India, injuries, road, traffic,Epidemiology
Citation Information :
Gupta A, Gupta S K, Kant S, Misra P, Majumdar A, Misra M. Epidemiological study of patients of road traffic injuries attending emergency department of a trauma center in New Delhi. Indian J Crit Care Med 2017; 21 (10):678-683.
Background and Aims: There is paucity of data regarding some of the lesser known contextual and epidemiological factors with respect to road traffic injuries (RTIs). The objective was to study the epidemiological profile of RTI victims attending an emergency department of a tertiary care trauma center.
Methods: The present study was a hospital-based cross-sectional study conducted in the emergency department of a tertiary care trauma center in New Delhi. All patients of RTI attending the emergency department during the designated data collection days were included in the study. Patients brought dead were excluded from the study. A semi-structured interview schedule was developed for collecting data on various domains such as sociodemographic characteristics, vehicle-related factors, accident site-related factors, personal protection measures, contextual factors, and prehospital care-related factors.
Results: A total of 984 patients and informants were approached and finally data of 900 participants were analyzed after excluding those who refused participation and those for whom incomplete data were available. Out of 900 RTI victims, 756 were male (84.0%) and 144 (16.0%) were female. Mean age of the victims was 32.7 years. Most of the victims, i.e., 377 out of 900 (41.9%) were occupants rather than drivers. Majority of victim\'s vehicle meeting accidents were motorized two-wheelers (53.4%), and majority of the colliding vehicle was a four-wheeler (39.3%). Helmet use was found to be low (63.3%), but seat belt use was particularly low (32.4%). Most accidents (28%) happened between midnight and 6 A.M. More than half of the victims were in a hurry on the day of the accident. An ambulance was used to transport the victims in only 14.6% cases.
Conclusion: In road traffic accidents some lesser known epidemiological data were generated that may be useful in defining preventive measures.
Accidental Deaths and Suicides in India 2015. National Crime Records Bureau. Ministry of Home Affairs. Available from: http://www.ncrb.nic.in/. [Last accessed on 2017 Apr 21].
Rai SK, Gupta A, Srivastava R, Bairwa M, Misra P, Kant S, et al. Decadal transition of adult mortality pattern at Ballabgarh HDSS: Evidence from verbal autopsy data. BMC Public Health 2015;15:781.
Jagnoor J, Suraweera W, Keay L, Ivers RQ, Thakur J, Jha P, et al. Unintentional injury mortality in India, 2005: Nationally representative mortality survey of 1.1 million homes. BMC Public Health 2012;12:487.
Ruikar M. National statistics of road traffic accidents in India. J Orthop Traumatol Rehabil 2013;6:1-6.
International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. Vol. 1: Tabular List. Geneva: World Health Organization; 1992. Available from: http://www.who.int/classifications/icd/ICD10Volume2_en_2010.pdf. [Last accessed on 2017 Apr 22].
Hsiao M, Malhotra A, Thakur JS, Sheth JK, Nathens AB, Dhingra N, et al. Road traffic injury mortality and its mechanisms in India: Nationally representative mortality survey of 1.1 million homes. BMJ Open 2013;3:e002621.
Mishra B, Sinha Mishra ND, Sukhla S, Sinha A. Epidemiological study of road traffic accident cases from western Nepal. Indian J Community Med 2010;35:115-21.
Dsouza C, Rao VV, Kumar A, Diaz E. Epidemiological trends of trauma in tertiary care centre in Dakshina Kannada district of Karnataka, India. J Clin Diagn Res 2014;8:66-8.
Pathak SM, Jindal AK, Verma AK, Mahen A. An epidemiological study of road traffic accident cases admitted in a tertiary care hospital. Med J Armed Forces India 2014;70:32-5.
Mahajan N, Aggarwal M, Raina S, Verma LR, Mazta SR, Gupta BP, et al. Pattern of non-fatal injuries in road traffic crashes in a hilly area: A study from Shimla, North India. Int J Crit Illn Inj Sci 2013;3:190-4.
Patil SS, Kakade R, Durgawale P, Kakade S. Pattern of road traffic injuries: A study from Western Maharashtra. Indian J Community Med 2008;33:56-7.
Singh R, Singh HK, Gupta SC, Kumar Y. Pattern, severity and circumtances of injuries sustained in road traffic accidents: A tertiary care hospital-based study. Indian J Community Med 2014;39:30-4.
Kanchan T, Kulkarni V, Bakkannavar SM, Kumar N, Unnikrishnan B. Analysis of fatal road traffic accidents in a coastal township of South India. J Forensic Leg Med 2012;19:448-51.
Patel A, Krebs E, Andrade L, Rulisa S, Vissoci JR, Staton CA, et al. The epidemiology of road traffic injury hotspots in Kigali, Rwanda from police data. BMC Public Health 2016;16:697.
Hamzeh B, Najafi F, Karamimatin B, Ahmadijouybari T, Salari A, Moradinazar M, et al. Epidemiology of traffic crash mortality in west of Iran in a 9 year period. Chin J Traumatol 2016;19:70-4.
Karkee R, Lee AH. Epidemiology of road traffic injuries in Nepal, 2001-2013: Systematic review and secondary data analysis. BMJ Open 2016;6:e010757.
Farooqui JM, Chavan KD, Bangal RS, Syed MM, Thacker PJ, Alam S, et al. Pattern of injury in fatal road traffic accidents in a rural area of Western Maharashtra, India. Australas Med J 2013;6:476-82.
Matheka DM, Kitonyi MN, Alkizim FO. Three-month pattern of road traffic injuries at a Kenyan level 4 hospital. Pan Afr Med J 2015;20:78.
Sango HA, Testa J, Meda N, Contrand B, Traoré MS, Staccini P, et al. Mortality and morbidity of Urban road traffic crashes in Africa: Capture-recapture estimates in Bamako, Mali, 2012. PLoS One 2016;11:e0149070.
Radjou AN, Balliga DK, Pal R, Mahajan P. Injury-related mortality audit in a regional trauma center at Puducherry, India. J Emerg Trauma Shock 2012;5:42-8.
Kiran ER, Saralaya KM, Vijaya K. Prospective study on road traffic accidents. J Punjab Acad Forensic Med Toxicol 2004;4:12-6.
Rastogi D, Meena S, Sharma V, Singh GK. Causality of injury and outcome in patients admitted in a major trauma center in North India. Int J Crit Illn Inj Sci 2014;4:298-302.
Dandona R, Kumar GA, Dandona L. Risky behavior of drivers of motorized two wheeled vehicles in India. J Safety Res 2006;37:149-58.