scholarly journals Injury pattern and outcome of road traffic accidents victims attending major referral institutions of the Kashmir valley

Author(s):  
Manzoor Ahmad Bhat ◽  
Qazi Mohammad Iqbal

Background: Road traffic accidents (RTAs) have emerged as a major global public health problem of this century. WHO global burden of disease study, shows it as the 10th leading cause of death in South-East Asia. In India, according to WHO, road traffic accident is the 6th leading cause of death. The present study aims to assess the magnitude and injury pattern of RTA victims attending three major referral institution of the Kashmir valley.Methods: This prospective observational study was conducted for a period of one year in three major referral institutions of Kashmir valley. Burden of RTA victims was studied from hospital records. For studying detailed injury patterns, the accident victims fulfilling the inclusion criteria and admitted in the wards of these hospitals formed the main study group.Results: RTAs constituted 3% of the total admissions. Most (82.7%) of the studied victims were males. Most (40.3%) of the RTA victims were pedestrians. Head on collision was the most common type of accident (62.9%). 97.6% victims were grievously hurt and head (59.9%) was the most affected part of the body. 88.3% of RTA victims survived while 11.7% died.Conclusions: Young males are the predominant victims of RTAs and head on collision (63%) remains the commonest type of accident. Almost all (97.6%) RTA victims were grievously hurt with 60% having head injuries followed by lower limbs 59.4% and upper limbs 26.8% injuries and 47% victims had multiple injuries.

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):  
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.


2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Tuuli Lahti ◽  
Esa Nysten ◽  
Jari Haukka ◽  
Pekka Sulander ◽  
Timo Partonen

Circadian rhythm disruptions may have harmful impacts on health. Circadian rhythm disruptions caused by jet lag compromise the quality and amount of sleep and may lead to a variety of symptoms such as fatigue, headache, and loss of attention and alertness. Even a minor change in time schedule may cause considerable stress for the body. Transitions into and out of daylight saving time alter the social and environmental timing twice a year. According to earlier studies, this change in time-schedule leads to sleep disruption and fragmentation of the circadian rhythm. Since sleep deprivation decreases motivation, attention, and alertness, transitions into and out of daylight saving time may increase the amount of accidents during the following days after the transition. We studied the amount of road traffic accidents one week before and one week after transitions into and out of daylight saving time during years from 1981 to 2006. Our results demonstrated that transitions into and out of daylight saving time did not increase the number of traffic road accidents.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7423 ◽  
Author(s):  
Xue Wang ◽  
Huiting Yu ◽  
Chan Nie ◽  
Yanna Zhou ◽  
Haiyan Wang ◽  
...  

Background Road traffic accidents are one of the serious disasters that cause public injury, fatality and great economic loss. They are a growing public health problem around the world. Objectives The aim of this study was to determine epidemiological characteristics, tendency and possible influencing factors of road traffic injuries (RTIs) in China, so as to give target suggestions on preventative measures. Methods Road traffic accident data were obtained from National Bureau of Statistics of China and Ministry of Transport of the People’s Republic of China. Descriptive statistic such as RTIs frequency, trends of different accident types from 2007 to 2016; the RTIs difference between different regions and road surfaces were compared; and the possible influencing factors of RTIs were also explored. Results Over the past decade, with the mileage of constructed highway increased, the frequency of road traffic accidents have declined substantially in China, and the death toll from road traffic accidents with motor vehicles has declined from 2007 to 2015, Conversely, the number of deaths from non-motor vehicle accidents has risen rapidly since 2012. Our study showed that the traffic accident related mortality in Guizhou province was different from the level of the whole nation, and the Eastern, Central and Western areas of China were all significantly different (P < 0.001). Linear regression suggested a significant affected of gross domestic product (GDP)-per-capita, education level, the number of health institutions, populations, and car ownership status on traffic accident death tolls (P < 0.001). Moreover, cement concrete pavement roads were associated with the highest occurrence rates of RTI, and RTIs was statistically significant (P < 0.001) on different road surfaces. Conclusion Even though the frequency of road traffic accidents has declined, RTIs remain an urgent public health problem in China. Thus, the government should give some target preventative measures to reduce RTIs, aiming at different regions, the increasing trend of the death toll related to non-motor vehicles and the highest occurrence on cement concrete pavement roads.


Author(s):  
Muthukumar T. ◽  
Zile Singh ◽  
Vishnu Prasad R. ◽  
Abel K. Samuel ◽  
Raja T. K.

Background: Road traffic accidents (RTA) are the only public health problem for which society and decision makers still accept death and disability among young people on a large scale. This study was undertaken to determine the various epidemiological factors influencing RTA with a view to suggest appropriate remedial measures for prevention of accidents.Methods: A hospital based prospective observational study was conducted at a tertiary care hospital in Puducherry. All the patients admitted in the hospital due to RTA from Jan to Dec 2014 were interviewed by using a pre-tested and pre-designed questionnaire. Data was entered in MS Excel and analysed using SPSS version 21.0. Institute ethics committee clearance was obtained.Results: Among 541 participants, 50% of the victims were in the productive age group of 20-40 yrs. The approximate speed of majority of the vehicles (55.6%) at the time of accident was 40-80 km/hr. Among the accident victims, 85.8% of the two wheeler riders did not use helmet and 70.9% of the car drivers did not wear seat belt at the time of accident. Around 39% of the drivers were under the influence of alcohol at the time of accident. Mobile phone is the major cause of distraction (51.9%) at the time of accident.Conclusions: Based on this study it is evident that prevention and control of most of the modifiable factors can bring about a change in the statistics that would ensure our future to be safer.


2020 ◽  
Vol 19 ◽  

Road traffic accident is one of the main causes of injuries and fatalities worldwide, serious injuries and mortality in road collisions being a public health problem. The paper gives a overview of time series modeling and forecasting with application in road traffic injuries monitoring. After presenting of the main models and the methodological issues used in Box-Jenkins approach, the paper discusses two case studies, using a multiplicative SARIMA model and an intervention model, for a time series representing the number of mortal traffic accidents in USA, and the road traffic accidents with death and serious injuries in the UK, before and after the imposition of the Arabian embargo in November 1973.


2016 ◽  
Vol 16 (1) ◽  
pp. 128
Author(s):  
D P Singh ◽  
Navin Kumar ◽  
Mayank Gupta ◽  
Manoj Kumar

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