A Study of Injury Pattern and Mode of Accident of Fatal Injuries in RTA Cases Admitted in a Tertiary Care Centre -3 Year Retrospective Study
DOI:
https://doi.org/10.48165/jiafm.2023.45.2.9Keywords:
Road traffic accident, Intra cranial hemorrhage, Skull fracture, Survival periodAbstract
Road traffic accident ranks among the top causes of death in the world; after ischemic heart disease, it is projected to become the second leading cause in 2020. A report states that 1.24 million people die every year worldwide on the roads. RTA is a public health issue that greatly affects individuals, families, communities, and nations. The cost of burden is estimated to be around 1–2% of a country’s GNPin low-income countries. To know the pattern of fatal injuries in RTA cases. To correlate the survival period and cause of death in fatal road traffic accidents. Data from medico-legal autopsies of all RTA victims from 2018 to 2020 (n= 210) were collected in this retrospective study. Data were analyzed using SPSS software, V.22. The majority of the study population, 24.2% (51 out of 210), belonged to the 1-30 age group. Male predominance was noted in the study with 84.2% (177 out of 210). The type of accident was self-fall in high proportion 26.6% (56 out of 210) followed by a collision between 2-wheelers and 4-wheelers 24.2% (51 out of 210). Intracranial haemorrhage was reported in 140 (66.6%) study participants as the leading cause of death followed by hemorrhagic shock other than head and neck injury reported in 42 (19.9%) cases. A short revival period of fewer than 24 hours was noticed in intra-cranial haemorrhage (81 out of 140) followed by hemorrhagic shock other than head and neck injury (39 cases). Skull fractures are higher in 2-wheelers compared to other types of vehicles and pedestrians. (103 out of 140). The majority of fatal accidents occurred in two-wheelers. Hence, health education and awareness should be created among two-wheeler riders, especially drivers & pillion to wear helmets and follow safety measures while riding.
Downloads
References
Satyasi P, Shaikh K, Kishore M. A study on pattern of fatal injuries in road traffic accidents in coastal belts of Orissa. J Indian Acad Forensic Med. 2009;31(4).
Eisfeld J. International Statistical Classification of Diseases and Related Health Problems. WHO. 2014;1(1-2):107-110. doi:10.1215/23289252-2399740
Das DK. Study of Road Traffic Accidental (Rta) Deaths in and Around Barpeta District: an Autopsy Based Study. J Evid Based Med Healthc. 2015;2(22):3329-3337. doi:10.18410 /jebmh/2015/482
World Health Organisation. 10 Facts on Global Road Safety. WHO. Published online 2015. http://www.who.int/features /factfiles/roadsafety/en/[Accessed on 24 Nov 2021.]
Road Accidents in India 2020. Ministry of road transport & highway transport research wing. Morth.nic.in. 2022.
J Indian Acad Forensic Med. 2023 April-June 45 (2)
[online] Available at: <https://morth.nic.in/sites/default/files /RA_2020.pdf> [Accessed 1 June 2022].
Lee JW. World Health Day Theme 2004 Road safety is no accident. Nurs J India. 2004;95(4):74.
Atubi AO. Determinants of Road Traffic Accident Occurrences In Lagos State:Some Lessons For Nigeria. Int J Humanit Soc Sci. 2012;2(6):252-259.
Kumar A, Lalwani S, Agrawal D, Rautji R, Dogra T. Fatal road traffic accidents and their relationship with head injuries: An epidemiological survey of five years. Indian J Neurotrauma. 2008;05(02):63-67. doi:10.1016/s0973-
(08)80002-0
Kaul A, Sinha U, Kapoor A, et al. An epidemiological study of fatal road traffic accidents in Allahabad region. Indian Internet J Forensic Med Toxicol. 2005;3(1).
Institute of Road Traffic Education. A non governmental organization based in New Delhi. http://www.newsindia times.com/2002/09/13/med30-poor.html[Accessed on]
Nantulya VM, Reich MR. The neglected epidemic: Road traffic injuries in developing countries. Br Med J. 2002;324(7346):1139-1141. doi:10.1136/bmj.324.7346. 1139
Mackenzie EJ. Epidemiology of injuries: Current trends and future challenges. Epidemiol Rev. 2000;22(1):112-119. doi:10.1093/oxfordjournals.epirev.a018006
Lagarde E. Road traffic injury is an escalating burden in Africa and deserves proportionate research efforts. PLoS Med. 2007;4(6):0967-0971. doi:10.1371/journal.pmed. 0040170
Statistics IBMS. IBM SPSS Statistics Version 22 Statistical Software: Core System Users’ Guide. SPSS Inc. 2014. Published online 2014. [Accessed on 24 Nov 2021.]
Timsinha S, Kar SM, Baral MP, Ranjitkar M. Profile of a pattern of medico-legal cases in the casualty of a teaching hospital of the western region of Nepal. J Indian Acad Forensic Med. 2015;37(1):46-49. doi:10.5958/0974-
2015.00010.X
Sivarajasingam V, Morgan P, Matthews K, Shepherd J, Walker R. Trends in violence in England and Wales 2000- 2004: An accident and emergency perspective. Injury. 2009;40(8):820-825. doi:10.1016/j.injury.2008.08.017
Gosselin RA, Spiegel DA, Coughlin R, Zirkle LG. Injuries: The neglected burden in developing countries. Bull World Health Organ. 2009;87(4):246. doi:10.2471/BLT.08.052290
Yogesh G. Profile of medico-legal cases reported to the casualty of a medical college hospital, Ballari Hyderabad Karnataka region. Indian J Forensic Med Toxicol. 2015;9(2):97-102. doi:10.5958/0973-9130.2015.00083.3
Kumar NKM. Medicolegal Study of Fatal Road Traffic Accidents in Varanasi Region. Int J Sci Res. 2015;4(1):1492- 1496. https://www.ijsr.net/archive/v4i1/SUB15606.pdf
ISSN : 0971 - 0973, e - ISSN : 0974 - 0848
Joshi KP, Parashuramlu, Robins M. An epidemiological study of road traffic accident cases admitted in a tertiary care hospital - a retrospective study. Indian J Public Heal Res Dev.2017;8(3):364-368.doi:10.5958/09765506.20
00217.0
Mahajan N, Aggarwal M, Raina S, Verma L, Mazta S, Gupta B. Pattern of non-fatal injuries in road traffic crashes in a hilly area: Astudy from Shimla, North India. Int J Crit Illn Inj Sci. 2013;3(3):190. doi:10.4103/2229-5151.119198
Patil S, Kakade R, Durgawale P, Kakade S. Pattern of road traffic injuries: A study from western Maharashtra. Indian J Community Med. 2008;33(1):56. doi:10.4103/0970- 0218.39248
Singh R, Singh HK, Gupta SC, Kumar Y. Pattern, severity and circumstances of injuries sustained in road traffic accidents: A tertiary care hospital-based study. Indian J Community Med. 2014;39(1):30-34. doi:10.4103/0970-
126353
Kanchan T, Kulkarni V, Bakkannavar SM, Kumar N, Unnikrishnan B. Analysis of fatal road traffic accidents in a coastal town of South India. J Forensic Leg Med. 2012;19(8):448-451. doi:10.1016/j.jflm.2012.02.031
Dsouza C, Rao V V., Kumar A, Diaz E. Epidemiological trends of trauma in a tertiary care center in Dakshina Kannada district of Karnataka, India. J Clin Diagnostic Res. 2014;8(3):66-68. doi:10.7860/JCDR/2014/8643.4109
Radjou AN, Balliga DK, Pal R, Mahajan P. Injury-related mortality audit in a regional trauma center at Puducherry, India. J Emergencies, Trauma Shock. 2012;5(1):42-48. doi:10.4103/0974-2700.93111
Kiran E, Saralaya K, Vijaya K. Prospective study on road traffic accidents. J Punjab Acad Forensic Med Toxicol. 2004;4(1):12-16.
Mishra B, Sinha ND, Sukhla SK, Sinha AK. Epidemiological study of road traffic accident cases from Western Nepal. Indian J Community Med. 2010;35(1):115-121. doi:10.4103/0970-0218.62568
Farooqui JM, Chavan KD, Bangal RS, Syed MM, Thacker PJ AS. The pattern of injury in fatal road traffic accidents in a rural area of Western Maharashtra, India. Australas Med J. 2013;6:467-482.
Mehrotra ON, Crabb DJM. The pattern of hand injury sustained in the overturning motor vehicle. Hand. 1979;11(3):321-328. doi:10.1016/S0072-968X(79)80058-3
Biswas G, Verma SK, Sharma JJ, Aggarwal NK. The pattern of road traffic accidents in North-East Delhi. J Forensic Med Toxicol. 2003;20(1):27-32.
Singh H, Dhattarwal S, Mittal S, Aggarwal A, Sharma G, Chawla R. A review of pedestrian traffic fatalities. J Indian Acad Forensic Med. 2007;29(4):55-57.
Banzal RK, Jaiin A, Yadav J, Dubey BP. Pattern and Distribution of Head Injuries in Fatal Road Traffic Accidents
in Bhopal Region of Central India. J Indian Acad Forensic Med. July-September 2015;37(3):242-245.
Kool B, Raj N, Wainiqolo I, Kafoa B, McCaig E, Ameratunga S. Hospitalised and fatal head injuries in Viti
Levu, Fiji: Findings from an island-wide Trauma Registry (TRIP 4). Neuroepidemiology. 2012;38(3):179-185. doi:10.1159/000337261