scholarly journals MAGNITUDE AND OUTCOMES OF ROAD TRAFFIC ACCIDENTS IN A TERTIARY CARE CENTRE

2017 ◽  
Vol 6 (08) ◽  
pp. 609-611
Author(s):  
Anbalagan P ◽  
Sadeeshkumar B ◽  
Udhayasankar V
2022 ◽  
Vol 7 (4) ◽  
pp. 642-647
Author(s):  
Anubha Bhatti ◽  
Arushi Kakkar ◽  
Shakeen Singh

To study the epidemiology and clinical profile of ocular trauma patients presenting to tertiary care centre. Prospective study. All patients of ocular trauma in OPD/Emergency were assessed for detail between 1/1/17 to 31/6/18 and data on demographic profile was established as per guidelines of Ocular Trauma Society of India. Patients were categorized in different segments and assessed/followed for visual impairment in particular. A total of 246 cases were examined out of which 87% were males. The most common mode of ocular injury was Road Traffic Accidents. Pediatric eye trauma constituted 16.7% of the total cases. 26.8% cases arrived to our centre between 4-24 hours and 62.6% cases presented after 24 hours. Amongst 131 cases of Road Traffic Accidents, none of them were using protective measures like helmets or goggles. Of these, 17.1% were under the influence of alcohol. 28.5% were involved in medicolegal proceedings. Majority of the cases comprised of monocular trauma (78.1%). Closed globe injuries constituted 88.94% of the total cases of which most cases presented with lid edema and ecchymosis. Chemical injuries were reported in 4.5% cases. 9 patients lost vision completely and 71 cases had vision from light perception to 6/18. Ocular trauma is one of the common causes of ocular morbidity. It has been seen predominantly in male population. Public needs to be educated about safety measurements and education about prompt need to specialised care to reduce ocular trauma related visual morbidity.


Author(s):  
Liji Menon ◽  
Soman Mani ◽  
Anna Mathew

Background: Ocular injuries following road traffic accidents (RTA) is one of the common causes of ophthalmological morbidity and unilateral blindness. The aim of this study was to document the epidemiological pattern of ocular injures caused by RTA in a cross-sectional population brought to a tertiary care centre in rural southern India.Methods: After receiving institutional ethics committee approval, all patients over the age of 10 years, who came to the emergency department (ED) of this rural tertiary care centre with alleged history of RTA, during the period, July-December 2015 were serially enrolled to participate in the study after obtaining written informed consent. The sample size for 95% confidence level and precision of 5% was calculated to be 191.Results: Out of the 832 cases of RTA presenting to the ED, 191 (23%) had ocular injuries. There were 186 (97.38%) closed globe injuries and 5 (2.6%) open globe injuries. Eight (4.1%) patients with ocular injuries had no perception of light in the affected eye after the accident. The commonest injury was periorbital edema and ecchymosis (68.6%) followed closely by eyebrow laceration (63.9%) and lid laceration (48.2 %). The commonest anterior and posterior segment injuries were traumatic optic neuritis (6.3%) and vitreous or retinal haemorrhage 4 (2.09%) respectively.Conclusions: In this study, the prevalence of ocular involvement in RTA was is 23%. Most of the injuries were closed globe injuries and periorbital edema and ecchymosis were the commonest type of injury occurring followed by eyebrow and lid laceration. 


2020 ◽  
Vol 7 (11) ◽  
pp. 5063-5069
Author(s):  
Sandeep Jawade ◽  
Rahul Dagwar ◽  
Ravi Chauhan

Introduction: Ocular trauma is a major cause of visual morbidity and Visual impairment leading to injury of the globe, optic nerve and adnexa ranging from superficial to vision-threatening complications. Objective: To study the factors leading to blunt ocular trauma, its characteristics, presentation and Outcome. Methods: Hospital-based prospective study conducted at the tertiary care centre of central India. The patient was assessed and if required, admitted. They were followed up on 1st week,1st month,6th month and were assessed for visual outcome and complications. Results: Male constituted 66% and female 34% of all patients. This study had patients of age ranging from 3 to 90 years. Most of the patients were found in the age group of 31-40 years(20.3%). In our study which included 103 cases, there were 20% cases of RTA and 80% cases of non-RTA. 85(82.5%) had lid oedema with chemosis of conjunctiva.87(84.4%) patients had a sub-conjunctival haemorrhage.16 patients (15.5%) presented with a corneal abrasion.32 patients(31.06%) presented with traumatic hyphaema.2 patients(1.9%) had traumatic optic neuropathy.7 patients(6.7%) presented with Berlin’s oedema and 8(8.1%) presented with angle recession glaucoma. Final visual outcome of patients was,1 patient(0.97%)had no perception of light,4 patients(3.8%) had visual acuity of perception of light and projection of rays inaccurate. 7 patients(6.7%) had vision perception of light and projection of rays accurate.45(43.68%) patients regained visual acuity of 6/6 Conclusion: Blunt trauma was more common in males. Most common age group was 4th decade. Road traffic accidents constituted a large number of blunt injuries. Road traffic accidents had a high rate of visual loss due to optic nerve injury.                                                                                                            


2020 ◽  
Vol 2 (1) ◽  
pp. 13-17
Author(s):  
Archana Chaudhary ◽  
Harihar Wasti

 Background and purpose: Road traffic accident (RTA) is the major cause of the morbidity and mortality throughout the world and the incidence is still very high in developed and developing countries. With the objective to see the pattern and severity of the injury following RTA from the medico legal point of view, this study was design in a tertiary care centre at far eastern part of Nepal. Material and method: This is a prospective analytical study with non- probability consecutive sampling of road traffic accidents cases presented in the emergency department during period of 6 months. Type of study: Prospective Analytical study.  Result: There were total 210 cases of road traffic accidents with mean age of 31.8 (SD 15.7) years where majority were at 20-29 years of age group and males were the majority. Majority of the cases had injuries to the extremities followed by head. Grievous injury and life threatening injuries were also a common finding in this study. Conclusion: Road traffic accidents are more common among male, bike/scooter rider and 22-29 years of age group. Majority of the injury were fracture/dislocation of extremities and intracranial injuries. As per the medicolegal aspect, grievous and life threatening injuries were common findings among patients with road traffic accidents.


Author(s):  
Qurat Ul Ain Shadan Taj ◽  
Karmakonda Anil Kumar

Background: Increased vehicular traffic on roads has now begun to cause road traffic accidents. Road traffic injuries will rise to become the fifth leading cause of death by 2030. In India every year road traffic accidents (RTA) accounts for over 1,00,000 deaths, 2 million hospitalization and 7.7 million minor injuries. The objective of the study was to study the socio-demographic profile and the epidemiological factors related to RTA.Methods: It is a cross-sectional, hospital based descriptive study done on all road traffic injury victims admitted at Owaisi hospital attached to deccan college of medical sciences between April 2013 and July 2014. 573 RTA victims were interviewed using a predesigned questionnaire.Results: Majority of the victims were from the age group of 25 to 39 years (38.4%). Majority are males (85.5%). Majority victims had a primary level of education (29.3%), followed by illiterates (20.6%). Majority victims were from upper lower socio-economic class (34.5%) and lower class (30.4%). Majority of the accidents occurred on weekends (57%). Maximum road traffic accidents (45%) occurred during rainy season. Majority of the road user victims were drivers (47%). Motorised two wheelers (43%) were the leading road users among the victims.Conclusions: Majority of the victims being in the productive age group. Public should be sensitized about the raise in road traffic accidents especially in peak hours and weekends. Motorcyclists being the leading road users among victims must be counselled regularly regarding proper road safety measures.


JMS SKIMS ◽  
2020 ◽  
Vol 23 (1) ◽  
pp. 27-32
Author(s):  
Mohd Sarwar ◽  
Ghulam Hassan Yatoo ◽  
Shariq Rashid Masoodi

INTRODUCTION: The sacred cave of Amaranth, located deep in the Himalayas, is one of the holiest pilgrimage sites of Hindu religion in general and among Shiva followers in particular. Because of high altitude, rough terrain and harsh weather, pilgrims are prone to sicknesses which sometimes may prove fatal. OBJECTIVES: To study the profile and outcome among Shri-Amarnathji Yatra patients attending a Tertiary Care Centre in North-India, and to examine whether there is any change in the clinical pattern of yatra patients over time METHODS: This was a prospective, observational study carried out during the yatra period of 2017. Ninety-seven Yatra patients who were on a pilgrimage to Shri-Amarnathji cave and referred to SKIMS between July and August 2017 for various illnesses were studied. All the necessary clinical details were recorded in a pre-designed and pre-tested Proforma prepared for the study; admitted patients were followed from admission till discharge. The profile and outcome of illness of these 2017 Yatra patients were compared with the results of the study conducted in the year 2011. RESULTS: Out of 97 Yatra patients ( referred to our Centre, 54 (55.7%) patients were managed in the outpatient department (OPD) of the hospital; the majority of these patients (33, 61%) were male and were having minor ailments. Out of these 54 patients managed in OPD, 18 (33%) had respiratory tract infection, while 11 (20%) had Hypertension. Patients who were sick (n=43) were admitted and managed in the Accident & Emergency (A&E) Department of the institute. Majority of the admitted patients were males (74%); trauma, particularly road traffic accidents constituted 32.5%, followed by acute myocardial infarction (16.3%). Out of admitted 43 Yatra patients, 36 (84%) patients improved, five patients (12%) expired, one was discharged on request, and one referred to a higher centre for further management. CONCLUSION: As compared to previous studies, more male patients were admitted this time, most of whom were in the age-group of 21-40 years. The proportion of patients due to injury and road traffic accident has increased, forming a significant proportion of the referred cases. INTRODUCTION: The sacred cave of Amaranth, located deep in the Himalayas, is one of the holiest pilgrimage sites of Hindu religion in general and among Shiva followers in particular. Because of high altitude, rough terrain and harsh weather, pilgrims are prone to sicknesses which sometimes may prove fatal. OBJECTIVES: To study the profile and outcome among Shri-Amarnathji Yatra patients attending a Tertiary Care Centre in North-India, and to examine whether there is any change in the clinical pattern of yatra patients over time METHODS: This was a prospective, observational study carried out during the yatra period of 2017. Ninety-seven Yatra patients who were on a pilgrimage to Shri-Amarnathji cave and referred to SKIMS between July and August 2017 for various illnesses were studied. All the necessary clinical details were recorded in a pre-designed and pre-tested Proforma prepared for the study; admitted patients were followed from admission till discharge. The profile and outcome of illness of these 2017 Yatra patients were compared with the results of the study conducted in the year 2011. RESULTS: Out of 97 Yatra patients ( referred to our Centre, 54 (55.7%) patients were managed in the outpatient department (OPD) of the hospital; the majority of these patients (33, 61%) were male and were having minor ailments. Out of these 54 patients managed in OPD, 18 (33%) had respiratory tract infection, while 11 (20%) had Hypertension. Patients who were sick (n=43) were admitted and managed in the Accident & Emergency (A&E) Department of the institute. Majority of the admitted patients were males (74%); trauma, particularly road traffic accidents constituted 32.5%, followed by acute myocardial infarction (16.3%). Out of admitted 43 Yatra patients, 36 (84%) patients improved, five patients (12%) expired, one was discharged on request, and one referred to a higher centre for further management. CONCLUSION: As compared to previous studies, more male patients were admitted this time, most of whom were in the age-group of 21-40 years. The proportion of patients due to injury and road traffic accident has increased, forming a significant proportion of the referred cases.


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