scholarly journals Prevalence of road traffic accident in children: retrospective study in tertiary centre

2017 ◽  
Vol 4 (2) ◽  
pp. 477
Author(s):  
Mallikarjuna G. P. ◽  
Latha G. S. ◽  
Veeresh Babu D. V. ◽  
Thejraj H. K.

Background: Road traffic accidents (RTA) are the leading cause of unnatural deaths in the world and a major burden on the world’s economy. The aim was to study the prevalence of road traffic accident among children.Methods: It is a retrospective cross sectional study. Data collected from the hospital records in PICU. Children studied are either admitted directly for road traffic accident or referred to our centre for complicated injuries. children of 1 to 18 years are studied, details of address, locality (either rural, urban) road safety precautions used, mode of injury, type of vehicle, type of injury, number of passengers, complications, outcome of injury are collected and entered in prescribed proforma, and impact of each one is analysed and magnitude is studied. Study period was from June 2014 to June 2016.Results: This study shows that road traffic accident prevalence is more in 15-18 year age group (31%), and males are affected more commonly (79.5%), among these majority of children were from rural area (73%), more common type of injury were complicated injuries (85.1%). Children travelling in 2 wheelers were affected more (74.9%). Results analysed with age of victims and type of injury, p value <0.05 is considered significant.Conclusions: To bring the mortality rate down, children especially with rural background should be made aware about the importance of strict compliance to traffic rules and regulations. Government need to start implementing traffic rules awareness programme among rural people.

Author(s):  
Sudeep Kumar Shetty ◽  
Mackwin Kenwood D'mello ◽  
Jagannath Purushothama ◽  
Priyanka Dsouza Rent ◽  
V. Monisha

Background: Road traffic accident is one amongst the “biggest killers” across the World according to World Health Organization. Though road traffic accidents are both predictable and preventable, it is witnessed that there is an alarming increase in morbidity, mortality and disability owing to road traffic accident which has become a major public health concern in India. Hence this study aims to assess the awareness and obeyance of road traffic rules among commuters in south Mangaluru suburbs. Methods: A cross sectional study was conducted among 180 motorists in south Mangaluru suburbs during August 2015, who were selected conveniently and structured questionnaire was administered for interview schedule. The data were analyzed for mean, median, frequencies, percentages, standard deviation and appropriate statistical tests were applied by using SPSS version 16. Results: More than two-thirds (67.2%) had insufficient awareness about road traffic rules and more than three fourth of the respondents (86.1%) had bad obeyance of road traffic rules. There was relationship between awareness and practice which was statistically significant (p=0.041) and there was statistical significant difference (p<0.05) in obeyance according to marital status, profession and type of vehicles used. Conclusions: Though the respondents were aware about road traffic rules to a certain extent but they were not obeying the road traffic rules wholly. This can be addressed through the strict enforcement of road traffic rulesand behavioral change communications. 


2021 ◽  
Author(s):  
Eshetu Yisihak ◽  
ASRAT HIZKEL ◽  
Teklemichael Gebru ◽  
Desta Markos

ABSTRACT Background In today's world road traffic accident victims is treated as a major epidemic of non-communicable disease. Road traffic accidents caused numerous family tragedies such as serious economic loss to the community and the death of young people. The problem is more severe in low and middle-income countries. In Ethiopia, the largest proportion of series injuries comes from road traffic accidents and become major causes of death in the emergency room. Despite this, only a little is known about treatment outcomes of road traffic accident victims and its associated factors in Ethiopia. Method An institution-based Cross-sectional study design was conducted at Wolaita Soddo Christian hospital with a sample of 400 road traffic accidents. The medical record was selected using a systematic sampling method. Data was entered using Epi-data version 4.1 and was exported to and analyzed using SPSS version 23. A multivariable logistic regression model was used to assess the association between the independent variables and dependent variables. RESULT The overall death rate was 9.5%. Being out of hospital catchment area [AOR= 2.16, 95% CI= (1.01-4.70)] presence of co-morbid condition [AOR= 6.77 95% CI= (2.44-18.81)] lack of first aid help [AOR= 2.77 95% CI= (1.17-6.52)] and severity of the injury [AOR= 3.85 95% CI= (1.50-9.89)] were found to be significantly associated with outcome of road traffic accident victims. Conclusion The study shows that the death rate from road traffic accidents was high. Therefore, designing strategies to decrease death from road traffic accidents by giving great emphasis to road traffic accident victims with co-morbid conditions and severe injury and focusing on the availability and accessibility of pre-hospital care service. Keywords: Outcome, road traffic accident, Wolaita Soddo Christian hospital, Ethiopia


Author(s):  
. Urfi ◽  
Ali Amir ◽  
Salman Khalil ◽  
Mohd F. Hoda

Background: Road traffic accidents (RTAs) with the head injury warrants early treatment. The delay in receiving the specialized care adversely affects the outcome. Economic losses due to RTA with the Head Injury amount of Rs 550 crores (12.5 billion dollars), an amount that equals our defense budget. Insurance of vehicles and victims and compensation claims are related legal issues. The Objectives of the study were: 1. To analyze the delay in reaching the hospital following the Road Traffic Accident with Head Injury. 2. To study the pattern of pre-hospital treatment received. 3. To measure the socioeconomic and legal impact of Road Traffic Accident cases with Head Injury.Methods: A hospital based cross-sectional study was conducted in casualty and allied departments of Jawaharlal Nehru Medical College and Hospital, Aligarh. All cases of RTA with Head Injury admitted from August 2010 to July 2011 who were 15-45 years of age were included in the study using purposive sampling. Data was analyzed with SPSS 20.Results: A total of 463 patients were included in the study. Almost two-third of patients i.e. 315 (68.0%) were brought to hospital within 6 hours and the remaining 148 (32.0%) reached hospital after lapse of 6 or more hours. Of all patients who reached hospital before 6 hours, only 70 males and 10 females received some form of pre-hospital treatment. The mean expenditure during hospital stay was Rs.3663.71. About 51.6% of patients had to stay for 1-3 days in hospital following a head injury. As many as three-fourth of vehicles involved in accident were insured while just 14.3% of patients were insured. Only 5 (1.1%) out of the 463 patients applied for compensation till the time of interview.Conclusions: Reaching hospital early has direct bearing on final outcome of accidents. RTAs with Head Injury lead to variable out-of-pocket expenditure for patients and their attendants. Majority of victims do not have insurance, though insurance of vehicles is a common practice.


2021 ◽  
Vol 5 (1) ◽  
pp. 007-011
Author(s):  
Ambade Vipul N ◽  
B Sirsat Kunal ◽  
Manu Sharma

Death due to road traffic accident (RTA) was one of the leading causes of mortality and morbidity in India. In the present cross-sectional study, only the victim using two-wheelers, four-wheelers, and pedestrians were included for comparison to determine the pattern of injuries in these victims of the road traffic accident. There was a predominance of males in all three types of victims of RTA with a peak age of incidence seen in 21-30 years in two-wheeler victims, 41-50 years in four-wheeler victims, and 51-60 years in pedestrian victims. Four-wheeler (HMV/LMV) was the commonest type of offending vehicle involved in all types of victims with collision/ dash as the commonest manner of an accident. Head was the commonest region involved in pedestrian and two-wheeler victims as compared to the thorax in four-wheeler victims of accidents. Abrasion was the commonest surface injury in two-wheeler victims and pedestrians. The laceration was more common in two-wheeler victims as compared to crushed injury in pedestrian victims of road traffic accidents. The brain was the commonest organ involved in two-wheeler and pedestrian as compared to lungs in four-wheeler victims. The liver and spleen were more commonly involved in two-wheeler victims as compared to kidneys and bladder in pedestrian


2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Sameer Thapa ◽  
Anup Raj Upreti ◽  
Bishow Raj Dawadi

Introduction: Injury is one of the major global public health problems causing significant number of death and disability. The study aims to study the epidemiological and clinical profile of patients presented in emergency department with injury. Methods: This was a descriptive cross-sectional study conducted in a tertiary care hospital from September 2019 to February 2020 after obtaining ethical approval from Institutional review board (reference number 007-076/077). A convenient sampling method was applied. Epidemiological factors, chronological factors, causes of injury, anatomical distribution, pattern of injury were studied. Statistical analysis was done using statistical package for the social sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 197 patients, 72 (36.5%) patients had fall followed by road traffic accident 57 (28.9%). Of total, 80 (40.6%) had injury at home and 80 (40.6%) had cut injury. Head and neck accounted for 66 (33.5%) of total injury followed by upper Extremities 50 (25.4%) and lower extremities 47 (23.9%). Eighty-seven (44.2%) of the patients visited emergency within 30 minutes of sustained injury. Conclusions: The top three leading causes of injuries visiting emergency department were: fall, Road Traffic Accident and physical assaults respectively. The most common mode was fall being cut as most common pattern. Head and neck was the most commonest site of injury. The common place of injury was home.


Author(s):  
Rajesh Neeluri ◽  
Venkata Suresh Anga

Background: As per global status report on road safety 2015, 1.25 million road traffic deaths occurred every year. Most common cause of death among those aged 15-29 years was road traffic accidents. The objectives of the study were to study the socio-demographic profile of the victims of road traffic accidents, to identify the risk factors responsible for road traffic accidents and to identify the various presenting injuries of road traffic accident victims.Methods: It was a Hospital based cross sectional study. Victims of road traffic accidents attending casualty during July 2011 – June 2012 were studied. A pretested semi structured questionnaire was administered. A total of 280 road traffic accident victims were interviewed during the study period. Data was entered in Microsoft excel sheet and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results were expressed as proportions for different study variables.Results: Out of the 280 victims, majority 206 (73.57%) of study participants were males. The highest numbers of victims (34.20%) were between 21-30 years of age group. 40.71% were using two wheelers. Most of the accidents took place in the evening (6 pm to 12 am) i.e. 39.10%. Most common site of presenting injury was lower limb (40.71%). In this study 22.5% were under influence of alcohol while driving.Conclusions: Road traffic accidents were more in young age groups and in males. Road safety education should be promoted.


2020 ◽  
Vol 2 (Number 2) ◽  
pp. 19-23
Author(s):  
Tasnim Rahman ◽  
Muiz Uddin Ahmed Choudhury

Road traffic injuries (RTIs) are one of the eight burning public health issues worldwide causing 1.3 million death every year. This study aimed to see the pattern of road traffic injuries, their consequences, and factors associated within Dhaka city. A cross-sectional study was conducted among Road Traffic Accident victims attended in three largest and tertiary care hospitals located inside the Dhaka metropolitan area through structured interviews between 25 January and 21 February 2017 with a sample size of 140. The majority of injured patients were between 18-37 years. More than 55% of injuries were severe, and intracranial injury (27.1%) was the most common type. T-junction (32.1%) and highways (31.4%) were most places for RTAs where half of the total victims were passengers. Our study indicates age, gender, and educational status were significantly associated with consequences of RTAs (p<0.05). Moreover, among the RTAs related variables, type of vehicle, RTA type, injury place, and treatment approach found significantly associated with consequences of RTAs (P<0.05). The findings of this study could play an important role to build awareness on RTAs among policymakers and general peoples to reduce mortality due to RTIs.


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