scholarly journals Determinants of road traffic injury at Khulna division in Bangladesh: a cross sectional study of road traffic incidents

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1238
Author(s):  
Rafiqul Islam ◽  
Mostaured Ali Khan ◽  
Krishna Deb Nath ◽  
Mosharaf Hossain ◽  
Golam Mustagir ◽  
...  

Background: Road traffic injury (RTI) is one of the major causes of death, injury and disability worldwide and most of which occur in developing countries like Bangladesh. The main objective of this study was to identify the role of various socio-demographic and economic factors regarding the knowledge and consciousness about RTI at Khulna division in Bangladesh. Methods: Primary data were collected from 200 respondents in Khulna Medical College Hospital and Satkhira Sadar Hospital and several private clinics, generated by interviewing people who had experienced a traffic accident in Khulna division, Bangladesh. The Chi-square test and logistic regression model were utilized in this study to analyze the data. Results: The results show that there was a significant association between education (primary to higher secondary school: OR = 3.584, 95% CI = 0.907-14.155; higher educated: OR = 24.070, 95% CI = 4.860-119.206); occupation (farmer and labor: OR = 0.528,95% CI = 0.208-1.340; others: OR = 0.263, 95% CI = 0.097-0.713); if they were driving a motorcycle (OR = 4.137, 95% CI = 1.229-13.932); proper treatment (OR = 4.690, 95% CI = 1.736-12.673); consciousness about the RTI (OR = 18.394, 95% CI = 6.381-53.025); if they were an unskilled driver (OR = 8.169, 95% CI = 0.96-16.51), unfit vehicles (OR = 3.696, 95% CI = 1.032-13.234), if they were breaking traffic rules (OR = 6.918, 95% CI = 2.237-21.397), faulty road and traffic management (OR = 3.037, 95% CI = 1.125-8.196) with having knowledge about traffic rules in Khulna division, Bangladesh. Conclusion: According to the results of the study, by increasing knowledge and awareness about traffic rules among people through education and awareness programs, imposing strict traffic rules, not giving licenses to unskilled drivers, not allowing unfit vehicles on the road, reconstruction and proper road management RTI’s can be reduced.

KYAMC Journal ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Md Zubaidur Rahman ◽  
Prodip Biswas

Background: Road traffic accidents (RTA) are responsible for greatest number of injuries and fatalities world wide by killing around 1.2 million people each year and injuring 50 million. Pedestrians are the most common victims of RTAs.Objectives: This study has been done to find out the epidemiological factors, socio demographic characteristics and the clinical injury pattern among pedestrians injured by Road Traffic Accidents in Dhaka City.Materials & Methods: This descriptive cross sectional study done from December 2015 to September 2016 at three tertiary level referral hospital in Dhaka. One hundred fifty two (pedestrians) were selected purposively as research sample with 95% confidence level and 5% confidence interval. The primary data was collected from the patients who were discharged from hospital by face to face exit interview using a semi-structured questionnaire.Results: Among 152 pedestrian victims interviewed; 88(58%) were male. Maximum accidents occurred at daytime 63 (41.45 %), and on city main roads 68 (44 %). Highest number of accidents were caused by buses 44 (36.09 %) and highest incidence of RTA 60(39.47%) was observed among the age group 21 to 30 yrs. Most of the victims 129( 84.85%) were knocked down by the vehicles while crossing the roads (hit and run injury), 114(75.00%) were from earning group below 15,000 taka per month, 121(79.61%) never use foot over bridge, 78(51.32)% were using mobile phone while crossing the road. 152(100%) victims had multiple abrasion and bruise, 94(61.84%) had lacerations, 64(42.10%) had fracture of upper limb bones, 53(34.87%) had fracture of lower limb bones and 53(34.87%) had haematoma in soft tissue over skull.Conclusion: Road accident and its severity can be prevented by strict application of traffic rules , motivation of public and proper training of drivers.KYAMC Journal Vol. 9, No.-1, April 2018, Page 11-15


Author(s):  
Malihe Khoramdad ◽  
Mohammad Reza bayat ◽  
Nahid Khademi ◽  
Vida Saniee ◽  
Yousef Alimohamadi

Introduction: injuries as one of the main concerns of public health and social problem affect a wide range of population particularly in countries with low and middle incomes. In the present study, we aimed to describe the epidemiology of different types of injuries occurring in Kermanshah province, Iran, with an enormous sample size in 2015-2016. Methods: in this cross-sectional study we gathered the data from Health Vice-presidency of Kermanshah University of Medical Sciences. In order to widen the study, we incorporated the subjects with a wide spectrum of injury types including Road Traffic Injury (RTI), burns, poisoning, drowning, suicide, animal bite, trauma, and violence. The subjects were taken from 20 distinct hospitals of 12 cities of Kermanshah province. Results: our data showed a total number of injuries to be 65,428 from March 2015 to March 2016 (65.4% male and 34.6% female). The average of total injured people was 29.20±18.9 (28.7±18.9 in men and 30±18.9 in women). We showed that individuals of 15-29 and 30-44 years old were the most vulnerable sectors in both male and female groups. The majority of injuries were due to road traffic and fall in men and female, respectively. The most and least frequent injuries occurred in Kermanshah and Gilan-e-Qarb cities, respectively. Conclusion: it was demonstrated in our study that age, gender, culture, and city are the factors determining the injury patterns. Therefore, these items can be regarded as the high-risk factors which may be integrated into the plans for preventing the possible injuries in health policies.


2017 ◽  
Vol 14 (2) ◽  
pp. 44-48
Author(s):  
Md. Abdus Salam ◽  
Md. Shafiul Alam ◽  
Kalim Uddin ◽  
Md. Ashraful Haque ◽  
Md. Mahfuzur Rahman ◽  
...  

Background: Extradural haematoma is due to different etiologies.Objectives: The purpose of the present study was to see the etiological factors of extradural haematoma.Methodology: This cross sectional study was conducted in the Department of Neurosurgery at Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2010 to June 2011 for a period of one year and half months. All patients who underwent surgery with traumatic head injury having extradural haematoma were included in the study. At admission, a detailed history of the illness was taken from the patients/patient’s attendants by face-to-face interview with the help of a preformed questionnaire. Questionnaire was prepared with key variables like age, sex and mode of injury.Result: Eighty (80) patients of traumatic head injury within and after 24 hours of head injury were enrolled in this study. 20(25.1%) patients were present in age group of 11 to 20 years. 19(23.8%) patients were in age group of 21-30 years. 20(25.1%) patients were present in age group of 31 to 40 years. Male was predominant than female which was 60(75.0%) cases and 20(25.0%) cases respectively. The most common mode of injury was road traffic accident which was 51(63.7%) cases followed by fall from height and assault which were 16(20.0%) cases and 13(16.3%) cases respectively.Conclusion: In conclusion RTA is the most common cause of extradural haematoma.Journal of Science Foundation, July 2016;14(2):44-48


2019 ◽  
Author(s):  
Samuel Hailu Weldemariam ◽  
Tigabu Addisu Lendado

Abstract Background Road traffic injury is defined as fatal or non-fatal cases incurred as a result of road traffic crashes. It accounts for an estimated 1.2 million people death and as many as 50 million injury in each year worldwide. This study was aimed to determine prevalence and associated risk factors of road traffic injury.Objective To determine the prevalence and its associated risk factors of road traffic injury.Method Facility based cross-sectional study with sample size of 309 was used for conducting study in two selected hospitals in Wolaita Zone.Systematic sampling method was applied to select study subject based on inclusion criteria. Data was collected by questionnaires which was developed from reviewing different literatures and analysed by using SPSS version 20statistical software.Result Among the total of trauma victims who visited emergency department of hospitals, approximately half of victims (49.2%) were due to road traffic injury followed by falling injury 60 (19.4%) and burns 35 (11.3%). After adjusting for confounding in multivariate logistic regression analysis, sex and living places are independent factors of road traffic injury. Two of them are highly significantly associated with road traffic injury and being male and urban resident had thirteen times AOR 13.08 95% CI (6.15-27.85) and more than two times AOR 2.69 95%CI (1.55-4.64) increased odd of road traffic injury respectively.Conclusion Road traffic injury was leading injury types among trauma victims visiting emergency department of Hospitals. Therefore, strong road safety policy at local and country level is needed to reduce vulnerability of individuals and vehicle related injury.


Introduction: Motorcycle accidents are among the deadliest road traffic accidents, and the prevention of road traffic injury is a daunting challenge in numerous countries, including Iran. The present study aimed to investigate the motorcycle accidents that occurred in Gonabad, Iran. Methods: This cross-sectional descriptive study was conducted using all standard pre-hospital emergency reporting forms related to motorcycle accidents registered in a software-based pre-hospital information management system (called ASAYAR in Persian) between March 2018 and 2019. The motorcycle accidents were assessed in terms of urban and rural settings, time and mission results of accidents, and demographic characteristics of injured people. Descriptive statistics (mean, standard deviation, frequency, and frequency percentage) were used for data analysis. Results: A total of 1,555 traffic accidents were recorded in the ASAYAR system, out of which 746(48%) accidents were related to motorcycle accidents, and out of 746 cases in the county, 431 cases had occurred in Gonabad. The majority of motorcycle accidents (49%) took place in the age group of 15-25 years. The time analysis of accidents demonstrated that the majority of accidents had happened in the spring with 34% (n=147) and in June with 11.86% (n=51). Moreover, 77% of the injured were motorcycle riders, and 82% of all the injured have been taken to hospital. Conclusion: As evidenced by the obtained results, nearly half of all road accidents are caused by motorcycles. Given that most of the injured in motorcycle accidents are adolescents and young people, it is necessary to take practical measures to control and manage this major health threat.


2021 ◽  
Vol 9 (2) ◽  
pp. 232-239
Author(s):  
Waqas ◽  
Intikhab Alam ◽  
Mussawar Shah ◽  
Khalid Nawab

Purpose of the study: To examine the satisfaction of the health status of RTI victims and to measure the association between the satisfaction of health status with the prevailing level of participation of RTI victims in various major life activities. Methodology: This study follows a cross-sectional research design. A comprehensive interview schedule was designed and pre-tested before the actual process of data collection. For data analysis, SPSS v.20 was run for obtaining univariate, bivariate, and multivariate analysis. Main Findings: At a bivariate level, it was found that RTI victims were having difficulty in walking, standing, sitting, and dysfunctional memory status had significantly associated with low health satisfaction. Furthermore, at the multivariate level, the victims with low educational status were more likely to report limitations in Major Life Activities (MLA), ultimately affecting their health satisfaction status. Applications of this study: This research's findings can apply to such studies that emphasize the sociological perspectives for minimizing traffic crashes. Moreover, it also provides the role of education in controlling traffic injuries in the south Asian region. Novelty/Originality of this study: This study is the first-ever attempt to determine the effects of MLA limitations on the health satisfaction status. Apart from describing the phenomenon from a sociological perspective, the article also enlightens the role of education in minimizing RTI injuries.


Author(s):  
Anuradha Kizhatil ◽  
A. K. Jawarkar ◽  
Pushpa Lokare ◽  
Manjusha Deotale

Background: Road traffic accidents (RTAs) represents a major epidemic of non-communicable disease in the present century affecting families, community and nation as a whole. Objectives was to study the epidemiological determinants of RTAs.Methods: A hospital based study of RTA victims was conducted for a period of one year at the District General Hospital and Medical College hospital of Amravati, Maharashtra. A total of 1394 patients were studied. Descriptive statistics like percentage and proportions were calculated. Proportions were compared using Chi square test of significance.Results: 86.7% were males and the maximum affected age group was 21 to 30 years. Majority of accidents were seen in summer season and on Monday of the week. Accidents were highest from 12 noon to 6 pm. Alcohol consumption was seen in 27% of the drivers. Two-wheelers were the commonest vehicle involved in RTAs. A total of 481 (34.5%) victims had fractures at various sites of the body, out of this 52.8% was of lower limbs. Right sided bony injuries were more common.Conclusions: There are multiple factors associated with RTAs which due to the lack of road safety measures in the country are playing their role. It is the need of the hour to address this issue and formulate rules and regulations and evaluate its enforcement.


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