scholarly journals Pattern of road tra!c injuries and disability burden among accident victims

2019 ◽  
Vol 47 (1) ◽  
pp. 28-32
Author(s):  
Kazi Fardana Mostary ◽  
Kazi Shafiqul Halim ◽  
Mohammad Mohibur Rahman ◽  
Md Safikul Islam ◽  
Atiya Tasnim Muna ◽  
...  

Worldwide road traffic injuries cause more than 1.2 million deaths every year and alarming rise has been observed in road accidents in Bangladesh over the past few years. A cross- sectional study was carried out from January to December 2017 to determine the pattern of road traffic injuries with disability burden among accident victims. 190 respondents were selected from Center for the rehabilitation of the paralyzed (CRP) at Savar and Mirpur in Dhaka by purposive sampling. Data was collected by face to face interview by using semi-structured pre-tested questionnaire. A large number of accident victims in this study were male (79.5%), Muslim (93.2%), married (85.3%) with middle age group (35.8%). Most of the accident victims came from rural area (62.6%) and place of most accident occurred in subway (73.1%). Highest number of accident occurred by motorized two wheels (47.3%). Fracture (48.9%) were most common types of injury among accident victims and affected part were most commonly the extremities (32.9%) and injury category were maximum injury (38.9%). Years of life lived with disability was highest in spinal cord injury (172.36). Among those who were in middle age group, suffered longer than other injury with years of life lived with disability. It found people who were injured from motorized two wheels had suffered longer years lived with disabilities of life than other types of vehicle injury(82.02).The result indicates the pattern of injuries and accident victims who were lived with disability for long time. Bangladesh Med J. 2018 Jan; 47 (1): 28-32

2015 ◽  
Vol 44 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Carlos Henrique Suzuki Bellucci ◽  
Jose Everton de Castro Filho ◽  
Cristiano Mendes Gomes ◽  
José de Bessa Jr. ◽  
Linamara Rizzo Battistella ◽  
...  

Background: Epidemiological features of spinal cord injury (SCI) have been changing over the last decades. We evaluated the contemporary trends in the epidemiology of traumatic SCI patients from a rehabilitation center. Methods: In a cross-sectional study, a consecutive series of 348 patients with traumatic SCI were evaluated. Variables were collected through an epidemiological form, which included gender, age at injury, duration and cause of SCI. We investigated SCI epidemiological trends over time including the association between gender and age at injury with SCI features such as etiology, injury severity and level. Results: The mean age at SCI has increased from 26.0 ± 11.8 in patients with SCI before 2003 to 37.9 ± 15.7 in those with SCI after 2009 (p < 0.001). Gunshot wounds were the main cause of injury in patients with SCI before 2003, dropping from 40.6 to 16.9% after 2009 and being surpassed by road traffic injuries (38.6%) and falls (31.4%) after 2009 (p < 0.001). Gender, SCI severity and level have not changed significantly over the time. Conclusions: There was a major increase in the average age of patients as well as changes in the etiology of SCI over the past fifteen years, including a significant decrease in gunshot wounds and an increase in the frequency of road traffic injuries and falls. These changes and accompanying risk factors must be taken into consideration when planning measures to prevent SCI.


2017 ◽  
Vol 14 (2) ◽  
pp. 44-48
Author(s):  
Md. Abdus Salam ◽  
Md. Shafiul Alam ◽  
Kalim Uddin ◽  
Md. Ashraful Haque ◽  
Md. Mahfuzur Rahman ◽  
...  

Background: Extradural haematoma is due to different etiologies.Objectives: The purpose of the present study was to see the etiological factors of extradural haematoma.Methodology: This cross sectional study was conducted in the Department of Neurosurgery at Dhaka Medical College Hospital, Dhaka, Bangladesh from January 2010 to June 2011 for a period of one year and half months. All patients who underwent surgery with traumatic head injury having extradural haematoma were included in the study. At admission, a detailed history of the illness was taken from the patients/patient’s attendants by face-to-face interview with the help of a preformed questionnaire. Questionnaire was prepared with key variables like age, sex and mode of injury.Result: Eighty (80) patients of traumatic head injury within and after 24 hours of head injury were enrolled in this study. 20(25.1%) patients were present in age group of 11 to 20 years. 19(23.8%) patients were in age group of 21-30 years. 20(25.1%) patients were present in age group of 31 to 40 years. Male was predominant than female which was 60(75.0%) cases and 20(25.0%) cases respectively. The most common mode of injury was road traffic accident which was 51(63.7%) cases followed by fall from height and assault which were 16(20.0%) cases and 13(16.3%) cases respectively.Conclusion: In conclusion RTA is the most common cause of extradural haematoma.Journal of Science Foundation, July 2016;14(2):44-48


1970 ◽  
Vol 7 (4) ◽  
pp. 344-350 ◽  
Author(s):  
SK Joshi ◽  
S Shrestha

Background: Injury and violence cause five million deaths annually in the world which is around 9% of the global mortality. Eight out of fifteen leading causes of deaths in the age group 15-25 years are injury related. Objective: The objective of this study was to assess the incidence, severity and socio-economic burden of injuries and violence in two cities of Nepal. Materials and methods: Relevant data was collected from 17th August 2008 to 16th September 2008 from injured patients attending emergency departments at six health centres in two cities. Results: In total, 505 injury cases were reported. 42.5% of the injuries occurred in roads and 34.1% at home. 65% of road traffic injuries involved motorcycles. The majority (60%) of the injured subjects were economically active. A single injury case cost 126.2 US$ including all the expenses and the loss due to inability to work. Conclusion: The high incidence of injuries, especially road traffic injuries, adds a huge economic burden to nation. Key words: disabilities; economic burden; injuries; violence DOI: 10.3126/kumj.v7i4.2752 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 344-350


2016 ◽  
Vol 23 (5) ◽  
pp. 303-308 ◽  
Author(s):  
Conor M McWade ◽  
Melanie A McWade ◽  
D Alex Quistberg ◽  
Candace D McNaughton ◽  
Li Wang ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
pp. 163-166
Author(s):  
Ajmeera Ranga ◽  
Kongara Rajesh

Background: Hollow viscus injuries can be due to traffic accidents, fall from the height, and fall of heavy objects leading to trauma. Abdominal trauma is the most common with Injuries pertaining to Gastro-Intestinal tract from the cardiac end of the esophagus to the anus, gall bladder, and biliary tract and lower genitourinary tract. The aim of the study is to study the modes of trauma, clinical features of hollow viscus injuries, and the diagnosis and management of hollow viscus injuries. Subjects and Methods: This was a hospital-based cross-sectional study. conducted over a period of one year from June 2018 – May 2019. at Department of General Surgery on 90 patients with hollow viscus injury. After initial resuscitation of the trauma victims, a careful history was taken to document any associated medical problem. The collected data was analyzed with respect to the presentation by the patient’s age and sex incidence, etiologies, pathological features, morbidity, and mortality associated with causation and management. The ultrasound and CT- Scan were done to assess the injury and plan accordingly before taking up for the surgery. Results: The majority of the patients belonged to the age group of 21 – 30 years and the least pertaining to the age group of 41 – 50 years of age group. The Incidence in Males is much more than females. The males were 74% and females were 26%. The most common causative agent of hollow viscous injury was a Road traffic accident with 59%. Majority of the patients who were admitted more than 24 hours after the injury, the mortality rate was much higher compared to the patients who were admitted in less than 24 hours of the trauma. Conclusion: HVI is a dangerous condition. High mortality rates represent the seriousness of HVI and related injuries. Patients of HVI should be carefully monitored for associated injuries and complications.


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.


2009 ◽  
Vol 7 (2) ◽  
pp. 92-101 ◽  
Author(s):  
Abdulbari Bener ◽  
Huseyin R. Burgut ◽  
Heba Sidahmed ◽  
Rama AlBuz ◽  
Rahima Sanya ◽  
...  

This study determines the characteristics of Road Traffic Injuries (RTIs) among Qatari drivers and examines the human behavioural and environmental risk factors associated in occurrence of RTIs. This cross sectional survey was conducted in the primary health care centers during the period of February – July 2009. A random sample of 1800 Qatari drivers was approached and 1406 drivers responded and agreed to participate in this study (78.1%). Face to face interview was conducted by well trained research assistants based on a questionnaire. The study revealed that of the studied Qatari drivers (1406), 14.5% of them were injured. Young drivers in the age group (25 – 34) years were more involved in RTIs (35.8%). The RTIs occurred more among male drivers than females with the ratio 1.7:1 (p


2007 ◽  
Vol 14 (02) ◽  
pp. 323-327 ◽  
Author(s):  
MOHAMMAD HUSSAIN KHAN ◽  
Tariq Sohail Babar ◽  
IFTIKHAR AHMED ◽  
Khalid Shakeel Babar ◽  
NIAMATULLAH ZIA

Context : Road traffic accidents are a major yet neglected publichealth problem in developing countries. Trends in motorization indicate an increase in road traffic injuries;furthermore, by 2020, they could rank third in the order of burden of disease Road traffic accidents are an importantyet preventable cause of death and disability in developing countries, like Pakistan. Objective: To explorepreventable aspects of the road traffic accidents. Design: Cross sectional study Setting: Casualty department ofDistrict Head Quarter Teaching hospital Dera Ismail Khan. Patients & Methods: All non-fatal and non-comatosecases of road traffic accidents victims reporting to casualty department were included in the study. The victims ofthe accidents were interviewed to obtain information about circumstances leading to accidents. The informationcollected comprised: time of accidents, nature of injury, narcotic consumption of driver, condition of road andvehicle, safety belts, road signs and vehicle speed beside demographic characteristics of respondents. Results:Age revealed that age group 21-25 years were highly affected 18 % while age group 51-55 years were leastaffected 2 %. Among them were male 76 % and were female 24%. 93 victims belong to rural area ( 62%) while 57were from urban (38%). Among victims, 37% were motorcyclist, 23% bicyclist , 22% motorized two-wheelers and18% bus users. The accidents were more common during the daytime in 100 cases (66%). Fractures of bones wascommon injury in 90 cases (60%) afflicted to the victims followed by multiple injuries like blunt injuries, abrasionsand lacerations. Among victims , only 2% used protective helmets. All helmet users were motorcyclists. No seatbelts were found to have been used by the victims. There was no evidence of any narcotics consumption by thedriver prior to accidents. Conclusion: Road traffic accidents are predictable and preventable but good data isimportant to understand the ways in which road safety interventions can be effective. Cost-effective preventivemeasures can be designed to address this global problem.


Injury ◽  
2019 ◽  
Vol 50 (9) ◽  
pp. 1499-1506
Author(s):  
Pongsakorn Atiksawedparit ◽  
Sasivimol Rattanasiri ◽  
Yuwares Sittichanbuncha ◽  
Mark McEvoy ◽  
Paibul Suriyawongpaisal ◽  
...  

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