(27)(28). Lockdown is known to decrease the numbers of road traffic accidents resulting in non serious injuries but not those that result in serious injuries (32).…”

Section: Discussionmentioning

confidence: 99%

Effect of COVID 19 pandemic on time to care, use of ambulance, admission characteristics, demography, injury characteristics, management and outcome of Paediatric Orthopaedic trauma patients admitted to the trauma centre

Bharat

Verma

Afaque

et al. 2022

Indian J Community Health

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Background: Lockdown imposed to limit the spread of COVID 19 may have had a significant effect on the time to care, demography, injury causation, injury characteristics, volume and nature of admission, management and outcome of paediatric orthopaedic trauma patients. Objective: To document the effect of lockdown on the time to care at KGMU, use of ambulance, volume and type of admissions, demography, injury causation, injury characteristics, management and outcome of paediatric orthopaedic trauma patients. Methods:. This record review compared age, sex, type of admission, mechanism of injury, injury characteristics, type of treatment, vehicle used for transport, and outcome among patients admitted in pre-lockdown, lockdown and post lockdown. Results: Lockdown was associated with decrease in the number of cases (p<0.01), increase in the time since injury to reception (p<0.040), a rise in the share of referred admission (p<0.040), time since reception at KGMU, time to definitive care (p<0.001), high energy falls (p<0.001), injuries at home (p<0.001), higher ISS (p<0.001), non operative treatment (p=0.038) and greater use of ambulance (p=0.003). Conclusion: Lockdown resulted in a significant change in the causation and management of injury, significant delays in timeliness of care, reduction in the volume of admissions, an increase in injury severity and share of referral admissions.

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“…A recent study reported this ratio in RTA as 6:1. 13 However, our results only included ocular injuries in RTA. In another study from India, males accounted for 77.6% and females 22.4%.…”

Section: Discussionmentioning

confidence: 99%

Pattern and Magnitude of Ocular Trauma Sustained in Road Traffic Accidents (A Trauma Centre Study)

et al. 2022

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Purpose: To find out the pattern and magnitude of ocular trauma in road traffic accidents (RTA). Study Design: Descriptive cross sectional study. Place and Duration of Study: Shaheed Mohtarma Benazir Bhutto Trauma Centre, from September 2021 to December 2021. Methodology: Patients meeting the inclusion criteria had history and detailed examination. Data included age, gender, duration of presentation, eye involved, vehicle and type of eye trauma. Frequencies and percentages were computed for all categorical variables and mean and standard deviation was calculated for age. Effect modifiers like age, gender and vehicle were addressed through stratification. Effect of reporting time of injury, age, gender and type of vehicle involved in the pattern of injury was addressed. Post stratification chi-square was applied. P-value less than or equal to 0.05 was considered as significant. Results: Out of 117 patients, 81.1% were males and 18.9% were females. Average age was 29.88 ± 13.9 years. Maximum number of patients was in the age range of 10 – 20 years (35%). Two wheelers were 65.8%. Sixty five percent reported within 24hours of accident. Closed globe trauma accounted for 78.6% and contusion was found in 51 patients (43.6%). Among all, 66.7% had 6/6 – 6/9 visual acuity. No significant association of age and gender was found with pattern of ocular trauma. Reporting time and type of wheeler had association with type of ocular trauma and pattern of ocular trauma (p values less than 0.05). Conclusion: Ocular trauma is more common in young males and patients who report early have better visual acuity.

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Analysis of Road Traffic Accident Fatalities in Karachi, Pakistan: An Autopsy-Based Study

Cited by 14 publications

References 17 publications

Pattern of unnatural deaths during COVID-19 lockdown in comparison with deaths reported during 2019 in Sahiwal city

Pattern of unnatural deaths during COVID-19 lockdown in comparison with deaths reported during 2019 in Sahiwal city

Effect of COVID 19 pandemic on time to care, use of ambulance, admission characteristics, demography, injury characteristics, management and outcome of Paediatric Orthopaedic trauma patients admitted to the trauma centre

Pattern and Magnitude of Ocular Trauma Sustained in Road Traffic Accidents (A Trauma Centre Study)

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