Assessment of injury for prediction of in-hospital mortality and outcome of patient injury

2021 ◽  
Vol 71 (10) ◽  
pp. 80-84
Author(s):  
Ульфет Салман оглу Микаилов ◽  
◽  
Джавид Ширали оглу Ахадов ◽  
Keyword(s):  
Hospital Mortality ◽  
Key Words ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Organ Damage ◽  
The Body ◽  
Exclusion Criterion ◽  
Road Traffic Accidents ◽  
Road Traffic Crashes ◽  
And Gender

The present study is a retrospective, descriptive and analytical study that was conducted on 300 patients with multiple trauma, aged 5 to 75 years. Inclusion criteria included the presence of multiple injuries caused by road traffic accidents and other events. The exclusion criterion was injury to only one area of the body. The causes of injury were divided into four categories: 1) injuries from road traffic crashes, 2) injuries caused by falls from a height, 3) injuries caused by assault, and 4) injuries caused by road traffic accidents with pedestrians. The most common cause of hospitalization due to injury in men and women was road traffic injuries, and there was a significant correlation between injury types and gender (p = 0.001). The results showed that 28 injured people (9.3%) died in hospital, with the largest percentage of deaths occurring in the 21 to 33 age group. The results were based on the number of people who died: 7 (25.0%) of them had penetrating injuries, and 21 (75.0%) had blunt injuries. Data analysis showed a significant correlation between mortality and type of injury (p = 0.004). Key words: Key words: trauma, medical assessment, organ damage, patient, trauma outcome, in-hospital mortality

scholarly journals Characteristics of Road Traffic Accident Cases Reported in a Tertiary Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin
Keyword(s):  
Cause Of Death ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Military Hospital ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Road Traffic Crashes

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

scholarly journals ASSESSMENT OF INJURIES IN ROAD TRAFFIC ACCIDENTS ADMITTED TO EMERGENCY DEPARTMENT OF GMCH, BETTIAH, WEST CHAMPARAN, BIHAR

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Arun Kumar Singh
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Health Sector ◽  
Road Traffic Accidents ◽  
Road Traffic Crashes ◽  
Pattern Of Injury ◽  
Traffic Rules

Majority of the world's fatalities on the roads occur in low-income and middle-income countries, even though these countries have approximately half of the world's vehicles. India is no exception and data showed that more than 1.3 lakh people died on Indian roads, giving India the dubious honour of topping the global list of fatalities from road crashes. Road traffic injuries have been neglected from the global health agenda for many years, despite being predictable and largely preventable. Evidence from many countries shows that dramatic successes in preventing road traffic crashes can be achieved through concerted efforts that involve, but are not limited to, the health sector. Hence based on above findings the present study was planned for Assessment of Injuries in Road Traffic Accidents Admitted to Emergency Department of GMCH, Bettiah, West Champaran, Bihar. The present study was planned in Department of Forensic Medicine, Government Medical College, Bettiah, West Champaran, Bihar, India from jan 2018 to Dec 2018.In the present study 20 cases suffered from the road traffic accidents were evaluated for the pattern of injury. A predesigned and pretested questionnaire especially designed for this purpose was used for interviewing the accident victims, either in the emergency itself or in the wards. In India, there are ample risk factors for RTAs to occur because of lack of proper infrastructural facilities, poor designs of roads, improper implementation of traffic rules and a high load of variety of vehicles on the roads.  Road traffic accidents with head injuries are much more common in young working males as compared to females and that to in those who were pedestrians and motor cyclists. The rate of incidence is higher in India because of bad traffic patterns and possibly the lack of awareness about traffic rules and also lack of good hospital services to our victims of RTAs. Keywords: Injuries, Road Traffic Accidents, Emergency Department, GMCH, Bettiah, West Champaran, Bihar, etc.  

scholarly journals Daylight Saving Time Transitions and Road Traffic Accidents

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Tuuli Lahti ◽  
Esa Nysten ◽  
Jari Haukka ◽  
Pekka Sulander ◽  
Timo Partonen
Keyword(s):  
Circadian Rhythm ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The Body ◽  
Road Traffic Accidents ◽  
Time Schedule ◽  
Daylight Saving Time ◽  
Daylight Saving ◽  
The Social ◽  
A Minor

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.

scholarly journals Need for improving the health system preparedness for road traffic injuries in Nepal

2018 ◽  
Vol 8 (3) ◽  
pp. 735-737
Author(s):  
Brijesh Sathian ◽  
Puspa Raj Pant ◽  
Edwin Van Teijlingen ◽  
Indrajit Banerjee ◽  
Bedanta Roy
Keyword(s):  
Air Pollution ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Mass Transportation ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Middle Income ◽  
Road Traffic Crashes ◽  
Middle Income Countries ◽  
Economic Progress

The growth of motorised and mass transportation has improved the lives and lifestyles of many. This economic progress has major drawbacks including: increased air pollution, road traffic crashes/injuries (RTCs/RTIs). Some papers may refer to Road Traffic Accidents or RTAs, but experts recommend the more appropriate to use RTIs. In recent decades the proportion of RTI to all deaths has declined in high-income countries whereas it has risen in many low- and middle-income countries.

scholarly journals Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

2021 ◽  
pp. 65-67
Author(s):  
V.V. Maslyakov ◽  
◽  
Yu.E. Barachevsky ◽  
O.N. Pavlova ◽  
A.V. Pimenov ◽  
...  
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The Body ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Facial Skeleton ◽  
Emergency Medical

The aim of the study is to investigate the organizational aspects of providing emergency medical care to victims of road traffic accidents with injuries of the facial skeleton. Materials and research methods. The study included 75 victims of road accidents that occurred in the city of Saratov in 2010–2019. In the total number of injured men – 42 (56.0%), women – 33 (44.0%). The age of the victims is 18–70 years, the average age is (37.5 ± 6.0) years. The study did not include: victims under the age of 18; victims with neck trauma, damage to the cerebral section of the skull and to other parts of the body. All the victims got medical assistance from the personnel of the ambulance brigades. Covering sheets, outpatient cards and medical records were used as primary documentation. Study criteria: time during which the ambulance was provided; who provided emergency medical care; correctness of its rendering. Research results and their analysis. Analysis of injuries to the facial skeleton showed: injuries of the facial skeleton are an actual pathology in victims of road traffic accidents in Saratov; victims of road accidents got open and closed injuries of the facial skeleton. With closed injuries, moderate and severe injuries were found in 23 (30.7%) victims, with open injuries — in 19 (23.3%) victims; majority (90.7%) of victims of road accidents got high-quality emergency medical aid in a timely manner. In 9.3% of cases, the quality of care was insufficient due to an incorrect assessment of severity of the victims’ condition and, as a consequence, due to non-fulfillment of anti-shock measures; scope of the provision of emergency medical care to victims of road accidents included temporary hemostasis, treatment of wounds and anti-shock measures; from the accident site were evacuated: to level III trauma centers — 24.0% of victims; to level II — 48.0; to level I trauma centers — 28.0% of victims; complications in the form of purulent-septic processes were observed in 16.0% of victims; competent and timely implementation of anti-shock measures determined an insignificant mortality rate — 4.0%.

scholarly journals Study on the Impact of “Gerayo Amahoro Policy” on Road Traffic Accidents Reduction in Rwanda

2021 ◽  
Vol 3 (1) ◽  
pp. 1-9
Author(s):  
JEAN DE DIEU GATESI
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Secondary Data ◽  
Status Report ◽  
Road Traffic Accidents ◽  
Chi Square ◽  
Road Traffic Crashes ◽  
Global Status ◽  
Inclusive Analysis ◽  
The Impact

The global status report on road safety declared that the number of annual road traffic deaths has reached 1.35 million. In Rwanda, considering the raising number of vehicles in line with the economy growth and the above 48.90/000 ratio of deaths per registered vehicles; the lives of people are therefore increasingly exposed to road traffic crashes. This study therefore aims to utilize statistical methods for assessing the impact of Gerayo Amahoro policy on Road Traffic Accidents reduction in Rwanda and propose counter measures that could help the decision makers in minimizing the losses caused by Road Traffic Accidents. secondary data related to road traffic accidents have been collected by using questionnaire from Rwanda National Police with the study period from 2016 up to 2020 inclusive. Analysis was done by using graphics and chi-square methods in excel and SPSS software. The results indicated that GERAYO AMAHORO policy plays the greatest role in reduction of RTAs in Rwanda due to the number of RTAs happened before the implementation of GERAYO AMAHORO which was high as compared to the total number of RTAs after implementation of GERAYO AMAHORO policy. This research conclude that negligence, over speed, bad maneuver and over drunk are mostly causes and responsible for the occurrence of RTAs in Rwanda; indicated that Vehicle types mostly related to RTAs were moto-cycles, cars and 4 wheel vehicles and the mostly victims related to RTAs were moto-cyclists, passengers and pedestrians.

scholarly journals Knowledge, Attitude and Practice Towards Road Traffic Regulations Among University Students, Malaysia

2020 ◽  
Vol 9 (2) ◽  
Author(s):  
Redhwan AA ◽  
Karim AJ
Keyword(s):  
University Students ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Linear Regression Method ◽  
Road Traffic Accidents ◽  
Road Traffic Crashes ◽  
Traffic Regulation

Introduction: Each year, more than 20 million people are injured and 1.17 million are killed due to road traffic accidents. Developing countries account for over 85% of the deaths, and close to 90% of the disability caused by road traffic crashes worldwide. The objectives of this study were to determine the knowledge, attitudes and practice and the factors influencing university students in Malaysia concerning road traffic accident. Materials and Methods: This study was conducted among the students of Management and Science University, Malaysia. The questionnaire was distributed randomly to the students of the Faculty of Health and Life Sciences. Data was analyzed using SPSS version 13, T-test and ANOVA. Results: The total number of 109 students with the mean age of 20.94±1.89 years participated in this study. Approximately 39 (35.7%) of the participant had been involved in one or more than one road traffic accident. About 93.6% of them were very strongly/strongly convinced of seat belts importance. Multivariate analysis using the multiple linear regression method showed that age and attitude were significantly associated with the exposure to the accident. Conclusion: The study participants had moderate knowledge about road traffic regulations and most of them mentioned that high speed, drivers’ lack of awareness about traffic regulation and laws, and drivers’ non-compliance with traffic rules and regulation were the most important cause of road traffic accidents. Almost all students were very strongly/strongly convinced of seatbelts importance. Age and attitude were significantly associated with the exposure to the accident.

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

2020 ◽  
Vol 7 (3) ◽  
pp. 958
Author(s):  
Manzoor Ahmad Bhat ◽  
Qazi Mohammad Iqbal
Keyword(s):  
Cause Of Death ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Public Health Problem ◽  
Injury Pattern ◽  
The Body ◽  
Lower Limbs ◽  
Global Public Health ◽  
Road Traffic Accidents ◽  
Kashmir Valley

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.

scholarly journals FATAL ROAD TRAFFIC ACCIDENTS: 2 YEARS RETROSPECTIVE STUDY

2020 ◽  
pp. 1-2
Author(s):  
Poonam Singh ◽  
Sohan Prasad Choudhary* ◽  
Sumant Kumar Singh
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Systematic Approach ◽  
Preventive Measures ◽  
Road Traffic ◽  
The Body ◽  
Road Traffic Accidents ◽  
Moving Vehicle ◽  
Power Needs ◽  
Mode Of Death

Road Trafc Accident (RTA) can be dened as ,'An event that occurs on a way or street open to public trafc; resulting in one or more persons being injured or killed, where at least one moving vehicle is involved. This study was based on Information on victim's age, gender, educational, occupational, time, place of incidence, type of road, whether victim was pedestrian or any vehicle rider, type of offending vehicle, number of people involved, nature, manner and mode of death, parts of the body involved, nature of injuries etc, were collected from interviews of persons/ policeman accompanying the victim's body and from papers involved in the medico-legal autopsy. It was concluded in present study, that we require preventive measures, a systematic approach needs to be incorporated to minimize deaths. More man power needs to be trained and educated to meet these needs.

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