scholarly journals Patient and injury characteristics associated with road traffic mortality in general hospitals in southern Thailand

2019 ◽  
Vol 13 (2) ◽  
pp. 71-77
Author(s):  
Sunee Kraonual ◽  
Apiradee Lim ◽  
Attachai Ueranantasun ◽  
Sampurna Kakchapati
Keyword(s):  
Road Traffic ◽  
Seat Belt ◽  
Pelvic Cavity ◽  
General Hospitals ◽  
Road Traffic Injuries ◽  
Public Health Burden ◽  
Injury Characteristics ◽  
Policies And Measures ◽  
Chi Squared ◽  
Traffic Mortality

Abstract Background Road traffic injuries are a major public health burden in developing countries. Thailand has the highest fatality rate from road traffic injuries in southeast Asia so that prevention of unintentional injuries is important. Objective To identify patient and injury characteristics associated with road traffic mortality in the southern provinces of Thailand. Methods Data on a total of 78,862 road traffic injuries recorded by the general hospitals in 5 southern provinces of Thailand, during 2008–2013, were obtained from the Office of Disease Prevention and Control. Chi-squared test was used to determine the association between patient/injury characteristics and road traffic mortality, and logistic regression was used to identify the strength of associations. Results In this study, road traffic mortality was found to be 1.8% of all injuries. Most of the deaths occurred in males (61.7%), who were aged 25–44 years (35.8%), being drivers (68.6%), using motorcycle (78.4%), and not wearing a helmet (61.0%). Road traffic mortality was higher among males, older age people, those who were not wearing a helmet or not fastening a seat belt, pedestrians and when people crashed with or by motor car, with wound being penetrating or blunt with penetrating, and when they were having head or neck, chest, or abdominal or pelvic cavity injuries. Conclusion Policies and measures for reducing road traffic mortality should focus on males and older aged persons, use of safety devices, and occurrence of multiple injuries.

THE EFFECTS OF SEAT BELT LEGISLATION ON ROAD TRAFFIC INJURIES

1977 ◽  
Vol 47 (2) ◽  
pp. 150-155 ◽  
Author(s):  
G. W. Trinca ◽  
B. J. Dooley
Keyword(s):  
Road Traffic ◽  
Seat Belt ◽  
Road Traffic Injuries

scholarly journals Identification of Factors Affecting Road Traffic Injuries Incidence and Severity in Southern Thailand Based on Accident Investigation Reports

2021 ◽  
Vol 13 (22) ◽  
pp. 12467
Author(s):  
Nuntaporn Klinjun ◽  
Matthew Kelly ◽  
Chanita Praditsathaporn ◽  
Rewwadee Petsirasan
Keyword(s):  
Risk Factors ◽  
Traffic Safety ◽  
Road Traffic ◽  
Seat Belt ◽  
Environmental Risks ◽  
Road Traffic Injuries ◽  
Traffic Lights ◽  
Road Traffic Safety ◽  
Traffic Injury ◽  
Haddon Matrix

Thailand has the second-highest rates of road traffic mortality globally. Detailed information on the combination of human, vehicle, and environmental risks giving rise to each incident is important for addressing risk factors holistically. This paper presents the result of forensic road traffic investigation reports in Thailand and determines risk factor patterns for road traffic injuries. Detailed forensic reports were extracted for 25 serious traffic accident events. The Haddon matrix was used to analyze risk factors in three phases stratified by four agents. The 25 events analyzed involved 407 victims and 47 vehicles. A total of 65.8% of victims were injured, including 14.5% who died. The majority (66.1%) of deaths occurred at the scene. Human-error-related factors included speeding and drowsiness. Passenger risks included not using the seat belt, sitting in the cargo area and the cab of pickups. Overloaded vehicles, unsafe car modifications, no occupant safety equipment and having unfixed seats were vehicular risks. Environmental risks included fixed objects on the roadside, no traffic lights, no guard rails, no traffic signs, and road accident black spots. At present, traffic accidents cause much avoidable severe injury and death. The outcome of this paper identifies a number of preventable risk factors for traffic injury, and importantly examines them in conjunction. Road traffic safety measures need to consider how human, vehicle, and environmental risks intersect to influence injury likelihood and severity. The Haddon matrix is useful in identifying these pre- and post-accident risk factors. Furthermore, the sustainable preventions of road traffic injury need to address these risks together with active law enforcement.

Ethical Approach to Road Traffic Injuries Prevention

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 46-46
Author(s):  
Svetlana Cociu ◽  
◽  
◽  
◽  
Keyword(s):  
New York ◽  
Road Traffic ◽  
Seat Belt ◽  
Public Health Problem ◽  
Middle Income ◽  
Road Traffic Injuries ◽  
Road Crashes ◽  
The Road ◽  
Risk Of Death ◽  
The Republic

"Road traffic injuries are widespread public health problem, particularly in low- and middle-income countries, being the leading cause of death for children and young adults aged 5–29 years. Road injury ranks 8th after the main causes of death, and unless there will not be a complex approach to prevention those will rank 5th by 2030. The Republic of Moldova is characterized by a high mortality due to road crashes, children and adults over 50 years are more prone to injury or a road crashes and the age group 15-39 years there is a higher risk of death as driver or passenger in a transport unit. Road traffic injuries can be prevented, and many government interventions, policies and programs have been proposed in order to prevent road injuries, but their prevention was less approached by applying and respecting ethical aspects among all the participants in traffic. Each one involved in the road traffic can contribute in improving the road safety by his/her responsibility, which refers to consciousness, morality, ethics and ethical behavior, culture. Drivers and pedestrian have the moral duty while driving to use seat belt, comply with road traffic rules and safety requirements and have duty not to harm- to avoid putting themselves and others in danger. We need much more understandings of the behavior risk factors, increasing psychological capacity and benefits, investing in educational campaigns, effective communication, social support, and encouragement, increase awareness of responsibility in traffic and increasing respect for all participants in traffic, without causing any harm. Acknowledgement: Rosamond Rhodes, Ph.D., Professor of Medical Education, Director of Bioethics Education, Icahn School of Medicine at Mount Sinai, New York, USA. "

scholarly journals A study of pattern of injuries and factors affecting the injury pattern among road traffic accident victims

2020 ◽  
Vol 7 (5) ◽  
pp. 1926
Author(s):  
Karmakonda Anil Kumar ◽  
Qurat Ul Ain Shadan Taj
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Seat Belt ◽  
Health Concern ◽  
Road Traffic Accidents ◽  
Road Traffic Injuries ◽  
The Road ◽  
Body Regions

Background: Road traffic injuries remain a critical public health concern. The most affected are the young population. Road accidents are one of the top three reasons for deaths among the population from the age group of 5 to 44 years, globally. Road traffic injuries can be prevented by a national plan or various strategies.Methods: It is a hospital based study done on all road traffic accident cases admitted in Owaisi Hospital between April 2013 to July 2014 using a pretested, pre-designed questionnaire and collecting Medico legal case records. Data is expressed in percentages. Association between factors and severity of injuries was calculated using Chi-square test.Results: Majority of the victims had suffered grievous injury (95.29%). Majority (62.48%) had injuries involving upper limb, 52% had injuries involving multiple body regions. Majority of the times it was a sideways collision 275 (48.00%), followed by head on collision 198 (34.55%). Factors such as use of the seat belt, alcohol consumption, lighting on the road are found to be statistically significant with the severity of the injuries.Conclusions: Majority of the victims had suffered from multiple injuries (52%). The road traffic accidents can be prevented mainly putting emphasis on the use of seat belt, avoidance of consumption of alcohol by the drivers, adequate lighting on roads which can reduce the burden of occurrence of the road traffic accidents.

scholarly journals Association of mandatory seat belt use legislations intervention by traffic police with changes in road traffic injuries in Iran

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A3-A3 ◽  
Author(s):  
M. Movahedi ◽  
H. Soori ◽  
A. Nasermoadeli ◽  
E. Ainy ◽  
M. R. Mehmandar ◽  
...  
Keyword(s):  
Road Traffic ◽  
Seat Belt ◽  
Road Traffic Injuries ◽  
Traffic Police ◽  
Seat Belt Use

scholarly journals Road Traffic Injuries: Social Change and Development

2013 ◽  
Vol 57 (1) ◽  
pp. 108-138 ◽  
Author(s):  
Iris Borowy
Keyword(s):  
Road Traffic ◽  
Early Stage ◽  
International Health ◽  
Transport Infrastructure ◽  
Coordinated Development ◽  
Middle Income ◽  
Road Traffic Injuries ◽  
Public Health Burden ◽  
Scientific Discussion ◽  
Middle Income Countries

AbstractIn the course of the twentieth century road traffic injuries (RTIs) became a major public health burden. RTI deaths first increased in high-income countries and declined after the 1970s, and they soared in low- and middle-income countries from the 1980s onwards. As motorisation took off in North America and then spread to Europe and to the rest of the world discussions on RTIs have reflected and influenced international interpretations of the costs and benefits of ‘development’, as conventionally understood. Using discourse analysis, this paper explores how RTIs have been constructed in ways that have served regional and global development agendas and how ‘development’ has been (re-)negotiated through the discourse of RTIs and vice versa. For this purpose, this paper analyses a selection of key publications of organisations in charge of international health or transport and places them in the context of (a) the surrounding scientific discussion of the period and (b) of relevant data regarding RTI mortality, development funding, and road and other transport infrastructure. Findings suggest that constructions of RTIs have shifted from being a necessary price to be paid for development to being a sign of development at an early stage or of an insufficiently coordinated development. In recent years, RTI discussions have raised questions about development being misdirected and in need of fundamental rethinking. At present, discussions are believed to be at a crossroads between different evaluations of developmental conceptualisations for the future.

scholarly journals Preventive Effects of Seat Belt on Clinical Outcomes for Road Traffic Injuries

2015 ◽  
Vol 30 (12) ◽  
pp. 1881 ◽  
Author(s):  
Bong Hun Kwak ◽  
Young Sun Ro ◽  
Sang Do Shin ◽  
Kyoung Jun Song ◽  
Yu Jin Kim ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Road Traffic ◽  
Seat Belt ◽  
Road Traffic Injuries ◽  
Preventive Effects

scholarly journals Trends in mortality from external causes in the Republic of Seychelles between 1989 and 2018

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Anne Abio ◽  
Pascal Bovet ◽  
Joachim Didon ◽  
Till Bärnighausen ◽  
Masood Ali Shaikh ◽  
...  
Keyword(s):  
Causes Of Death ◽  
Road Traffic ◽  
Marked Change ◽  
Total Mortality ◽  
Mortality Rates ◽  
Vital Statistics ◽  
African Region ◽  
Road Traffic Injuries ◽  
External Causes ◽  
Over Time

AbstractData on injury-related mortality are scarce in the African region. Mortality from external causes in the Seychelles was assessed, where all deaths are medically certified and the population is regularly enumerated. The four fields for underlying causes of death recorded were reviewed in the national vital statistics register. The age-standardised mortality rates were estimated (per 100,000 person-years) from external causes in 1989–1998, 1999–2008, and 2009–2018. Mortality rates per 100,000 person-years from external causes were 4–5 times higher among males than females, and decreased among males over the three 10-year periods (127.5, 101.4, 97.1) but not among females (26.9, 23.1, 26.9). The contribution of external causes to total mortality did not change markedly over time (males 11.6%, females 4.3% in 1989–2018). Apart from external deaths from undetermined causes (males 14.6, females 2.4) and “other unintentional injuries” (males 14.1, females 8.0), the leading external causes of death in 2009–2018 were drowning (25.9), road traffic injuries (18.0) and suicide (10.4) among males; and road traffic injuries (4.6), drowning (3.4) and poisoning (2.6) among females. Mortality from broad categories of external causes did not change consistently over time but rates of road traffic injuries increased among males. External causes contributed approximately 1 in 10 deaths among males and 1 in 20 among females, with no marked change in cause-specific rates over time, except for road traffic injuries. These findings emphasise the need for programs and policies in various sectors to address this large, but mostly avoidable health burden.

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