scholarly journals Epidemiologic Profile of Vehicular Accident Patients in the Largest Hospital in the Philippines Covering Ten Years

2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Jinky Leilanie Lu ◽  
Teodoro J. Herbosa ◽  
Sophia Francesca D. Lu
Keyword(s):  
Patient Outcome ◽  
Brain Injuries ◽  
Neck Region ◽  
Road Transport ◽  
The Philippines ◽  
Road Crashes ◽  
The Road ◽  
Metro Manila ◽  
Road Crash ◽  
Clinical Records

Introduction. Globally, the number of people who die from road crashes continues to rise, reaching a high of 1.35 million in 2016. Due to this continued increase in fatalities and injuries within the road transport system, especially in low- and middle-income countries, 2011 to 2020 was declared by the United Nations General Assembly in 2010 as the Decade of Action for Road Safety. Objectives. This study looked into the epidemiology of road crashes and injuries in Metro Manila over ten years, from 2008-2017, from data gathered at the Department of Surgery of the Philippine General Hospital (PGH). Method. A retrospective review of patients’ clinical records was conducted to describe the epidemiology of road crash cases in the Trauma Division, Department of Surgery of the PGH. Clinical records of the road crash patients admitted to the division over the ten years, January 1, 2008, to December 31, 2017, were extracted from the Integrated Surgical Information System (ISIS). Results. A total of 422 patients were admitted to the PGH Department of Surgery and recorded in the ISIS database, from 2008 to 2017, who suffered from road crashes in Metro Manila. Most of these patients (80.8%) were male. The mean age of patients was 32.4 years. The highest number of admissions (27.5%) and road crash deaths (6.9%) were in 2016; the highest number was from the city of Manila (26.7%), and most happened at nighttime (61.8%) between 6:00 PM and 5:59 AM. Throughout the years, motorcycle (52.8%) was the vehicle type involved. Among patients with helmet use information, 65.4% were not wearing helmets, 91.2% had a history of alcohol intake. The majority incurred multiple injuries (82.7%), with the external region (53.8%) as the most common. Patients who sustained injuries to their head and neck region were five times more likely to die and six times more likely to have an unchanged patient outcome than those who did not have these injuries. Patients who had a GCS of 8 and below or those who had severe brain injuries were eight times more likely to die and six times more likely to have an unchanged patient outcome. Conclusion. This study looked into the epidemiology of road crash cases admitted to the Surgery Department of the PGH. Road crash injuries and deaths remain a growing concern among the citizens of Metro Manila. It is hoped that the results of this study will provide policymakers with an objective and data-driven perspective on road crashes.

scholarly journals Analysis of Human Error as a Factor in Road Crash in Metro Manila (2005-2015)

2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Sophia Francesca D. Lu ◽  
Jinky Leilanie Lu
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Human Error ◽  
Road Traffic ◽  
The Philippines ◽  
Human Errors ◽  
Road Crashes ◽  
Metro Manila ◽  
Road Crash ◽  
Adjusted Residual

Introduction. In the Philippines, data on road traffic injuries show that road injury is the 11th leading cause of premature deaths in the Philippines. The World Health Organization estimates that 1.24 million die globally due to road traffic crashes. Objectives. This study aimed to show the trend of the road crash situation in Metro Manila, Philippines, over eleven years (2005–2015) and to analyze human error and other associated hazard factors for road crashes. Methods. This study is a secondary analysis of an 11-year database culled from 2005–2015, for Metro Manila, Philippines. The variables included road crash classification, incidence over months and time of the day, road crash disaggregated by location, region, and city, and type of vehicle. Descriptive statistics were used to describe the incidence of a road crash, road crash fatalities, and risk factors associated with a road crash in Metro Manila. Results. The incidence of road crashes in Metro Manila has increased from 65,111 in 2005 to 95,615 in 2015. Fatalities also increased from 348 to 536. The most predominant type of vehicle involved in road crashes were cars from 46% to 67%, followed by jeepneys, vans, and motorcycles. The most commonly reported human errors were speeding, inattentive and bad turning. The reported percentage of speeding from 2005–2010 ranged between 32% and 58%. In 2014, speeding (96%) was the most reported human error among the other reported errors; such as inattentiveness (range, 28 to 41%) and bad turning (0.6% and 33%). Fatigue and traffic violation made up 0.02% to 0.45% of the reported human factors of road crash-related hospitalization cases in Metro Manila for the period. Suspected alcohol use accounted for 0.04% to 4.57% of the human errors reported. For non-fatal and fatal crashes, the associated human errors were suspected alcohol use, inattentiveness, and speeding. The highest adjusted residual for both fatal and non-fatal (injurious) crashes was for inattentiveness. Human error was associated with years, suggesting that for some years, the number of crashes caused by human errors is significantly higher than expected. Alcohol-suspected crashes are significantly higher than expected for 2005 and 2011, with 2011 having the highest adjusted residual. Inattentiveness-caused crashes were significantly higher than expected for years 2005 to 2010, with 2007 having the highest adjusted residual. Bad turning was significantly higher from 2005 to 2007; while disobedience was significantly higher for 2005 to 2008. Speeding was significantly higher than expected from 2005 to 2010. Conclusion. There is a need to address the public health concern posed by road crashes in Metro Manila, as well as to rectify the ergonomically related risk factors and human error components in a road crash.

scholarly journals Brainy Road Accident Mitigation System

2021 ◽  
Vol 9 (VIII) ◽  
pp. 249-251
Author(s):  
Dr. B. M. Vidyavathi
Keyword(s):  
Road Safety ◽  
Large Scale ◽  
Road Transport ◽  
Road Accident ◽  
Road Accidents ◽  
Road Crashes ◽  
The Road ◽  
Road Crash ◽  
On The Road ◽  
The City

Many precious lives are lost due to road accidents because of over speeding and negligent driving every day. This is the matter of great concern for departments that deal with road safety and for the citizens. It is estimated that 80% of crashes and 65% of near collisions are due to driver’s lack of attention to traffic for three seconds before the event. The number of road crash deaths has increased by 31% from 2007 to 2017. As per the survey on the road accidents in India, according to the Ministry of Road Transport and Highways, 1, 50,785 people were killed and another 4, 94,624 were injured in 4, 80,652 road crashes in India in 2016. Now day’s accidents are taking place at large scale. Majority of the accidents occurs due to the over speeding of vehicles, though there are speed limiting boards placed at the roadside of highways also at the road side in the city. But none of vehicles (drivers) follows the speed mentioned in the speed limit boards, due to which accidents occurs.

scholarly journals P.3.19 Effect of occupational work and safety issues on road crash injuries in the philippines

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A101.2-A101
Author(s):  
Sophia Francesca Lu
Keyword(s):  
Drunk Driving ◽  
Work Conditions ◽  
The Philippines ◽  
Public Utility ◽  
Traffic Density ◽  
Work Schedule ◽  
Road Crashes ◽  
The Road ◽  
Metro Manila ◽  
On The Road

BackgroundThis study looked at occupational road crashes and work schedule among truck and bus drivers in comparison to other drivers and motorists on the road of Metro manila which is one of the cities globally with a high traffic density. One of the most precarious work occupations is driving especially buses used for public transportation, and trucks for commercial activities. This is most astute in the metrolopolis.MethodsThe study used meta-analysis of previous studies conducted, grey literature, government statistics, and validation through key database research in concerned national government agencies involved in road traffic from 2010–2015.ResultsThe study found that the in terms of the number of public utility vehicles registered in Metro Manila (2015), 51.27% were buses and 20.21% were trucks. Majority of the drivers worked more than 12 hours a day. In terms of time and peak of accidents, it is alarming to note that about 35% of the road crashes occurred from 22–23 gmt (2010–2015), and 30% from 23–24 (2010–2015) gmt. Human error accounted for the overwhelming cause of road crashes such as drunk driving, beating the red light, sleepiness, accounting for 99.52% in 2012, 99.47% in 2013, 95.33% in 2014, and 97.19% in 2015. Majority of the drivers worked over prolonged hours on the road that may cause fatigue and sleepiness which are the highest risk factor to road accident based on the study.ConclusionThe study has shown how risky driving is as an occupation especially due to the work schedule and work issues. The study suggests developing better information, education and communication campaign as well as policies particularly on work conditions favorable to bus and truck drivers, and likewise, considering work schedule in road safety among drivers which composes one of the risky occupations.

Bataan-Cavite Interlink Bridge, Philippines – a new 32 km sea crossing

2021 ◽  
Author(s):  
Sammy Yip ◽  
Steve Kite ◽  
Paresh Vishnoi ◽  
Vikas Venkatesha
Keyword(s):  
Economic Growth ◽  
Feasibility Study ◽  
The Philippines ◽  
Preliminary Design ◽  
The Road ◽  
Metro Manila ◽  
To Come ◽  
Optimum Solution

<p>Bataan-Cavite Interlink Bridge (BCIB) in the Philippines is a proposed 32km sea-crossing which will connect Bataan to Cavite, to unlock opportunity for economic growth and expansion outside Metro Manila. A Feasibility Study was carried out to plan the road link, which would involve two major navigation bridges, long marine viaducts, and interchange connections. This paper outlines the Feasibility Study and the preliminary design of the crossing, and highlights how the bridge options were assessed in order to come up with an optimum solution.</p>

scholarly journals Assessment of traffic safety at median openings using surrogate safety measures: a case study in India

2020 ◽  
Vol 80 (ET.2020) ◽  
pp. 1-12
Author(s):  
Malaya Mohanty
Keyword(s):  
Developing Countries ◽  
Traffic Safety ◽  
Transportation Engineering ◽  
Crash Data ◽  
Road Crashes ◽  
The Road ◽  
Sight Distance ◽  
Traffic Volumes ◽  
Road Crash ◽  
Stopping Sight Distance

Traffic safety is an integral part of transportation engineering. In developing countries, its importance is even more. Additionally, at uncontrolled median openings, the severity of road crashes increase many fold. Conventionally, road crash data were used to analyse safety. However, in developing countries, the accuracy of this data is highly questionable. Therefore, in this study, a new technique in addition to post encroachment time (PET), which is a surrogate safety measure is used to predict the severity of probable road crashes at median openings. After the extraction of PET values from field data, they have been compared with the minimum braking times obtained from calculation of minimum stopping sight distance. The comparison shows that while the number of road crashes may be less at lower traffic volume levels, however the severity of those crashes is much higher as compared to the road crashes occurring at high traffic volumes.

scholarly journals Anti-Glare Headlamp a Safe Option for Better Vision to the Rider

2019 ◽  
Vol 8 (9S2) ◽  
pp. 672-678
Keyword(s):  
Road Transport ◽  
Human Vision ◽  
Color Film ◽  
The Road ◽  
Fatal Crash ◽  
Road Crash ◽  
On The Road ◽  
Halogen Bulb ◽  
Novel Concept ◽  
Contrast Reduction

As per the Ministry of Road Transport and Highways report 2018, every day around 410 road fatalities in India, which is one of the highest road crash fatalities in the world. Evaluations show that an average of 1% of nighttime fatal crash lists glare as a major contributor factor. On the multilane highway, vehicle with high glared headlamp light disturbs the approaching motorist eyes due to which the vision of the motorist gets indistinct for a few seconds causing accidents on the road. In the present work, a novel concept of an anti-glare headlamp is proposed to avoid the temporary blindness of the motorist due to momentary high glares from approaching vehicles. The antiglare film reduces glare and halos around headlamp light at night and eliminates unattractive reflections on the eyes. A successful attempt is made to analyze the visibility of objects in a scene by inspecting contrast reduction caused by the illuminance contribution. Our visualization of scenes with the cover-up veiling illuminance gives a good indication of the visual problems that might occur, but the images are not exactly what people perceive when observing the scene in reality. In the present study, after number of samples, it has found that that the mixture of yellow and green color film combination on halogen bulb headlamp will give a good vision to the rider as well as glare-free effect to the approaching motorist. Visualizations with the proposed method can still improve the understanding of human vision so that visual aspects can be taken into account in design and quality assurance of head lamp.

scholarly journals Orthopaedic trauma from road crashes: is enough being done?

2009 ◽  
Vol 33 (1) ◽  
pp. 72 ◽  
Author(s):  
Lachlan H Donaldson ◽  
Kathryn Brooke ◽  
Steven G Faux
Keyword(s):  
Inpatient Rehabilitation ◽  
Cost Of Care ◽  
Outpatient Rehabilitation ◽  
Road Crashes ◽  
The Road ◽  
Road Crash ◽  
The Mean ◽  
The Cost ◽  
The Impact

A file review of patients presenting to the Emergency Department of St Vincent?s Hospital with fractures sustained in a road crash was completed to describe patterns of orthopaedic injury, acute intervention and separation as well as the cost of care for adult road crash victims. One-hundred and eighty-seven patients were included. 65.8% were male; 48.1% were pedestrians. Differing patterns of injury corresponded to the role of the patient in the road crash (eg, pedestrian, driver of vehicle, etc). The mean length of stay was 8.8 days. 35.2% of patients were prescribed a different analgesic at discharge to that which they had received in the previous 24 hours. 35.8% had a documented discussion regarding insurance matters, usually with a social worker. 11.9% were discharged to inpatient rehabilitation. 56.2% had orthopaedic follow- up arranged at discharge, while 4.8% were discharged to an outpatient rehabilitation clinic. The mean overall cost was $13 336, with patients aged over 65 costing the most. The quality of acute care for fractures sustained in road crashes could be improved with evidencebased analgesia management, increased screening for psychiatric sequelae, enhanced assistance with insurance matters and vocational issues, and closer follow-up. Further research into the impact of these factors on long-term recovery is warranted.

scholarly journals GENERAL FEATURES OF ROAD CRASHES IN CLUJ COUNTY, ROMANIA. SPATIALITY AND CAUSALITY

2021 ◽  
Vol 5 (1) ◽  
pp. 99-123
Author(s):  
Vasile ZOTIC ◽  
Diana-Elena ALEXANDRU ◽  
István-Oliver EGRESI
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Road Safety ◽  
Negative Impact ◽  
Relative Increase ◽  
Road Crashes ◽  
The Road ◽  
Road Crash ◽  
Road Type ◽  
Urban And Rural Areas

Road crashes have become a serious issue, and their negative impact, both socially and economically, has been subject to policies and programmes worldwide as well as a research topic for numerous studies in various fields. The present study aims to identify and demonstrate the persistence of certain features related to the occurrence and location of road crashes in Cluj County, Romania, which is a territory recording a constant high road crash incidence in the last decade. We used descriptive statistics to illustrate the key features of road crashes occurring in urban and rural areas, by road type, within the administrative territory of Cluj County, Romania. The analysis was focused on four main aspects: causes, effects in terms of persons injured and deaths, occurrence by road type, and location within and outside urban areas. The years 2019, 2009, and 2018 were considered as reference moments for the values recorded for all indicators in the analysis. Results showed a general trend of decrease in road crash incidence in 2019 compared to 2009, which was also confirmed by the absolute and relative increase in the period 2018-2019. The most significant decrease was found in the number of deaths, especially in the case of road cras h e soccurring on national roads and urban streets, where the incidence is still quite high. However, when ranked considering the number of crashes caused, we noted the persistence of certain categories of triggering factors for the high incidence of road crashes related to both drivers and pedestrians. Road safety is very much related to the behaviour of all participants in traffic and not so much to the road infrastructure and quality, although road capacity may be a triggering factor for drivers’ behaviour. Further measures are needed to enhance road safety and meet the European target of halving the road crash number and fatalities until 2020 and in the next decade.

scholarly journals Exploring European Heavy Goods Vehicle Crashes Using a Three-Level Analysis of Crash Data

2022 ◽  
Vol 19 (2) ◽  
pp. 663
Author(s):  
Ron Schindler ◽  
Michael Jänsch ◽  
András Bálint ◽  
Heiko Johannsen
Keyword(s):  
System Development ◽  
Information Access ◽  
The European Union ◽  
Crash Data ◽  
Road Crashes ◽  
The Road ◽  
Passive Safety Systems ◽  
Road Crash ◽  
Causation Analysis ◽  
Level Analysis

Heavy goods vehicles (HGVs) are involved in 4.5% of police-reported road crashes in Europe and 14.2% of fatal road crashes. Active and passive safety systems can help to prevent crashes or mitigate the consequences but need detailed scenarios based on analysis of region-specific data to be designed effectively; however, a sufficiently detailed overview focusing on long-haul trucks is not available for Europe. The aim of this paper is to give a comprehensive and up-to-date analysis of crashes in the European Union that involve HGVs weighing 16 tons or more (16 t+). The identification of the most critical scenarios and their characteristics is based on a three-level analysis, as follows. Crash statistics based on data from the Community Database on Accidents on the Roads in Europe (CARE) provide a general overview of crashes involving HGVs. These results are complemented by a more detailed characterization of crashes involving 16 t+ trucks based on national road crash data from Italy, Spain, and Sweden. This analysis is further refined by a detailed study of crashes involving 16 t+ trucks in the German In-Depth Accident Study (GIDAS), including a crash causation analysis. The results show that most European HGV crashes occur in clear weather, during daylight, on dry roads, outside city limits, and on nonhighway roads. Three main scenarios for 16 t+ trucks are characterized in-depth: rear-end crashes in which the truck is the striking partner, conflicts during right turn maneuvers of the truck with a cyclist riding alongside, and pedestrians crossing the road in front of the truck. Among truck-related crash causes, information admission failures (e.g., distraction) were the main crash causation factor in 72% of cases in the rear-end striking scenario while information access problems (e.g., blind spots) were present for 72% of cases in the cyclist scenario and 75% of cases in the pedestrian scenario. The three levels of data analysis used in this paper give a deeper understanding of European HGV crashes, in terms of the most common crash characteristics on EU level and very detailed descriptions of both kinematic parameters and crash causation factors for the above scenarios. The results thereby provide both a global overview and sufficient depth of analysis of the most relevant cases and aid safety system development.

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

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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