Pattern of injury in fatal road traffic accidents in a rural area of western

Farooqui, Jamebaseer; Chavan, Kalidas D.; Bangal, Rajendra S.; Syed, Maaria; Thacker, Purujit; Alam, Shazia; Sahu, S. C.; Farooqui, Anjum Ara J.; Kalakoti, Piyush

doi:10.4066/amj.2013.1839

Cited by 28 publications

(17 citation statements)

References 13 publications

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“…Injuries were also seen to be suffered by males predominantly. These findings are consistent with studies from developing nations where younger males have been seen to suffer from traumatic injuries the most [1,6,7,8,9]. This may be due to the fact that males are the principal earners of a household in developing nations and are subsequently more exposed.…”

Section: Discussionsupporting

confidence: 91%

Epidemiological Study of Trauma in a Tertiary Care Centre in Northwest India

Badgurjar¹,

Lakhanpal²,

Saxena³

et al. 2021

IJMBS

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Objective: Traumatic injuries are a matter of concern worldwide. However, the rapidly changing socio economical dynamics in a developing country like India deeply influence the epidemiology behind trauma. The aim of this study was to document and analyze the epidemiological parameters and characteristics behind trauma victims admitted to our tertiary care centre. Methods: The observational study was carried out over a period of one year (January 2019 to December 2019) enrolling a total of 300 trauma patients. The age, sex, locality, delay in hospitalization, mechanism of injury, sites of injury and outcomes were documented. Results: Injuries occurred predominantly in the 20-40 age group with males being the chief victims. There was a considerable amount of delay in hospitalization ranging from one hour to more than 24 hours while only 7 patients arrived to the emergency within one hour of trauma. Vehicular trauma (54%) was the most common mechanism of injury. Injuries to the extremities (38.6%) and head (28.6%) were the most common sites. A considerable number of patients (45.3%) required care in the intensive care unit. A total of 172 patients required surgical interventions of various kinds and there was a total mortality rate of 6%. Amongst the polytrauma cases, 54 patients (81.8%) required ICU admission, 42 patients (63.6%) required surgical intervention and 6 patients (9.1%) died after admission. Conclusion: The results of this study highlight some of the problems with our existing infrastructure bringing to light the need for stricter enforcement of traffic safety laws and improvement of infrastructure particularly the roadways in rural areas as well as the referral systems. Vehicular trauma should be seen as a public health problem and appropriate interventions should be implemented. Keywords: Trauma, Road Traffic Accidents, Epidemiology, Head injuries

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Section: Discussionsupporting

confidence: 91%

Epidemiological Study of Trauma in a Tertiary Care Centre in Northwest India

Badgurjar¹,

Lakhanpal²,

Saxena³

et al. 2021

IJMBS

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“…had reported that maximum accidents took place in the daytime between afternoon to evening time. [ 7 17 ] The higher proportion of accidents between midnight and morning in our study can be ascribed to the nightlife culture in bigger metropolitan cities like New Delhi and lack of traffic control systems during those hours which leads to increased risky behaviors, especially in the younger generation.…”

Section: Discussionmentioning

confidence: 86%

“…[ 11 ] Pedestrians have been reported in various studies to range from 13.4%–40%. [ 8 10 11 13 17 ] A study from Kenya reported that majority of RTI victims were pedestrians (30.8%). [ 18 ] However, another study from Africa showed similar finding to our study where motorized two-wheelers were most commonly involved and pedestrians were involved in one-fifth cases.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi

Misra

Majumdar

Misra

et al. 2017

Indian Journal of Critical Care Medicine

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Background and Aims:There is paucity of data regarding some of the lesser known contextual and epidemiological factors with respect to road traffic injuries (RTIs). The objective was to study the epidemiological profile of RTI victims attending an emergency department of a tertiary care trauma center.Methods:The present study was a hospital-based cross-sectional study conducted in the emergency department of a tertiary care trauma center in New Delhi. All patients of RTI attending the emergency department during the designated data collection days were included in the study. Patients brought dead were excluded from the study. A semi-structured interview schedule was developed for collecting data on various domains such as sociodemographic characteristics, vehicle-related factors, accident site-related factors, personal protection measures, contextual factors, and prehospital care-related factors.Results:A total of 984 patients and informants were approached and finally data of 900 participants were analyzed after excluding those who refused participation and those for whom incomplete data were available. Out of 900 RTI victims, 756 were male (84.0%) and 144 (16.0%) were female. Mean age of the victims was 32.7 years. Most of the victims, i.e., 377 out of 900 (41.9%) were occupants rather than drivers. Majority of victim's vehicle meeting accidents were motorized two-wheelers (53.4%), and majority of the colliding vehicle was a four-wheeler (39.3*). Helmet use was found to be low (63.3%), but seat belt use was particularly low (32.4%). Most accidents (28%) happened between midnight and 6 A.M. More than half of the victims were in a hurry on the day of the accident. An ambulance was used to transport the victims in only 14.6% cases.Conclusion:In road traffic accidents some lesser known epidemiological data were generated that may be useful in defining preventive measures.

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“…Death at the scene of crash may be related with either critical and maximum injury severity or poor post-collision care. Delay in emergency services, lack of ambulance services, and shortage of pre-hospital teams certainly contribute to deaths on scene 5 , 6 . The larger problem facing the care of the critically injured in resource poor settings stems from a paucity of accurate data, particularly in the sub Saharan African region.…”

Section: Introductionmentioning

confidence: 99%

Road traffic collisions in Malawi: Trends and patterns of mortality on scene

Schlottmann¹,

Tyson²,

Cairns³

et al. 2018

Mal. Med. J

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BackgroundWorldwide, 90% of injury deaths occur in low- and middle-income countries (LMIC). Road traffic collisions (RTCs) are increasingly common and result in more death and disability in the developing world than in the developed world. We aimed to examine the pre-hospital case fatality rate from RTCs in Malawi.Material and MethodsA retrospective study was performed utilizing the Malawian National Road Safety Council (NRSC) registry from 2008–2012. The NRSC data were collected at the scene by police officers. Victim, vehicle, and environmental factors were used to describe the characteristics of fatal collisions. Case fatality rate was defined as the number of fatalities divided by the number of people involved in RTCs each year. Logistic regression analysis was used to determine predictors of crash scene fatality.ResultsA total of 11,467 RTCs were reported by the NRSC between 2008 and 2012. Of these, 34% involved at least one fatality at the scene. The average age of fatalities was 32 years and 82% were male. Drivers of motor vehicles had the lowest odds of mortality following RTCs. Compared to drivers; pedestrians had the highest odds of mortality (OR 39, 95% CI 34, 45) followed by bicyclists (OR 26, 95% CI 22, 31). The average case fatality rate was 17% /year, and showed an increased throughout the study period.ConclusionsRTCs are a common cause of injury in Malawi. Approximately one-third of RTCs involved at least one death at the scene. Pedestrians were particularly vulnerable, exhibiting very high odds of mortality when involved in a road traffic collision. We encourage the use of these data to develop strategies in LMIC countries to protect pedestrians and other road users from RTCs.

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Pattern of injury in fatal road traffic accidents in a rural area of western

Abstract: A computerised trauma registry is urgently needed to highlight risk factors, circumstances and chains of events leading to accidents. This would be extremely helpful in policy making and health management in India.

Cited by 28 publications

References 13 publications

Epidemiological Study of Trauma in a Tertiary Care Centre in Northwest India

Epidemiological Study of Trauma in a Tertiary Care Centre in Northwest India

Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi

Road traffic collisions in Malawi: Trends and patterns of mortality on scene

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