Involvement and impact of road traffic injuries among productive age groups (18-59 years) in Bangladesh: issue for priority setting

Background and aim Motorcycle accidents are one of the leading causes of road traffic injuries and mortality. The aim of this study was to determine the common patterns of major injuries associated with motorcycle accidents in patients attending Mansoura University Emergency Hospital in Egypt, and to measure the magnitude of the problem in our community. Patients and methods Patients involved in motorcycle crashes who were admitted to the hospital during August 2014 to April 2015 were retrospectively reviewed. All age groups and both genders were included. Results Two hundred patients (181 males) with a mean age of 30.7 ± 10.5 years were included with the majority of patients aged 20–40 years. Head injuries were the most frequent fatal injuries (9/61) patients; orthopedic injuries were the most common injuries, occurring in 78.5% of victims. Multisystem injuries occurred in 28% of patients. None of the motorcyclists involved in accidents wore helmets. Conclusion Motorcycle accidents are a common cause of road traffic injuries and mortalities in Egypt, occurring mainly in males aged 20–40 years. The majority of victims had an isolated trauma to single body system. Orthopedic injuries were the most common and least fatal type of injuries. The highest fatalities were among patients with chest injuries then patients with head injuries. None of the victims wore protective clothing or helmets at the time of accident.

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Global Incidence and Mortality Patterns of Pedestrian Road Traffic Injuries by Sociodemographic Index, with Forecasting: Findings from the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17062135 ◽

2020 ◽

Vol 17 (6) ◽

pp. 2135 ◽

Cited By ~ 3

Author(s):

Moien A. B. Khan ◽

Michal Grivna ◽

Javaid Nauman ◽

Elpidoforos S. Soteriades ◽

Arif Alper Cevik ◽

...

Keyword(s):

Social Sciences ◽

Road Traffic ◽

Age Groups ◽

Significant Proportion ◽

Global Burden ◽

Road Traffic Injuries ◽

Incidence And Mortality ◽

The Social ◽

Global Burden Of Diseases ◽

Burden Of Diseases

(1) Background: Pedestrian injuries (PIs) represent a significant proportion of road traffic injuries. Our aim was to investigate the incidence and mortality of PIs in different age groups and sociodemographic index (SDI) categories between 1990 and 2017. (2) Method: Estimates of age-standardized incidence and mortality along with trends of PIs by SDI levels were obtained from the Global Burden of Disease from 1990 to 2017. We also forecasted the trends across all the SDI categories until 2040 using the Statistical Package for the Social Sciences (SPSS Statistics for Windows, version 23.0, Chicago, IL, USA) time series expert modeler. (3) Results: Globally, the incidence of PIs increased by 3.31% (−9.94 to 16.56) in 2017 compared to 1990. Men have higher incidence of PIs than women. Forecasted incidence was 132.02 (127.37 to 136.66) per 100,000 population in 2020, 101.52 (65.99 to 137.05) in 2030, and reduced further to 71.02 (10.62 to 152.65) by 2040. Globally across all SDI categories, there was a decreasing trend in mortality due to PIs with the global estimated percentage reduction of 37.12% (−45.19 to −29.04). (4) Conclusions: The results show that PIs are still a burden for all SDI categories despite some variation. Although incidence and mortality are expected to decrease globally, some SDI categories and specific vulnerable age groups may require particular attention. Further studies addressing incidence and mortality patterns in vulnerable SDI categories are needed.

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Pediatric road traffic injuries in Qatar: Identifying high- risk mechanisms and age groups

Qatar Foundation Annual Research Forum Proceedings ◽

10.5339/qfarf.2013.biop-0169 ◽

2013 ◽

pp. BIOP 0169

Author(s):

Rafael Consunji MD MPH

Keyword(s):

High Risk ◽

Road Traffic ◽

Age Groups ◽

Road Traffic Injuries

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MODERN APPROACHES AND PROSPECTS OF DEVELOPMENT OF PREVENTION OF ROAD SAFETY

Alternative energy sources in the transport-technological complex problems and prospects of rational use of ◽

10.12737/19420 ◽

2015 ◽

Vol 2 (2) ◽

pp. 594-598

Author(s):

Дорохин ◽

S. Dorokhin

Keyword(s):

Russian Federation ◽

Road Safety ◽

Road Traffic ◽

Age Groups ◽

Road Accidents ◽

Road Traffic Injuries ◽

The Russian Federation

The article gives statistics of road accidents in the Russian Federation for 9 months of 2015, the statistics of road accidents involving children under the age of 18 years. Analyzed the consequences of the accident and proposed measures for the prevention of child road traffic injuries and a range of other measures that allow for prevention among different age groups

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Mortality and potential years of life lost by road traffic injuries in Brazil, 2013

Revista de Saúde Pública ◽

10.1590/s1518-8787.2016050006465 ◽

2016 ◽

Vol 50 (0) ◽

Cited By ~ 2

Author(s):

Silvânia Suely Caribé de Araújo Andrade ◽

Maria Helena Prado de Mello-Jorge

Keyword(s):

Mortality Rate ◽

Traffic Safety ◽

Skin Color ◽

Road Traffic ◽

Age Groups ◽

Mortality Rates ◽

Years Of Life Lost ◽

Road Traffic Injuries ◽

Proportional Mortality ◽

The Impact

ABSTRACT OBJECTIVE To estimate the potential years of life lost by road traffic injuries three years after the beginning of the Decade of Action for Traffic Safety. METHODS We analyzed the data of the Sistema de Informações sobre Mortalidade (SIM – Mortality Information System) related to road traffic injuries, in 2013. We estimated the crude and standardized mortality rates for Brazil and geographic regions. We calculated, for the Country, the proportional mortality according to age groups, education level, race/skin color, and type or quality of the victim while user of the public highway. We estimated the potential years of life lost according to sex. RESULTS The mortality rate in 2013 was of 21.0 deaths per 100,000 inhabitants for the Country. The Midwest region presented the highest rate (29.9 deaths per 100,000 inhabitants). Most of the deaths by road traffic injuries took place with males (34.9 deaths per 100,000 males). More than half of the people who have died because of road traffic injuries were of black race/skin color, young adults (24.2%), individuals with low schooling (24.0%), and motorcyclists (28.5%). The mortality rate in the triennium 2011-2013 decreased 4.1%, but increased among motorcyclists. Across the Country, more than a million of potential years of life were lost, in 2013, because of road traffic injuries, especially in the age group of 20 to 29 years. CONCLUSIONS The impact of the high mortality rate is of over a million of potential years of life lost by road traffic injuries, especially among adults in productive age (early mortality), in only one year, representing extreme social cost arising from a cause of death that could be prevented. Despite the reduction of mortality by road traffic injuries from 2011 to 2013, the mortality rates increased among motorcyclists.

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Global Incidence and Mortality Patterns and Forecast of Pedestrian Road Traffic Injuries by Socio-Demographic Index Findings from the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study

10.20944/preprints202002.0218.v1 ◽

2020 ◽

Author(s):

Moien A. B. Khan ◽

Michal Grivna ◽

Javaid Nauman ◽

Elpidoforos S. Soteriades ◽

Arif Alper Cevik ◽

...

Keyword(s):

Risk Factors ◽

Road Traffic ◽

Age Groups ◽

Significant Proportion ◽

Global Burden ◽

Percentage Reduction ◽

Road Traffic Injuries ◽

Incidence And Mortality ◽

Global Burden Of Diseases ◽

Burden Of Diseases

(1) Background: Pedestrian injuries (PIs) represent a significant proportion of road traffic injuries. We aimed at investigating the incidence and mortality of PIs in different age groups and Socio-demographic Index (SDI) categories between 1990 and 2017. (2) Method: Estimates of age-standardized incidence and mortality along with trends of PIs by SDI levels were obtained from the Global Burden of Disease from 1990 to 2017. We also calculated forecasts until 2040. (3) Results: Globally, PIs incidence increased by 3.31% (–9.94 to 16.56) in 2017 compared to 1990. Men have a higher incidence of PIs than women. Forecasted incidence was 132.02 (127.37 to 136.66) per 100,000 population in 2020, 101.52 (65.99 to 137.05) in 2030 and reduced further to 71.02 (10.62 to 152.65) by 2040. Globally across all SDI categories, there was a decreasing trend in mortality due to PIs with the global estimated percentage reduction of 37.12% (–45.19 to –29.04). (4) Conclusions: The results show that PIs are still a burden for all SDI categories despite some variation. Although incidence and mortality are expected to decrease globally, some SDI categories may require particular attention in addition to specific vulnerable age groups. Further studies addressing incidence and mortality patterns in vulnerable SDI categories are needed.

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Emergency Medical Services Outcome Assessment in Lagos, Nigeria: Review of Cases of ‘’Brought in Dead‘’ Patients

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2014.041 ◽

2014 ◽

Vol 2 (2) ◽

pp. 253-256 ◽

Cited By ~ 1

Author(s):

Mobolaji Oludara ◽

Olufemi Idowu ◽

Nasiru Ibrahim ◽

Ibrahim Mustafa ◽

Abdulwahab Ajani ◽

...

Keyword(s):

Teaching Hospital ◽

Road Traffic ◽

Age Groups ◽

University Teaching ◽

Age Group ◽

State University ◽

Road Traffic Injuries ◽

Gunshot Injuries ◽

Lagos State ◽

Wheeled Vehicles

BACKGROUND: This study sets out to establish a database of BID patients presenting at the Lagos State University Teaching Hospital (LASUTH).METHOD: A retrospective study of consecutive ‘’Brought in Dead‘’ (BID) patients seen from April to November 2011 at the surgical emergency room of the Lagos State University Teaching Hospital (LASUTH) was done using a validated questionnaire.RESULTS: A total of 144 BID patients were seen during the study period. There were 112 males or 78% and 32 females or 22% of the total (M:F=3:1). The age group with the largest number of victims was the 31-40 age groups; and there were 37 patients (30.8% of 120 cases captured under age group). Trauma also accounted for 104 patients (72.2%) with 52 (36.1%, 50% of trauma cases) of these caused by Road traffic injuries (RTI), and Gunshot injuries accounting for 21 (14.6%, 20.2% of trauma cases). Among the Trauma BID cases from RTI, 4-wheeled vehicles accounted for 20 cases (19.2%, 40% of RTI), whilst motor cycle injuries accounted for 12 cases (11.5%, 24% of RTI).CONCLUSION: The study shows that road traffic injuries and gunshot injuries, accounted for 70% of BID cases presenting at LASUTH. Majority of cases of RTI are from 4 wheeler vehicles (40%) and motorcycles (24%).

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Do deaths from road traffic injuries follow a classical trimodal pattern in North West Ethiopia? A hospital-based prospective cohort study

BMJ Open ◽

10.1136/bmjopen-2021-051017 ◽

2021 ◽

Vol 11 (12) ◽

pp. e051017

Author(s):

Zewditu Abdissa Denu ◽

Mensur Osman Yassin ◽

Telake Azale ◽

Gashaw Andargie Biks ◽

Kassahun Alemu Gelaye

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Road Traffic ◽

Age Groups ◽

Hospital Arrival ◽

Road Traffic Injuries ◽

North West ◽

Time To Death ◽

North West Ethiopia

ObjectiveThe objective of this study was to identify timing distribution and predictors of deaths following road traffic injuries among all age groups at Gondar Comprehensive specialised hospital.DesignA single-centre prospective cohort study.SettingThe study hospital is a tertiary hospital in North West Ethiopia.ParticipantsWe enrolled 454 participants who sustained road traffic injuries in to the current study. All age groups and injury severity were included except those who arrived dead, had no attendant and when the injury time was unknown.Primary and secondary outcome measuresThe primary outcome was time to death measured in hours from injury time up to the 30th day of the injuries. Secondary outcomes were prehospital first aid, length of hospital stay and hospital arrival time. The article has been registered, with a unique identification number of research registry 6556.ResultsA total of 454 victims were followed for 275 534 person hours. There were 80 deaths with an overall incidence of 2.90 deaths per 10 000 person hours of observation (95% CI 2.77 to 3.03). The significant predictors of time to death were being a driver (AHR=2.26; 95% CI 1.09 to 4.65, AR=14.8), accident at interurban roads ((AHR (Adjusted HAzard Ratio=1.98; 95% CI 1.02 to 3.82, AR (Attributable Risk)=21%)), time from injury to hospital arrival (AHR=0.41; 95% CI 0.16 to 0.63; AR=3%), systolic blood pressure on admission of <90 mm Hg (AHR=3.66; 95% CI 2.14 to 6.26; AR=57%), Glasgow Coma Scale of <8 (AHR=7.39; 95% CI 3.0819 to 17.74464; AR=75.7%), head injury with polytrauma (AHR=2.32 (1.12774 4.79; AR=37%) and interaction of distance from hospital with prehospital care.ConclusionThough the maturation of trauma centres in many developed countries has changed the temporal pattern of deaths following any trauma, our study demonstrated that trauma deaths follow the traditional trimodal pattern. That implies that potentially preventable causes of death continued in low-resource countries.

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Prevalence and risk factors for road traffic injuries and mortalities in Ethiopia: systematic review and meta-analysis

Injury Prevention ◽

10.1136/injuryprev-2020-044038 ◽

2021 ◽

pp. injuryprev-2020-044038

Author(s):

Zewditu Abdissa Denu ◽

Mensur Yassin Osman ◽

Telake Azale Bisetegn ◽

Gashaw Andargie Biks ◽

Kassahun Alemu Gelaye

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Road Traffic ◽

Guideline Development ◽

Random Effect ◽

Age Groups ◽

Local Data ◽

Road Traffic Injuries ◽

Manual Search ◽

Severity Of Injury

BackgroundRoad traffic injuries, which are responsible for premature deaths and functional losses, are the leading causes of unintentional injuries in Ethiopia. As most studies on road traffic injuries, so far, have been either local or regional, it is believed that combining the regional or local data to get nationally representative information could help programme implementers in setting priorities.ObjectiveThe aim of this review was to estimate the proportion of road traffic injuries, mortality and risk factors for the problem among all age groups in Ethiopia.Data sourcesA systematic review of articles using MEDLINE/PubMed SCOPUS Web of Science and science direct was conducted. Additional studies were identified via manual search.Study selectionOnly studies that reported road traffic injuries and/or mortalities for all age groups were included in this review.Data synthesisAll pooled analyses were based on random-effect models. Twenty-six studies for the prevalence of RTIs (n=37 424), 24 studies for road traffic injuries (RTI) mortality, (n=38 888), 9 studies for prevalence of fracture among RTIs (n=2817) and 5 studies for the prevalence of post-traumatic stress disorder (n=1733) met our inclusion criteria. Driving in the dark increased severity of injury by 1.77, 95% CI 1.60 to 1.95). The certainty of the evidence was assessed using GRADEpro Guideline Development Tool.ConclusionIn this review, the burden of road traffic injuries and mortalities remains high in Ethiopia. Human factors are the most common causes of the problem in Ethiopia. The existing safety regulations should be re-evaluated and supported by continuous behavioural interventions.PROSPERO registration numberCRD42019124406.

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Trends of Road Traffic Accidents: Patterns of Injuries in Road Traffic Accidents Victims: A study from Lady Reading Hospital MTI, Peshawar KPK

10.53350/pjmhs211582194 ◽

2021 ◽

Vol 15 (8) ◽

pp. 2194-2198

Author(s):

Almas Afridi ◽

Hamid Shahzad ◽

Jamal Akhter ◽

Muhammd Nouman ◽

Shah Hussain ◽

...

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Age Groups ◽

Road Traffic Injury ◽

Health Concern ◽

Common Mechanism ◽

Age Group ◽

Road Traffic Accidents ◽

Road Traffic Injuries ◽

Limb Injuries

Background This study reflects the pattern of road traffic accidents and road traffic injuries sustained by RTA victims reporting to LRH MTI. Traffic volume, single and narrow roads is a big problem, traffic rules violation is another demon, lack of awareness, reluctance for the use of safety gears, underage vehicle drivers or rider with questionable driving/ riding skills and no license has worsen the injury pattern and more severe crashes here, putting pedestrians and biker at high risk. Aim: To know the different trends of road traffic accidents, most common victims and different patterns of injuries Methods This is hospital based analytical comparative study, which was conducted in the trauma section of Accident Emergency lady reading hospital MTI Peshawar KPK, during the tenure from May 2020 to November 2020. In this study 298 victims of road traffic accidents were assessed and analyzed from both genders and of all age groups. Results 298 victims of RTAs evaluated in our study. Most common mechanism involved pedestrian verses vehicle 40.3% followed by vehicle versus vehicle 28.6%, curiously in 5.3% of RTAs mechanism was unknown. Most of victims were males when compared with females, Males 86.3% and females 13.6%. children age group 0 -10 years makes 12.6%. Most common vehicle involved was a bike in 48%, followed by car 30% and then 3-wheelers (auto ricksha and Qing chi) 15.3% followed by crashes involving unknown vehicle 8% which is significantly high with all the victims severely wounded or unknown category. Most common victims were vulnerable road users (pedestrian and bike riders) 35% pedestrians and 31.6% bike riders. 11.3% of victims were passengers. Most common injury sustained was head injury38.5%(n=115), followed by lower limb injuries(n=105) 35.2% and polytrauma victims with chilling percentage of 9.3%. Conclusion There is a rising toll of road traffic injuries in and around Peshawar and majority being reported to emergency department LRH, MTI and it is major public health concern. Not only Pedestrians and bike rider are at threat but children of age group under 10 as well with high pedestrian mortality. If proper preventive steps not taken this will continue to rise causing significant death and disabilities. Keywords: Road traffic injuries, road traffic accidents, safety gears road traffic injury victims

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