Pattern of major injuries after motorcycle accidents in Egypt: The Mansoura Emergency Hospital experience

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 39-45 ◽  
Author(s):  
El Yamani Fouda ◽  
Mohamed Youssef ◽  
Sameh H Emile ◽  
Hossam Elfeki ◽  
Waleed Thabet ◽  
...  

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.

Author(s):  
Moien A. B. Khan ◽  
Michal Grivna ◽  
Javaid Nauman ◽  
Elpidoforos S. Soteriades ◽  
Arif Alper Cevik ◽  
...  

(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.


Author(s):  
Дорохин ◽  
S. Dorokhin

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


2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A192-A192
Author(s):  
S. M. Chowdhury ◽  
A. Rahman ◽  
S. R. Mashreky ◽  
A. K. M. F. Rahman

2018 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
T. Chenthil Sivamuthu

Background: Faciomaxillary injuries are increasing in incidence in Tirunelveli district due to the increasing number of vehicles on the street which are inadequate and due to assault. The common denominator in both these situations is alcohol abuse. This study aims to assess the incidence, causative factors and management options of Faciomaxillary trauma.Methods: Around 50 case of faciomaxillary injuries admitted in the Department of Plastic surgery, TVMCH were taken up for study. The cases were studied for age, sex, personal habits, mode of injury, associated injuries, involved bones and type of fracture, clinical features, treatment modalities, and complications.Results: Road Traffic Accident (RTA) was the most common cause. Males aged 20-30 were the most commonly involved. Alcohol abuse and Intoxication was the most common antecedent event. Associated head, limbs and chest injuries were common. Mandible was the commonest bone to be fractured followed by zygoma, maxilla and nasal bones. ORIF and IMF was the common surgery performed.Conclusions: Alcohol abuse is the leading cause of faciomaxillary injuries. Educating the public about the traffic rules and the ill effects of drunken driving will go a long way to prevent these injuries.


2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Silvânia Suely Caribé de Araújo Andrade ◽  
Maria Helena Prado de Mello-Jorge

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.


2021 ◽  
Vol 11 (1) ◽  
pp. 82-86
Author(s):  
Samih Kajoak ◽  
H. Osman ◽  
Caroline Ayad ◽  
Alamin Musa ◽  
Mohammed Yousef ◽  
...  

The aim of this retrospective research was to study traumatic head injury (THI) using CT scan and to classify the types of head trauma fractures and types of hemorrhages. Methods and Results: The current study included 53 THI patients (43/81.1%) males and 10/18.9% females) with positive and negative CT scan findings. A complete clinical history and patients’ data were taken from CT reports, which included age, gender, type of trauma, associated injury, and CT findings with their percentages. The study was carried out in Taif city in King Abdelaziz Hospital and King Faisal Hospital. The distribution of various etiologies of THI has shown that the most common etiology was road traffic accident (RTA) (45.3%). The typical age for THI was between 21 to 30 years old (26.4%). The distribution of the traumatic causes for each age group is shown in Table 1. The typical age for RTA was the age group of 11-20 years (33.3%), for falls – the age groups of 0-10 years (33.3%) and over 60 years of age (33.3%). The frequency of various CT findings of THI was as follows: intracranial hemorrhage (56.6%), fracture (39.6%), pneumocephalus (22.6%), contusion (22.6%), foreign body (11.3%), and proptosis (3.8%). The distribution of fracture cases, according to their types, was as follows: a linear fracture (76.2%), comminuted fracture (23.8%), basilar fracture (14.3%), and depressed fracture (9.5%). The frontal bone was the most affected site with fractures (30.7%). Conclusion: CT is an appropriate clinical modality used in the management of THI patients in the emergency department. CT has the advantage of being fast, safe, available, sensitive to most acute post-traumatic injuries, accurate in identifying the head abnormalities such as fractures and hemorrhage during the first 24 hours after injury, which is beneficial in the early assessment, therapy planning, monitoring, and long-term patient care.


2020 ◽  
Vol 7 (50) ◽  
pp. 3046-3049
Author(s):  
Sadhu Rama Mohana Rao ◽  
Avvaru Krishnaveni ◽  
Reddi Bindu ◽  
Ronanki Mounika

BACKGROUND Road Traffic Injuries (RTA's) are a major but neglected global public health problem requiring concerted efforts for effective and sustainable prevention. Road traffic accident is one of the major causes of morbidity and mortality in developing countries, including India. Srikakulam is the northern district in Andhra Pradesh state which has 194 kilometres of National Highway (NH) passing through it from Ichapuram to Pydibheemavaram. Frequent median openings, poorly designed access roads from the adjacent areas of highways and lack of effective enforcement to control wrong side vehicular movements on NH16 have led to an increase in number of road accidents in this region. We wanted to study the demographic distribution of cases, assess the nature and cause of deaths certified after post-mortem examinations, and evaluate the pattern and distribution of injuries associated with road traffic accidents. METHODS It is a record-based study, a total of 422 autopsies done in the year 2019 were studied, of which 131 were due to RTA's. Data regarding 131 RTA's was analysed using the records available with the Forensic Medicine department. Institutional Ethical Committee (IEC) approval was taken. RESULTS In our study, 78 % were men, and 22 % were women. 41 - 60 years age group showed the highest number of victims (38 %) (49). Head injuries were most common (54.6 %), followed by multiple injuries (27.6 %) and chest injuries (8.4 %). The study reported more accident-related deaths during the month of May (22 %), followed by April (11.4 %). CONCLUSIONS Head injuries and subdural & sub arachnoid hematoma are the leading causes of death from RTAs. KEYWORDS Autopsy, Cause of Death, Fatal Road Traffic Accidents, Injuries, Pattern of Injuries


Author(s):  
Mangesh Ramchandra Ghadge ◽  
Dinesh Ramesh Samel

Background: Trauma is a largely preventable cause of death. Trauma can be avoided and death can be averted if timely medical services are made available. Hence it is important to know the causes of trauma, the factors associated with it and the types of fatal injuries associated with these causes.Methods: A ten years record based study of the autopsies conducted in the Forensic Medicine department of a rapidly growing metropolitan area was undertaken from the autopsy registers and post mortem records.Results: It was noted that the young age groups of 16 to 30 years and 31 to 40 years are most vulnerable. Major cause of trauma was road traffic accidents, followed by fall from height. Other causes are Rail accidents, domestic accidents, building collapse and industrial accidents. Head injuries and shock with hemorrhage are the major causes of death due to trauma.Conclusions: Overall, males and younger population forms a major proportion of trauma victims. Among female victims the major causes of trauma were domestic accidents and house collapse and among male victims road traffic accidents, fall from height and railway accidents were major causes.


Author(s):  
Moien A. B. Khan ◽  
Michal Grivna ◽  
Javaid Nauman ◽  
Elpidoforos S. Soteriades ◽  
Arif Alper Cevik ◽  
...  

(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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