SPECTRUM OF LOWER LIMB INJURIES IN ROAD TRAFFIC ACCIDENTS PRESENTING AT A TERTIARY CARE HOSPITAL

Objectives: A retrospective study was carried out to analyse the two wheeler accidents that presented over a one year period to a single institution and to study the pattern of limb injuries according to zones assigned to the limb. The mode of injury in the two wheeler accidents and the differences in limb injuries between the driver and the pillion riding passenger were also studied.Methods: All the road traffic accidents that could be attributed to two wheelers were obtained with the help of trauma records and the nominal registers and ward records. Limb injuries were then assigned to various anatomical zones that were created for the purpose of the study. The upper limb and lower limb injuries were separately analysed for differences between the driver and the pillion rider.Results: There were 242 two wheeler accidents seen between 1st jan 2008 to 31st dec 2008, of these 110 had limb injuries. 96 cases were eventually included and of these 67 were drivers. The most common mode of injury was a skid and fall of the vehicle ( 42%). Pillion riders were injured more often in collisions between two and four wheelers. The commonest injury in drivers was in wrist and hand regions of the upper limb and the tibia and ankle regions of the lower limb. In the pillion rider, lower limb injuries were commonest in the tibia and ankle whereas in the upper limb shoulder and wrist injuries predominated.Conclusion: Two wheeler accidents cause significant morbidity in both the driver and pillion rider, the tibia and ankle are commonly injured in both the populations whereas minor differences in upper limb injury are seen between the two groups.Keywords: Road traffic accidents; epidemiology; pattern of injuries.DOI: 10.3126/ajms.v1i1.2794Asian Journal of Medical Sciences Vol.1(1) 2010 p.14-15

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Characteristics of lower limb injuries in non-fatal road traffic accidents: a retrospective analysis of forensic medical examinations

Journal of Education, Health and Sport ◽

10.12775/jehs.2020.10.12.004 ◽

2020 ◽

Vol 10 (12) ◽

pp. 40

Author(s):

Viacheslav K. Sokol ◽

Vera A. Kolesnichenko ◽

Edgar Grygorian

Keyword(s):

Retrospective Analysis ◽

Lower Limb ◽

Traffic Accidents ◽

Road Traffic ◽

Road Traffic Accidents ◽

Lower Limb Injuries ◽

Limb Injuries ◽

Medical Examinations

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An epidemiological study of road traffic accidents among patients admitted in a tertiary care hospital in Puducherry

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183062 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3362

Author(s):

Muthukumar T. ◽

Zile Singh ◽

Vishnu Prasad R. ◽

Abel K. Samuel ◽

Raja T. K.

Keyword(s):

Large Scale ◽

Traffic Accidents ◽

Road Traffic ◽

Tertiary Care Hospital ◽

Seat Belt ◽

Tertiary Care ◽

Public Health Problem ◽

Care Hospital ◽

Road Traffic Accidents ◽

Modifiable Factors

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.

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A record based study of frequency and pattern of medico-legal cases reported at a tertiary care hospital in Miraj

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20171374 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1348 ◽

Cited By ~ 1

Author(s):

Tanuja R. Brahmankar ◽

Sachin K. Sharma

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Road Traffic Accidents ◽

Cross Sectional ◽

Legal Cases ◽

Legal Case

Background: Medico-legal case (MLC) can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment. Medico-legal cases are an integral part of medical practice that is frequently encountered by medical officers working in casualty. Hence the present study is carried out to find out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to highlight the vulnerable gender, age, residence and the cause. Methods: It is a record based cross sectional study in which all the MLC cases registered in MLC record book during a period of 6 months (January 13– June 13) were included. Cases found non medico-legal were excluded. Variables considered were gender, age, residence and cause. Findings were expressed in numbers and percentages. Results: Total cases were 2350, of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age group of 21-30 years i.e., 828 (35.2%). 1440 (61.27%) were residents of urban area. Most of the medico-legal cases registered were due to assault (27.2%) followed by medical examination of prisoners(25.9%), road traffic accidents (19.7%), fall (6.9%), snake bite (6.6%), poisoning (4.3%), domestic injuries (4.3%), unknown bite (2.2%), unknown found at railway station (1.6%), brought dead (0.6%), burn (0.2%) & others (0.5%). Conclusions: Majority of the victims were males, young adults and urban inhabitants. Most common indication for medico-legal cases was assault followed by medical check-up of prisoners and road traffic accidents.

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Most Frequently Affected Body parts in Road Traffic Accidents Reporting to the Accident and Emergency Department of the Largest Tertiary Care hospital of Karachi in 2019

Journal of Community Health Research ◽

10.18502/jchr.v10i3.7279 ◽

2021 ◽

Author(s):

Zaeema Ahmer ◽

Aisha Siddiqui

Keyword(s):

Traffic Accidents ◽

Road Traffic ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Body Parts ◽

Road Traffic Accidents ◽

Accident And Emergency ◽

Significant Difference ◽

Study Participants

Introduction Injuries sustained during Road Traffic Accidents (RTAs) amounts to a serious public health crisis. The aim of the study was to determine the body parts most likely affected in an RTA in patients brought to Accident and Emergency (A&E) department of Jinnah Postgraduate Medical Centre (JPMC), the largest tertiary care hospital of Karachi. Method A descriptive cross-sectional study was done in January-March 2019 among 371 respondents aged 15-65 years. Study participants were recruited through non-probability convenience sampling. A structured questionnaire was used to collect data on sociodemographic variables and type, severity and nature of injury. Chi Square test was used to determine the significant difference between using safety precautions with body parts affected. All analysis was performed on SPSS version 20. Results Out of 371 study participants, 64.4% (n=239) were between 15-35 years with 91.9% (n=338) males. In 77.1% (n=286) cases, emergency medical services responded in less than one hour and first aid was provided by doctor to 95.7% (n=355) at hospital. In 82.5% (n=306) cases, private vehicles were involved, with 46.1% (n=171) motorcycles. In 79.8% (n=296) cases, bone injury was prevalent, with 57.1% (n=212) leg injuries, which was the most frequently affected body part. Majority, 56.2% of the study participants who did not wear seat belts had chest area affected (p=0.006). Conclusion It is concluded that males of 15-35 years who were motorcyclists were more prone to RTAs with lower limbs more frequently being affected. Safety precautions like wearing seatbelts provide protection against RTAs.

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