"Epidemiological, Characteristics and Outcomes of Road Traffic Accident Among Patients in Emergency Units"

BACKGROUND: Tibia is one of the commonest long bone fracture seen in emergency. Road traffic accidents are the major causes of fracture shaft of tibia. However, studies on these fracture have not been conducted in this part of the world so we conducted this study to identify epidemiological characteristics (age, sex, mechanism of injury, season, source of injury, type of fracture. any associated injury, location, method of treatment and complication) in patients with fracture shaft of tibia admitted in the emergency of Medical College hospital, Bhairahawa. METHODS: This is hospital based prospective observational study conducted at Universal College of Medical Science Teaching Hospital, Bhairahawa (Lumbini zone) among 60 tibial shaft fracture patients in hospital emergency. The study period was from December 2010 to November 2011. RESULTS: All total of 60 tibial shaft fracture in 60 patients with a mean age of 28.35 yrs(3-75yrs) were reviewed. The cause of injury were mostly road traffic accident of which Bike (26.6%,), Bus (6.7%), Car (6.7%), Cycle (10%), Rickshaw (6%), Tractor (6.7%), Truck (1.7%), and Vehicle collision (3.3%) were more prevalent. Other injuries were Bomb blast (1.7%), Fall injury (16.7%), Logroll (3.3%), Sports/football (5.5%) and Stone injury (1.7%) . Distal one third of tibial shaft (49.2%) was the commonest site of fracture. Most of the patients presented between 1st hour to even 10 days of injury. Sixty five percent of the fracture were closed and 35% were open. Most were managed operatively (51.7%). Mean time for union of close type of fracture was 13.78(SD ±2.99) weeks and for open was 16.2 weeks (SD±3.34). Complication included infection in one patient and delayed union in two patients. CONCLUSION: In our present study, most tibial shaft fracture were due to road traffic accident. So, efforts should be made by concerned authorities for improving the roadways system of Nepal as well as provision of standard but affordable health care for victims of road traffic crashes.DOI: http://dx.doi.org/10.3126/jucms.v1i3.8773 Journal of Universal College of Medical Sciences Vol.1(3) 2013: 11-14

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Epidemiological Study of Road Traffic Accidents in Japan during 2010-2019

Journal of Medical and Health Studies ◽

10.32996/jmhs.2021.2.2.13 ◽

2021 ◽

Vol 2 (2) ◽

pp. 118-123

Author(s):

Muhammad Husnul Khuluqi ◽

Meily L Kurniawidjaja

Keyword(s):

Epidemiological Study ◽

Significant Relationship ◽

Road Traffic Accident ◽

Traffic Accident ◽

Traffic Accidents ◽

Road Traffic ◽

Road User ◽

Road Traffic Accidents ◽

Serious Injury ◽

Epidemiological Characteristics

The study aimed to determine epidemiological characteristics of road traffic accidents in Japan during the year 2010-2019. A cross-sectional descriptive study depended on a retrospective analysis of road traffic accident data that were obtained from the National Police Agency (NPA) for the years 2010 – 2019 in Japan. The relationship of road traffic accident consequences as dependent variables with age, road user type, helmet, and seatbelt use as independent variables during the studied years was analyzed with Chi-square test. The case fatality rate has been declining every year from 3.88 in 2010 to 2.54 per 100,000 persons. More than half of fatality cases have occurred among the elderly. There was a statistically significant relationship between road user type and accident severities. 36.21% fatality occurred in pedestrians. Otherwise, 27.61% of motor vehicle occupants were dominant in serious injury cases and 66.87% in slight injury cases. Most of the casualties revealed for fatality cases were in the head, whereas the leg part was dominant in serious injury cases and the neck region was raised in slight injuries. There was a significant relationship between the use of helmets and seat belt use with casualties of road traffic accidents. There was a declined trend of road traffic accidents in Japan during 10 years of study. The result of the epidemiological study could be a valid consideration for the design of road safety policy in the future.

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Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

Journal of Surgical Sciences ◽

10.3329/jss.v22i2.44075 ◽

2020 ◽

Vol 22 (2) ◽

pp. 110-117

Author(s):

Md Mahmudul Islam ◽

Khondkar AK Azad ◽

Md Aminul Islam ◽

Rivu Raj Chakraborty

Keyword(s):

Road Traffic Accident ◽

Traffic Accident ◽

Chest Trauma ◽

Road Traffic ◽

Tube Thoracostomy ◽

Rib Fracture ◽

Medical College Hospital ◽

College Hospital ◽

Medical College ◽

The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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Epidemiological Study of Road Traffic Accident Cases Attending the Civil Hospital, Ahmedabad

International Journal of Scientific Research ◽

10.15373/22778179/august2014/82 ◽

2012 ◽

Vol 3 (8) ◽

pp. 282-283

Author(s):

Dr. Chhaya Lakhani ◽

◽

Dr. Rachana Kapadia ◽

Dr. Dhara Prajapati ◽

Dr. A.Bhagyalaxmi Dr. A.Bhagyalaxmi

Keyword(s):

Epidemiological Study ◽

Road Traffic Accident ◽

Traffic Accident ◽

Road Traffic ◽

Civil Hospital

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ADHD is a Risk Factor of Road Crashes: A Purposive Study of Finding Relation between ADHD and Road Traffic Accident in Bangladesh

International Journal of Contemporary Research and Review ◽

10.15520/ijcrr/2018/9/08/563 ◽

2018 ◽

Vol 9 (08) ◽

pp. 20531-20536

Author(s):

Nusrat Shamima Nur ◽

M. S. l. Mullick ◽

Ahmed Hossain

Keyword(s):

Risk Factor ◽

Road Traffic Accident ◽

Traffic Accident ◽

Traffic Accidents ◽

Road Traffic ◽

Fatality Rate ◽

Road Traffic Accidents ◽

Road Crashes ◽

Road Crash ◽

Day By Day

Background: In Bangladesh fatality rate due to road traffic accidents is rising sharply day by day. At least 2297 people were killed and 5480 were injured in road traffic accidents within 1st six months of 2017.Whereas in the previous year at 2016 at least 1941 people were killed and 4794 were injured within the 1st six months. No survey has been reported in Bangladesh yet correlating ADHD as a reason of impulsive driving which ends up in a road crash.

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