Profile of Road Traffic Accident Injuries in a Tertiary Care Teaching Hospital – An Institution Based Cross Sectional Observational Study in Velammal Medical College Hospital and Research Institute, Tamil Nadu

2021 ◽  
Vol 8 (14) ◽  
pp. 904-908
Author(s):  
Kumaran R ◽  
Yogaraj S
Keyword(s):  
Observational Study ◽  
Teaching Hospital ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Road Traffic Accidents ◽  
Abdominal Injuries ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

BACKGROUND Road traffic accidents (RTA) account for most of the injury patients encountered in the department of emergency resulting in significant death and morbidity. The current research was conducted to analyse the demographic, clinical and radiological profile of patients presenting with RTA to a tertiary care teaching hospital (Velammal Medical College Hospital and Research Institute). METHODS This cross-sectional observational study was done among 68 subjects presenting with RTA to the department of emergency medicine. Detailed history taking, clinical & radiological investigations including plain radiographs, ultrasound and computed tomography (CT) were done. Site of injury was considered as primary outcome of the study. The data was analysed statistically by deriving mean and standard deviation. International Business Machines Statistical Package for the Social Sciences (IBM SPSS) version 22 was used for statistical analysis. RESULTS Among the study population, the mean age was 36.18 ± 13.73 years. 83.82 % were males. Individuals aged less than 40 years of age were greatly involved in RTA. Majority (77.9 %) had abdominal injuries followed by 36.7 % with craniofacial trauma, 25 % had thoracic trauma, 17.6 % had spinal trauma, and 10.2 % had extremity and pelvic bone injuries. In abdominal trauma, spleen (26.4 %) was the commonly affected organ. Liver (25 %) and renal injuries (16.17 %) were next commonly observed. A significant difference (P-value < 0.05) was found in abdominal injuries due to different types of vehicles. CONCLUSIONS RTIs are common in the younger population. The predominance of the male population was seen. The most common organ to be injured was spleen. Proper understanding of the pattern of trauma may help in improving the outcome. Early diagnosis, aggressive resuscitation and timely surgical intervention were essential in improving the outcome in trauma patients. KEYWORDS Road Traffic Accidents, Road Traffic Injuries, Head Injury, Blunt Abdominal Trauma, CT Scan

scholarly journals Road Traffic Accidents by 'Nasimon' and 'Karimon'-A Study in Faridpur

2012 ◽  
Vol 7 (1) ◽  
pp. 6-9
Author(s):  
ASMJ Chowdhury ◽  
MS Alam ◽  
SK Biswas ◽  
RK Saha ◽  
AR Mondal ◽  
...  
Keyword(s):  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Accident ◽  
Motor Vehicles ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
College Hospital ◽  
Medical College

Road traffic accidents in Bangladesh have been rapidly increasing with huge mortality through road accidents each year. There are many causes of road accidents in recent years; one important cause is running of locally made improvised three wheelers (flat bed tricycle) in the urban areas and also on the highways, popularly known as 'Nasimon' and 'Karimon'. This prospective study was carried out in Faridpur Medical College Hospital from January through June 2011, to study the accident patients caused by 'Nasimon' and 'Karimon'. Fifty six (12%) patients were of RTA by 'Nasimon' and 'Karimon' out of a total of 468 patients admitted into our hospital during this period. Most patients (41, 73.21%) were male, highest accidents (24, 42.86%) were observed among 21-30 years age group and most victims (33, 58.93%) were belonged to low socioeconomic status. Commonest (31, 55.36%) victims were passengers of 'Nasimon' and 'Karimon' while maximum number of accidents (46, 82.14%) took place in the urban areas and on the highways. Injury pattern of victims were similar to that found in any other road accident patients. These three wheelers 'Nasimon' and 'Karimon' are run in violating of Bangladesh Motor Vehicles Act (1983) as they are totally unfit for plying on the highways. Strict surveillance against these illegal and risky vehicles on the highways and in the urban areas by law enforcing agencies is required as a measure to reduce the burden of road accidents in our country.DOI: http://dx.doi.org/10.3329/fmcj.v7i1.10289Faridpur Med. Coll. J. 2012;7(1): 06-09

scholarly journals Comparison of road traffic accidents presenting to the emergency department of a teaching hospital before and during lockdown

2021 ◽  
Vol 8 (9) ◽  
pp. 4297
Author(s):  
Siddharth Rao P. S. ◽  
Sumayya Nazneen Sayyada ◽  
Souri Reddy Pyreddy
Keyword(s):  
Teaching Hospital ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Mass Casualties ◽  
Road Traffic Accidents ◽  
Patient Demographics ◽  
Disproportionate Number ◽  
Type Of Injury ◽  
The Impact

Background: Road traffic accidents (RTAs) are a major cause of misery, disability and death globally, with a disproportionate number occurring in developing countries. With COVID-19 reaching pandemic proportion, a nationwide lockdown was announced on 24 March 2020 which resulted in the complete closure vehicular movement. This study aimed to assess the impact of lockdown on the number of RTAs brought to our rural tertiary care teaching hospital situated on National highway number 65.Methods: Medico-legal records were reviewed retrospectively at Kamineni institute of medical sciences hospital. The cases were classified into two groups. The pre-lockdown group included cases reporting to casualty from 1 April 2019 to 31 July 2019. The lockdown group included cases reporting to casualty from 1 April 2020 to 31 July 2020. Patient demographics, type of injury, time of injury, mode of injury were collected for all cases and analysed using simple mathematical tools.Results: There was a significant decrease in the total number of RTAs during lockdown phases 1 and 2 and during unlocking phases 1 and 2 by 52.1%. Bike skid was the most common mode of injury. The highest number of RTAs was observed between 6 am to 6 pm and the most commonly affected gender was male especially in the age group of 15-45 years.Conclusions: RTA numbers can be reduced by strict implementation of traffic rules and better road infrastructure. One positive effect of the measures implemented to control the spread of COVID-19 was the reduction of traffic accidents and mass casualties.

scholarly journals Profile of unnatural deaths in a teaching hospital of West Bengal, India

2020 ◽  
Vol 7 (3) ◽  
pp. 971
Author(s):  
Satabdi Mitra ◽  
Saumabrata Panja
Keyword(s):  
Traffic Accidents ◽  
Burn Injury ◽  
Road Traffic ◽  
Care Facility ◽  
Health Care Facility ◽  
Binary Logistic Regression ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Fall From Height

Background: Enquiry into unnatural deaths with all its manners being, suicidal, accidental or homicidal depends on circumstantial evidences for acceptable judgment in court of law. Objectives were to study socio-demographic characteristics of the study and to find out influencing factors, if any, behind these sudden, suspicious, undesirable deaths.Methods: A record-based, descriptive study with cross-sectional design was conducted for first six months of 2017 in NRS medical college hospital among 1603 unnatural deaths undergone police inquest. Besides the records obtained from medical record section, findings were corroborated from mortuary. Data were analyzed in SPSS 22.0 and Epi Info 7.0.Results: Mean age of the deceased was 37.18±17.42 years. Regarding cause of injury, more than 1/3rd (36.6%) was attributed to poisoning, followed by burn injury (24.8%), road traffic accidents (22.8%), fall from height (6.9%) and others the rest. Majority (68.3%) died within twenty hours of reaching the health care facility. More than half of the deceased committed suicide followed by accident and suicide the least. Binary logistic regression revealed, unnatural deaths inflicted by selves or others, i.e. suicide or homicide respectively, had statistically significant (p<0.05) association to productive age, urban residence, burn and RTA, longer survival and conservative nature of management.Conclusions: As suicide was found to comprise lion share of unnatural deaths, development and implementation of addressing the issue at all the levels, starting from individual to community is the need of the hour.

scholarly journals Epidemiological Analysis of Maxillofacial Injuries in Road Traffic Accidents: A Peripheral Hospital Based Study

2020 ◽  
Vol 28 (1) ◽  
pp. 10-16
Author(s):  
Satadal Mondal ◽  
Indranil Sen ◽  
Rabi Hembrom ◽  
Swagato Roy ◽  
Rupam Sinha ◽  
...  
Keyword(s):  
Young Adults ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Common Type ◽  
Medical College Hospital ◽  
Road Traffic Accidents ◽  
College Hospital ◽  
Medical College ◽  
Number Of Patients ◽  
Maxillofacial Fractures

Introduction The aetiology of maxillofacial fractures is greatly influenced by geographic location, socioeconomic status of the cohort, and the period of investigation. The aim of this study is to analyze and identify characteristics of maxillo-facial fractures that took place in and around Midnapore- Kharagpore city of West Bengal and who presented to a peripheral medical college hospital during a period of 1 year. Materials and Methods    A detailed database analysis was performed based on data collected from the patients of Road Traffic Accidents (RTA) with sustained facial trauma admitted to General Surgery and Otorhinolaryngology ward of a peripheral medical college hospital. Detailed clinical examination as well as radiological data was collected. Results The highest frequency of maxillo-facial injury due to RTA was among the young adults 18-40 years. Most common type of injury encountered is abrasion (44%) followed by bruise and closed fracture. Mandible is the most common bone to get fractured and most common type of Le fort type is Type II. Significant number of patients having RTA were young adults under the influence of alcohol riding in two-wheeler . ConclusionWith the increasing incidence of RTA awareness must be created concerning safety rules and more policies need to be addressed.

scholarly journals A record based study of frequency and pattern of medico-legal cases reported at a tertiary care hospital in Miraj

2017 ◽  
Vol 4 (4) ◽  
pp. 1348 ◽  
Author(s):  
Tanuja R. Brahmankar ◽  
Sachin K. Sharma
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Legal Cases ◽  
Legal Case

Background: Medico-legal case (MLC) can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment. Medico-legal cases are an integral part of medical practice that is frequently encountered by medical officers working in casualty. Hence the present study is carried out to find out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to highlight the vulnerable gender, age, residence and the cause. Methods: It is a record based cross sectional study in which all the MLC cases registered in MLC record book during a period of 6 months (January 13– June 13) were included. Cases found non medico-legal were excluded. Variables considered were gender, age, residence and cause. Findings were expressed in numbers and percentages. Results: Total cases were 2350, of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age group of 21-30 years i.e., 828 (35.2%). 1440 (61.27%) were residents of urban area. Most of the medico-legal cases registered were due to assault (27.2%) followed by medical examination of prisoners(25.9%), road traffic accidents (19.7%), fall (6.9%), snake bite (6.6%), poisoning (4.3%), domestic injuries (4.3%), unknown bite (2.2%), unknown found at railway station (1.6%), brought dead (0.6%), burn (0.2%) & others (0.5%). Conclusions: Majority of the victims were males, young adults and urban inhabitants. Most common indication for medico-legal cases was assault followed by medical check-up of prisoners and road traffic accidents. 

scholarly journals A demographic study on type of accidents, injuries and associated factors, patients attending emergency trauma care at tertiary care teaching hospital

2017 ◽  
Vol 4 (7) ◽  
pp. 2457
Author(s):  
Raja Vikram Prasad ◽  
C. Y. Nandanwar ◽  
B. S. Isaac Ebenezer
Keyword(s):  
Teaching Hospital ◽  
Trauma Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Road Traffic Accidents ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Premature Deaths ◽  
Written Informed Consent

Background: Road traffic accidents (RTA) is considered to be among top five cause of concern in with morbidity and mortality with socioeconomic repercussions among developing countries. RTA’s are manmade disaster which involves human suffering and socioeconomic costs in terms of premature deaths, injuries, etc. The objective of study was to know the prevalence of various types of accidents, injuries and associated factors.Methods: This study is prospective observational study, was conducted at Tertiary Care Teaching Hospital, SRMC, A.P. Enrollment of patients were registered in emergency trauma care, included all types of accidents and injuries. Patients were interviewed with the pre-tested proforma. After written informed consent, victims were interviewed and attendants were interviewed where patients were unable to answer which is part of Inclusion criteria in the study. Injuries recorded were graded according to Trauma Index. Other required information was collected from medicolegal records from hospital medical records department.Results: Total of 153 cases recorded at emergency Trauma care unit, of which males are 135 (88.235%) and females 18 (11.764%). The highest percentage was falling between 20-29 years followed by 30-39, 40-49 years.3,4 According to trauma index injuries, Minor were 108 (70.588%) and Major were 45  (20.411%). Of all injuries RTA’s were 111 (72.549%), recorded as the major portion.2 The injuries were more due to Bikes 51 (45.945%), followed by pedestrians 30 (27.027%) as victims, which took place in the evening and late nights were 93 (60.784%), followed by early mornings were 42 (27.450%).Conclusions:Conclusions of study showed that males were involved more than females in RTA’s falling between 20-49 years. Most of the injuries recorded were minor followed by major injuries from Road Traffic Accidents, which occurred during evenings and late nights. Type of vehicles involved in RTA’s was two wheelers followed by pedestrians and people who travelled in share Autos.  

scholarly journals Study on risk factors of road traffic accident victims attending a tertiary care hospital at Tirupati

2017 ◽  
Vol 4 (5) ◽  
pp. 1708
Author(s):  
Shakeer Kahn P. ◽  
Bayapa Reddy N. ◽  
Ashok Kumar Reddy K. ◽  
Ravi Prabhu G.
Keyword(s):  
Risk Factors ◽  
Traffic Safety ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Motor Vehicles ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional ◽  
Medical Disorders

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.

scholarly journals Road Traffic Accidents Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (243) ◽  
pp. 1081-1085
Author(s):  
Rohan Jha ◽  
Priya Pathak ◽  
Pallavi Koirala ◽  
Bishwash Maharjan ◽  
Srijana Panthi
Keyword(s):  
Emergency Department ◽  
Confidence Interval ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Road Traffic Accidents ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Records

Introduction: Road Traffic Accidents have emerged as the leading cause of mortality and morbidity globally. The burden of road traffic accidents has escalated gradually in Nepal and is a common cause of injury and trauma. The study aims to identify the prevalence of road traffic accidents in the emergency department. Methods: This descriptive cross-sectional study was conducted among hospital records of cases admitted to the emergency department of tertiary care hospital between March to August, 2020. Ethical approval was taken from the ethical review board of College of Medical Sciences (reference number: 2020-035). Information was collected through pro-forma and hospital records. Convenience sampling was done. The data were entered in the Statistical Package for the Social Sciences version 24 and analysed using descriptive statistics. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 4050 cases presenting to the emergency department, 228 (5.6%) (4.9-6.3 at 95% Confidence Interval) cases of road traffic accidents were seen. The most common injuries involved were soft tissue injury 90 (39.47%) and head injury 77 (33.77%). Most patients admitted to the hospital were male 178 (78.07%) aged 21 to 30 years 79 (41.38%). The vehicles mostly involved in the accidents were motorized two-wheelers 120 (50.6%) and pedestrians 51 (22.4%). Conclusions: The prevalence of road traffic accidents was similar to the findings from similar studies. Strengthening the capacities of the pre-hospital care and emergency department is necessary along with preventive intervention in public to reduce such health burden.

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