Road traffic accident mortality in Singapore

Wong, Evelyn; Leong, Mark; Anantharaman, Venkataraman; Raman, Lata; Wee, Keng Poh; Chao, Tzee Cheng

doi:10.1016/s0736-4679(01)00455-3

Cited by 62 publications

(59 citation statements)

References 13 publications

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“…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). This result is reasonable based on the cultural conditions of women and their limited activities in transportation.…”

Section: Discussionsupporting

confidence: 88%

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: 88%

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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“…Blood alcohol was detected in 18.7 % victims in study group of Wong and Leong [10]. In our study we found 10.85 % victims intoxicated with alcohol by clinical parameters.…”

Section: Discussionsupporting

confidence: 45%

“…The public service minibus caused 20 % of the injuries. Wong and Leong [10] showed the relative risk between motorcyclist and motor car drivers as 18.8:1. In our study majority of the victims were two wheeler occupants (53.71 %), followed by four-wheeler (21.14 %).…”

Section: Discussionmentioning

confidence: 99%

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Incidence and Pattern of Maxillofacial Trauma Due to Road Traffic Accidents: A Prospective Study

Agnihotri

Galfat

Agnihotri

2013

J. Maxillofac. Oral Surg.

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Background The incidence and causes of road traffic accidents (RTAs) vary with geographical location, socioeconomic status, religion and era. The etiological factors and associated injury patterns may be important in planning for preventive measures and treatment planning. The aim of this study was to evaluate and analyze the etiological factors, patterns and the frequency of maxillofacial injuries due to RTAs. Materials and Methods This prospective study was conducted on 350 patients with facial trauma due to RTAs. Records related to age, sex, the cause of the RTA, the vehicle type, time to reach the hospital, the use of seat belts, helmets, and other safety devices were evaluated and reviewed. Results Two-wheelers were the most involved (53.71 %) vehicle type and negligence of traffic rules (24 %) was the most common etiological factor. Male to female ratio was 6.3:1. The age group of 21-50 (68.85 %) years was mostly affected. The nasal bone (29.14 %) was most often the site of fracture followed by mandible (28.0 %). The rate of accident was higher during 1000-1400 hours (23.14 %) period and during weekends (38.0 %). Majority (58.57 %) of victims reached the hospital within 6 h of accident. ConclusionThe low utilization of safety devices like seat belts and helmets as well as speeding, negligence of traffic rules and reckless driving were identified as etiological factors.

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“…[17] The present study comprised 281 (84.1%) male cases and 53 (15.9%) female cases with a male to female ratio of 5.3, which was consistent with the findings reported in the relevant studies. [13,[18][19][20][21][22][23][24][25][26] This was attributed to the higher male count in traffic. Studies conducted in Turkey have reported that the cases involved in traffic accidents are predominantly in the young age group.…”

Section: Discussionmentioning

confidence: 99%