Injury pattern and outcome of road traffic accident victims attending major referral institutions of the Kashmir valley
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20200948Keywords:
Injury, Kashmir, RTAsAbstract
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.
References
Singh A, Bhardwaj A, Pathak A, Ahluwalia SK. An Epidemiological Study of Road Traffic Accident Cases at a Tertiary Care Hospital in Rural Haryana. Indian J Comm Health. 2011;23(2):53-5.
World report on road traffic injury prevention. Edited by Margie Peden, Richard Scur. eld, David Sleet, Dinesh Mohan, Adnan A. Hyder, Eva Jarawan and Colin Mathers. World Health Organization Geneva. 2004:3,85.
Roadaccidents a big killer. Available at http:// www.searo.who.int/ WHO: Road accidents a big killer in South-East Asia. Accessed on 27th June, 2010.
United Nations 66th General Assembly session Agenda item 12 Global road safety crises. Available at www.unic.org.in. Accessed on 5th May 2012.
Mashreky SR, Rahman A, Khan TF, Faruque M, Svanstrom L, Rahman F. Hospital burden of road traffic injury: major concern in primary and secondary level hospitals in Bangladesh. Public Health. 2010;124(4):185-9.
Singh SK, Misra A. Road accident analysis: a case study of Patna City. Urban Transport J. 2004;2(2):60-75.
Chalya PL, Mabula JB, Dass RM, Mbelenge N, Ngayomela IH, Chandika A, et al. Injury characteristics and outcome of road traffic crash victims at Buganda Medical Centre in Northwestern Tanzania. J Trauma Manag Outcomes. 2012;6:1.
Kaul V, Bant DD, Bendigeri ND, Bhatija G. A brief medico socio demographic profile of non-fetal road traffic accident cases admitted to Karnataka institute of medical sciences. Scho Res J. 2011;1(1):32-6.
Jha N, Agrawal CS. Epidemiological study of road traffic accident cases: a study from eastern nepal: regional health forum WHO South-East Asia. 2004;8(1):15-28.
Verma PK, Tewari KN. Epidemiology of road traffic injuries in Delhi. Regional health form WHO south-east asia region. 2004;8(1):6-14.
Dandona R, Mishra A. Death due to road traffic crashes in Hyderabad city in India: need for strengthening surveillance. National Med J India. 2004;17:74-9.
Ahmad M, Rahman FN, Chowdhury MH, Islam AKMS, Hakim MA. Postmortem study of head injury in fatal road traffic accidents. JAFMC Bangladesh. 2009;5(2):24-8.
Sheikh MM. A statistical analysis of road traffic accidents and casualties in Bangladesh: A thesis from Edinburgh Napier University. 2009.
Ganveer GB, Tiwari RR. Injury pattern among non-fatal road traffic accident cases: a cross-sectional study in central India. Indian J Med Sci. 2005;59(1):9-12.
Jha N, Srinivasa DK, Roy G, Jagish S. Epidemiological study of RTA cases: a study from South India. Indian J Commu Med. 2004;29(1):20-4.
Khare N, Gupta SK, Varshney A, Athavale AV. Epidemiological study of road traffic accident cases attending tertiary care hospital, in Bhopal Madhya Pradesh. National J Commu Med. 2012;3(3):395-9.
Mishra B, Sinha ND, Sukhla SK, Sinha AK. Epidemiological Study of RTA cases from Western Nepal. Indian J Commu Med. 2010;35(1):115-21.
Fitzharris M, Dandona R, Kumar GA, Dandona L. Crash characteristics and patterns of injury among hospitalized motorised two-wheeled vehicle users in urban India. BMC Public Health. 2009;9:11.
Jeffrey, Susanne KE. Epidemiology, cost and prevention of road traffic crash injuries in Strathclyde, Scotland. PhD thesis of University of Glasgow. 2010:1-219.
Khajuria B, Sharma R, Verma A. A profile of autopsies of road traffic accident victims in Jammu. J Clin Diag Res. 2008;(2):639-42.
Shyngle JA. A study of road traffic accidents in Lagos: Department of Surgery, Lagos University teaching hospital, Lagos, Nigeria. MD Thesis of University of Glasgow. 1980:43-69.
Kaul V, Bant DD, Bendigeri ND, Bhatija G. A brief medico socio demographic profile of non-fetal road traffic accident cases admitted to Karnataka institute of medical sciences. Scho Res J. 2011;1(1):32-6.
Mishra B, Sinha ND, Sukhla SK, Sinha AK. Epidemiological Study of RTA cases from Western Nepal. Indian J Community Medicine. 2010;35(1):115-21.
Fitzharris M, Dandona R, Kumar GA, Dandona L. Crash characteristics and patterns of injury among hospitalized motorised two-wheeled vehicle users in urban India. BMC Public Health. 2009;9:11.
Verma PK, Tewari KN. Epidemiology of road traffic injuries in Delhi regional health form WHO South-East Asia region. Indian J Commu Med. 2004;8(1):6-14.
Khare N, Gupta SK, Varshney A, Athavale AV. Epidemiological study of road traffic accident cases attending tertiary care hospital, in Bhopal Madhya Pradesh. National J Commu Med. 2012;3(3):395-9.
