scholarly journals Epidemiology of Orthopaedic Injuries in Cases of Road Traffic Accidents

Author(s):  
M. Meena ◽  
K. Jaganath ◽  
M. SathishKumar ◽  
Saidev Ramkumar ◽  
P. Shanmuga Sundaram

Background: Road traffic accidents are on the rise due to rapid urbanization, motorization, lack of appropriate road engineering, poor awareness levels, non existent injury prevention programs, and poor enforcement of traffic laws. From mild to severe injuries, a road traffic accident can have a significant social and economic impact on the individual, family and the society. It is believed that the outcome of this study should help in identifying risk factors, set priorities for prevention and aid in management of cases. Materials and Methods: This study is a cross sectional prospective study conducted over a period of 6 months Results: One hundred and twenty seven RTA victims were studied during the period. The most commonly affected age group was 21-40 years. Men were more involved in RTAs than women. Most common fracture was tibial fracture and most common fractures were seen in people who drove motorcycles. Accidents were most commonly seen during the time period of 6pm to 6am. Conclusion: Computerised trauma registry is needed urgently to highlight risk factors, circumstances, chain of events leading to accidents. Strict licensure procedure should be followed and minimum level of education should be imparted especially to younger age groups. Doing so will be helpful in policy making and health management in India.

Author(s):  
Shakeer Kahn P. ◽  
Bayapa Reddy N. ◽  
Ashok Kumar Reddy K. ◽  
Ravi Prabhu G.

Background: Road traffic accidents stand as one of the leading causes of mortality and morbidity across the globe. Increase in the number of motor vehicles, poor enforcement of traffic safety regulations, inadequacy of health infrastructure, and poor transport facilities makes the situation still worse. The objective of the study is to know the role of victims and various risk factors related to RTA. To determine the association of risk factors with type of injury and to know the pre-existing medical disorders in RTA victims.Methods: A hospital based, cross sectional study with victims of road traffic accidents admitted in S.V.R.R. Government General Hospital, Tirupati, as study subjects was done during June 2013 to May 2014 for one year where 820 victims of road traffic accidents were interviewed after taking prior consent using a predesigned questionnaire.Results: Most of the victims were drivers (48.5%) followed by passengers (31.7%) and pedestrian (19.8%). No two wheeler driver was wearing helmet. 74% of the four wheeler occupants were not using seat belts. Among drivers and pedestrians, 29.2% were under the influence of alcohol and 12.7% were listening to music. 55.8% of the passengers felt that their vehicle was going with over speed. 17.1% & 11.0% of the participants had history of hypertension and diabetes.Conclusions: There is a need to develop integrated surveillance system to identify the road traffic injury burden and the causal/risk factors. Enforcement of stringent road traffic laws to bring down the burden of road traffic accidents.


Author(s):  
Jayasekara J. M. K. B. ◽  
F. Masna Mowlana ◽  
Madhumali N. W. M. ◽  
Bandaranayaka H. M. T. ◽  
Hashari G. C. ◽  
...  

Background: Road traffic accidents are a significant cause of morbidity and mortality worldwide and a major cause of sudden deaths in Sri Lanka.Methods: This study was conducted to assess risk factors for RTAs using 360 injured drivers, admitted to the accident wards in two teaching hospitals in Kandy and Kurunegala using interviewer-administered questionnaires.Results: The majority of the study population (97%) was male and most drivers were 26-35 years of age. Motorcycles were the most common vehicle (79%) involved in RTAs and 47% of drivers had a driving experience of less than 10 years. The driving speed of 31-45 km/ h was reported in one-third of the RTAs and 76.9% of RTAs occurred on carpet roads mostly on Wednesdays and Fridays. Only 29 (8.055%) vehicles reported technical problems at the time of the RTA. There is a significant association (p<0.001) between the speed of the vehicle and the driving experience and the type of the vehicle and the age of the participants. There is an association between the type of the vehicle and the site of injury of drivers and between the speed of the vehicle and the usage of alcohol (P<0.01).Conclusions: Findings revealed that high risk for RTAs was amongst young male drivers, 26-35 years age range, who drove motorcycles. The most potential for RTAs to occur was on Fridays and Wednesdays and are more pronounced after 6 pm. The risk factors of RTAs are a result of a combination of several factors, as opposed to one.


2018 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Bayapa Reddy N. ◽  
Shakeer Kahn P. ◽  
Surendra Babu D. ◽  
Khadervali N. ◽  
Chandrasekhar C. ◽  
...  

2012 ◽  
Vol 6 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Kobi Peleg ◽  
Michael Rozenfeld ◽  
Eran Dolev ◽  

ABSTRACTObjective: Trauma casualties caused by terror-related events and children injured as a result of trauma may be given preference in hospital emergency departments (EDs) due to their perceived importance. We investigated whether there are differences in the treatment and hospitalization of terror-related casualties compared to other types of injury events and between children and adults injured in terror-related events.Methods: Retrospective study of 121 608 trauma patients from the Israel Trauma Registry during the period of October 2000-December 2005. Of the 10 hospitals included in the registry, 6 were level I trauma centers and 4 were regional trauma centers. Patients who were hospitalized or died in the ED or were transferred between hospitals were included in the registry.Results: All analyses were controlled for Injury Severity Score (ISS). All patients with ISS 1-24 terror casualties had the highest frequency of intensive care unit (ICU) admissions when compared with patients after road traffic accidents (RTA) and other trauma. Among patients with terror-related casualties, children were admitted to ICU disproportionally to the severity of their injury. Logistic regression adjusted for injury severity and trauma type showed that both terror casualties and children have a higher probability of being admitted to the ICU.Conclusions: Injured children are admitted to ICU more often than other age groups. Also, terror-related casualties are more frequently admitted to the ICU compared to those from other types of injury events. These differences were not directly related to a higher proportion of severe injuries among the preferred groups.(Disaster Med Public Health Preparedness. 2012;6:14–19)


2020 ◽  
Author(s):  
Armando Miñan-Tapia ◽  
Gloria S. Torres-Riveros ◽  
José Choque-Vargas ◽  
Madeleyni Aycachi-Incacoña ◽  
Neil Flores-Valdez ◽  
...  

AbstractIntroductionThere are individuals who still refuse to wear seat belts, despite its effectiveness in reducing morbidity and mortality in road traffic accidents. We aimed to determine the prevalence and risk factors according to the use of seat belts among public transport drivers in Tacna, Peru.MethodologyThis analytical transversal study was carried out among public transport drivers (buses and taxis) in a Peruvian city. Questionnaires were used to evaluate the general and occupational characteristics and the use of seat belts (observed). Descriptive statistics and risk factors were obtained, these latter through generalized linear models.ResultsOf the 460 drivers, 77% used their seat belts, with a difference in use depending on the type of public transport (p<0.001). In the multivariate model, the risk of not using the belt was associated with the following: older age (p<0.001), having complete studies (p<0.001), a higher level/category of driving license (3 categories had p<0.001), having a higher number of previous road traffic accidents (p=0.011), and received medical attention in that accident (p<0.001), those who reported using a cell phone while driving (p=0.005), if the co-driver’s belt had 3 anchorage points (p<0.001), and working for > 5 hours that day (p=0.002). However, male drivers and those who had their belt with 3 anchorage points had greater use (both p<0.001).ConclusionsOne in five drivers did not use a seat belt, and important characteristics of those who did not comply with this traffic law were evaluated to generate control and intervention measures.


2002 ◽  
Vol 34 (1) ◽  
pp. 71-84 ◽  
Author(s):  
Francesca Valent ◽  
Flavio Schiava ◽  
Cecilia Savonitto ◽  
Tolinda Gallo ◽  
Silvio Brusaferro ◽  
...  

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