scholarly journals CEDERA AKIBAT KECELAKAAN LALU LINTAS DI KOTA MANADO

2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Erwin Kristanto ◽  
Johannis Mallo ◽  
Aria Yudhistira

Abstract: Nowadays, the incidence of traffic accidents increases annually. Injuries caused by traffic accidents show specific patterns, which differ from that of injuries due to other causes. Information of injury patterns due to accidents can be very useful in the management of treatment. The aim of this retrospective study is to describe the kinds of injuries in autopsied victims due to traffic accidents, which were autopsied, and in some cases handled in Prof.dr.R.D.Kandou Manado General Hospital from 2004 until 2008.  The results showed that 77.7% of deaths were due to traffic accident head injuries, and 22.2% to chest injuries. We observed that they had obvious internal organ damage, especially in the abdomen, which observation could not have been predicted just from external examination.  Therefore, it can be concluded that not only deaths by traffic accidents, but all fatalities should undergo autopsy to verify the exact cause of death. Keywords: injury pattern, retrospective study, forensic autopsy     Abstrak: Angka kecelakaan lalu lintas tiap tahun meningkat. Cedera yang ditimbulkan memiliki pola tertentu yang berbeda dengan cedera akibat kekerasan lain. Informasi mengenai pola cedera pada kecelakaan lalu lintas dapat digunakan dalam pengobatan. Studi retrospektif ini mendeskripsi-kan cedera yang ditemukan pada autopsi korban kecelakaan lalu lintas di rumah sakit umum Prof.dr.R.D Kandou di Manado, periode tahun  2004 – 2008. Hasil survei menemukan bahwa 77,7% kasus kematian akibat kecelakaan lalu lintas disebabkan oleh cedera kepala, dan 22,2 % akibat cedera pada dada. Dari pengamatan penulis tampak dengan jelas kerusakan organ dalam, terutama pada perut tidak dapat diperkirakan hanya dengan pemeriksaan luar mayat. Perlu dipikirkan bersama agar dapat diciptakan kondisi di mana korban meninggal pada kasus kecelakaan lalu lintas maupun untuk kasus yang lain dapat menerima pelayanan autopsi forensik. Kata kunci: Pola cedera, studi retrospektif, autopsi forensik

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


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Ana Maria Ribeiro dos Santos ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
Marina Aleixo Diniz

ABSTRACT Objective: to analyze cases of trauma caused by traffic accidents in elderly individuals assisted at a reference municipal emergency hospital in 2010 and 2011. Method: longitudinal retrospective study was developed at an emergency hospital and a Traffic Accidents Repression Station, with 524 elderly individuals. All variables were submitted for descriptive analysis. Risk of involvement in accidents, occurrence of injury and death were determined using relative risk. Results: a statistically significant association was found in accidents with injuries when motorcycles were the vehicle that ran over the individual. Associations were also found between men and the occurrence of accidents, injury and death, mainly among younger elderly individuals. Most of the 524 elderly individuals who suffered an accident were men, married and had elementary school level education. Of these, 78.6% presented with injuries, with the majority of them being pedestrians. Conclusion: among younger elderly individuals, the possibility of death as a result of the injury was 3.4 times higher in 2010.


2021 ◽  
Vol 10 (15) ◽  
pp. 3359
Author(s):  
Emilian Spörri ◽  
Sascha Halvachizadeh ◽  
Jamison G. Gamble ◽  
Till Berk ◽  
Florin Allemann ◽  
...  

Background: Electric bicycles (E-bikes) are an increasingly popular means of transport, and have been designed for a higher speed comparable to that of small motorcycles. Accident statistics show that E-bikes are increasingly involved in traffic accidents. To test the hypothesis of whether accidents involving E-bikes bear more resemblance to motorcycle accidents than conventional bicyclists, this study evaluates the injury pattern and severity of E-bike injuries in direct comparison to injuries involving motorcycle and bicycle accidents. Methods: In this retrospective cohort study, the data of 1796 patients who were treated at a Level I Trauma Center between 2009 and 2018 due to traffic accident, involving bicycles, E-bikes or motorcycles, were evaluated and compared with regard to injury patterns and injury severity. Accident victims treated as inpatients at least 16 years of age or older were included in this study. Pillion passengers and outpatients were excluded. Results: The following distribution was found in the individual groups: 67 E-bike, 1141 bicycle and 588 motorcycle accidents. The injury pattern of E-bikers resembled that of bicyclists much more than that of motorcyclists. The patients with E-bike accidents were almost 14 years older and had a higher incidence of moderate traumatic brain injuries than patients with bicycle accidents, in spite of the fact that E-bike riders were nearly twice as likely to wear a helmet as compared to bicycle riders. The rate of pelvic injuries in E-bike accidents was twice as high compared with bicycle accidents, whereas the rate of upper extremity injuries was higher following bicycle accidents. Conclusion: The overall E-bike injury pattern is similar to that of cyclists. The differences in the injury pattern to motorcycle accidents could be due to the higher speeds at the time of the accident, the different protection and vehicle architecture. What is striking, however, is the higher age and the increased craniocerebral trauma of the E-bikers involved in accidents compared to the cyclists. We speculate that older and untrained people who have a slower reaction time and less control over the E-bike could benefit from head protection or practical courses similar to motorcyclists.


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Feibyg Theresia Lumandung ◽  
James F. Siwu ◽  
Johannis F. Mallo

Abstrack: Traffic accidents lately occur anywhere and are already familiar. Most accidents are motor accident with head injury, where it can lead to death. This research isto describe the victim died with a head injury in a traffic accident forensics section BLU Prof.Dr.R.D.Kandou Hospital Manado period 2011-2012. In this study, researcher uses retrospective descriptive method. Datawere collected from medical records of all cases of accidents in the years 2011-2012. The conclusion ofthis research, cases of traffic accidents with head injuries are more prevalent than others, most especially in the region of the temporal head injury can effect to death. Researcher suggests that tightened regulations in traffic and further enhanced prevention efforts from the government, police, and medical teams. Keyword : head injury, traffic accident    Abstrak: Kecelakaan lalu lintas akhir-akhir ini terjadi dimana saja dan sudah tidak asing lagi. Kasus kecelakaan terbanyak adalah kecelakaan bermotor dengan cedera kepala, dimana hal ini dapat mengakibatkan kematian. Penelitian ini untuk mengetahui gambaran korban meninggal dengan cedera kepala pada kecelakaan lalu lintas dibagian forensik BLU RSUP Prof.Dr.R.D.Kandou Manado periode tahun 2011-2012. Dalam penelitian ini peniliti, menggunakan metode deskriptif retrospektif. Data penelitian dikumpulkan dari rekam medik seluruh kasus kecelakaan di tahun 2011-2012.Kesimpulan dari penelitian ini, kasus kecelakaan lalu lintas dengan cedera kepala lebih banyak terjadi dari cedera lainnya, khusunya paling banyak cedera kepala di regio temporalis yang dapat mengakibatkan kematian. Peneliti menyarankan agar lebih diperketat lagi peraturan-peraturan dalam berlalu lintas dan lebih ditingkatkan lagi berbagai usaha pencegahan dari pihak pemerintah, kepolisian, dan tim medis. Kata kunci :Cedera kepala, kecelakaan lalu lintas.


e-CliniC ◽  
2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Septyano Sondakh ◽  
James F. Siwu ◽  
Johannis F. Mallo

Abstract: In Prof. Dr. R. D. Kandou Hospital, the incidence of clinical forensic cases of living people mainly caused by traffic accidents increases sharply along with the increasing number of visum et repertum (VeR) requests. This study aimed to determine the prevalence VeR of living people with traffic accidents during 2013. Secondary data were obtained from January to December 2013 at the the emergency unit of Prof. Dr. R. D. Kandou Hospital. This was a descriptive and retrospective study. Data contained the characteristics of patients, including: sex, age, and cause of the accident. The result showed that during the year 2013 the prevalence of living people VeR caused by traffic accidents was the highest in April (11.57%), dominated by males (80.55%), the age group of 15 -24 years old (37.79%), with the cause of accident injured driver due traffic accident (60.54%).Keywords: prevalence, living people VeR, traffic accidentAbstrak: Di Badan Layanan Umum (BLU) Rumah sakit Prof. Dr. R. D. Kandou Bagian Instalasi Gawat Darurat (IGD), angka kejadian kasus forensik klinik (Orang hidup) terutama yang disebabkan oleh kecelakaan lalu lintas (KLL) meningkat tajam seiring dengan semakin banyaknya permintaan visum et repertum (VeR). Penelitian ini bertujuan untuk mengetahui angka prevalensi VeR orang hidup yang disebabkan oleh KLL selama tahun 2013 melalui data sekunder di IGD BLU RSUP Prof. Dr. R. D. Kandou, yang dilihat dari karakteristik jenis kelamin, umur, dan jenis penyebab kecelakaan. Penelitian ini bersifat retrospektif deskriptif. Hasil penelitian memperlihatkan bahwa selama tahun 2013 mulai bulan Januari sampai Desember angka prevalensi VeR orang hidup yang disebabkan oleh KLL tertinggi pada bulan April (11,57%) yang didominasi oleh laki-laki (80,55%) dengan umur terbanyak pada interval 15-24 tahun (37,79%) dengan jenis penyebab kecelakaan terbanyak ditemukan driver injured in traffic accident (60,54%).Kata kunci: prevalensi, visum et repertum orang hidup, KLL


2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
E Spörri ◽  
H -C Pape ◽  
T Rauer

Abstract Objective Electric bicycles (E-bikes) are an increasingly popular means of transport, especially in the current Covid-19 pandemic situation. Accident statistics show that E-bikes are growingly involved in traffic accidents. This study evaluates the injury pattern and severity of E-bike injuries in direct comparison to injuries in motorcycle and bicycle accidents. Methods In a retrospective cohort study, the data of 1796 patients who were treated at a Level I Trauma Center between 2009 and 2018 due to traffic accident, involving bicycles, E-bikes or motorcycles, were evaluated and compared with regard to injury patterns and injury severity. Accident victims treated as inpatients with at least 16 years of age were included in this study. Pillion passengers and outpatients were excluded. Results The following distribution was found in the individual groups: 67 E-bike, 1141 bicycle and 588 motorcycle accidents. The injury pattern of E-bikers resembled that of bicyclists much more than that of motorcyclists. The patients with E-bike accidents were almost 14 years older and had a higher incidence of moderate traumatic brain injuries than patients with bicycle accidents. Considering the E-bike riders wore nearly twice as often a helmet as bicycle riders. In comparison, the motorcyclists involved in an accident had fewer facial injuries, but more frequent and more serious injuries to the spine, abdomen and lower extremities. Conclusion The overall E-bike injury pattern is similar to that of cyclists. The differences in the injury pattern to motorcycle accidents could be due to the higher speeds at the time of the accident, the different protection and vehicle architecture. What is striking, however, is the higher age and the increased craniocerebral trauma of the E-bikers involved in accidents compared to the cyclists. Older and untrained people who have a slower reaction time and less control over the E-bike could benefit from head protection or practical courses similar to motorcyclists.


2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Jessica R. Labora ◽  
Erwin G. Kristanto ◽  
James F. Siwu

Abstract: Traffic accident is the most frequent cause of death. Chest injury is the third rank in traumatic cases due to traffic accident. This study aimed to obtain chest injury pattern due to traffic accident that led to death in the Forensic and Medicolegal Departement at Prof. Dr. R. D. Kandou Hospital Manado from Januari 2013 to Januari 2014. This was a retrospective descriptive study. Data were collected from the medical record of traffic accident cases. The results showed that there were 85 cases of traffic accidents during the time period, however, only 23 cases had visum et repertum. There were 7 death cases due to chest injuries. Their ages ranged from 17 to >65 years, mostly at the age of 17-25 years.  Males were the most frequent (71.43%).  The most commonly found wounds were opened wounds and blisters (each was 28.58%), followed by bruises and fractures (each was 14.28%). Pattertns of left and right injuries of the chest did not differ much. Most victims were drivers (42.8%). Conclusion: Chest injuries that led to deaths were more frequent among drivers, males, and aged 17-25 years. Keywords: chest injury, traffic accident.   Abstrak: Kecelakaan lalu lintas (KLL) masih menjadi salah satu penyebab utama kematian dengan angka kejadian yang cukup tinggi. Cedera toraks menduduki peringkat ketiga terbanyak pada kasus trauma akibat kecelakaan lalu lintas. Penelitian ini bertujuan untuk mengetahui pola cedera toraks pada kecelakaan lalu lintas yang menyebabkan kematian di Bagian Forensik dan Medikolegal RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2013-Januari 2014. Penelitian ini menggunakan metode deskriptif retrospektif. Data dikumpulkan dari rekam medik seluruh kasus kecelakaan lalu lintas di tahun 2013-2014. Hasil penelitian memperlihatkan dari 85 kasus korban KLL hanya 23 kasus yang dilakukan visum et repertum, dan terdapat 7 kasus yang meninggal dengan cedera toraks. Usia korban berkisar 17 sampai dengan >65 tahun, terbanyak pada usia 17-25 tahun serta jenis kelamin laki-laki (71,43%).  Pola luka yang tersering terjadi ialah luka terbuka dan luka lecet (masing-masing 28,58%), diikuti oleh luka memar, dan patah tulang (masing-masing 14,28%). Pola cedera pada toraks sebelah kiri dan kanan tidak banyak berbeda. Peran korban terutama sebagai pengemudi (42,8%). Simpulan: Korban KLL dengan cedera toraks yang menyebabkan kematian paling banyak terjadi pada pengemudi, jenis kelamin laki-laki, dan berusia 17-25 tahun. Kata kunci: cedera toraks, kecelakaan lalu lintas.


2021 ◽  
Vol 12 (1) ◽  
pp. 56-65
Author(s):  
Lusianawaty Tana ◽  
Delima Delima ◽  
Nunik Kusumawardani ◽  
Lely Indrawati

Background: Nationally, the prevalence of injuries tends to increase from 7.5% in 2007, 8.2% in 2013, and 9.2% in 2018. The main cause of injuries is motorcycle accidents (40.6%), which most occur on the highway (42.8%). This is a further analysis of Indonesia Basic Health Research (Riskesdas) 2018 data, to assess the role of  sociodemography on helmet use behavior and head injuries due to traffic accident.   Methods: The 2018 Basic Health Research was a cross-sectional research, based on data from individuals aged 5 years old and above, who analyzed with helmet use behavior and the incidence of head injuries due to traffic accident as dependent variables. The independent variables consist of sociodemographic characteristics, the role of individual in accident, and the impact of the accident. The data were analyzed by bivariate and multivariate, and taking into account the complex sample in 5% confidence level. Results: The results showed that 44.4% from 19122 individuals aged five years old and above had good behavior in using helmets. The determinants of helmet use behavior were age, gender, education, occupation, economic status, location and area of residence (adjusted OR 1.15—4.5; p≤0.02). The result from14.1% of respondents who had a head injuries caused by traffic accidents. The risk of head injuries due to traffic accidents was 1.17 times (95% CI  1.02—1.35; p 0.03) in the unhelmeted group compared to the helmeted group.  Conclusion: Helmet use behavior is connected with the reduction of head injuries due to traffic accidents. Counseling and monitoring of helmet use is need to be improved, especially for the youth category. Keywords: head injury,  traffic accident, helmet use   Abstrak Latar belakang: Secara nasional, prevalensi cedera cenderung meningkat dari 7,5 % pada tahun 2007, 8,2 % pada 2013, dan 9,2 % pada 2018. Penyebab utama dari cedera adalah kecelakaan bermotor (40,6 %), dan kebanyakan terjadi di jalan raya (42,8 %). Ini merupakan analisis lanjut data Riset Kesehatan Dasar (Riskesdas) 2018 untuk menilai peran sosiodemografi terhadap perilaku penggunaan helm dan hubungan perilaku penggunaan helm dengan cedera kepala akibat kecelakaan lalu lintas. Metode: Riskesdas 2018 adalah riset potong lintang. Data individu umur 5 tahun ke atas dianalisis dengan perilaku penggunaan helm dan kejadian cedera kepala akibat kecelakaan lalu lintas sebagai variabel terikat. Variabel bebas terdiri dari karakteristik sosiodemografi, peran individu dalam kecelakaan, dan dampak kecelakaan.  Data dianalisis secara bivariat dan multivariat dengan memperhitungkan complex sample dan 5 % tingkat kepercayaan. Hasil: Hasil menunjukkan bahwa 44,4% dari 19.122 individu umur 5 tahun ke atas mempunyai perilaku yang baik dalam menggunakan helm. Determinan perilaku penggunaan helm adalah umur, jenis kelamin, pendidikan, pekerjaan, status ekonomi, lokasi dan area tempat tinggal (adjusted OR 1,15—4,5; p≤0,02). Sejumlah 14,1% individu mengalami cedera kepala akibat kecelakaan lalu lintas. Risiko cedera kepala pada individu yang tidak menggunakan helm sebesar 1,17 kali (95% CI  1,02—1,35; p 0,03) dibandingkan dengan individu yang menggunakan helm.    Kesimpulan: Perilaku penggunaan helm berhubungan dengan penurunan cedera kepala akibat kecelakaan lalu lintas. Penyuluhan dan pemantauan penggunaan helm perlu ditingkatkan terutama pada kelompok remaja. Kata kunci: cedera kepala, kecelakaan lalu lintas, penggunaan helm


2020 ◽  
Vol 9 (10) ◽  
pp. 3175
Author(s):  
Alberto Casati ◽  
Stefano Granieri ◽  
Stefania Cimbanassi ◽  
Elisa Reitano ◽  
Osvaldo Chiara

Falls from height (FFH) represent a distinct form of blunt trauma in urban areas. This study aimed to identify independent predictors of in-hospital mortality after accidental or intentional falls in different age groups. We conducted a retrospective study of all patients consecutively admitted after a fall in eight years, recording mechanism, intentionality, height of fall, age, site, classification of injuries, and outcome. We built multivariate regression models to identify independent predictors of mortality. A total of 948 patients with 82 deaths were observed. Among the accidental falls, mortality was 5.2%, whereas intentional jumpers showed a mortality of 20.4%. The death rate was higher for increasing heights, age >65, suicidal attempts, and injuries with AIS ≥3 (Abbreviated Injury Scale). Older patients reported a higher in-hospital mortality rate. Multivariate analysis identified height of fall, dynamic and severe head and chest injuries as independent predictors of mortality in the young adults’ group (18–65 years). For patients aged more than 65 years, the only risk factor independently related to death was severe head injuries. Our data demonstrate that in people older than 65, the height of fall may not represent a predictor of death.


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