Clinical characteristics, risk factors, and patterns of Road Traffic Injuries (RTIs) presenting in ‎emergency department of a tertiary care hospital

Clinical characteristics, risk factors, and patterns of Road Traffic Injuries (RTIs) presenting in ‎emergency department of a tertiary care hospital

Authors

  • Rubiya Ali The Indus Hospital, Karachi, Pakistan.
  • Samir Ghimire Basic Sciences Lecturer, Carribean Medical University, Willemstad, Curacao.
  • Sumitra Paudel Medical officer, Kathmandu Valley Hospital, Kathmandu, Nepal.
  • Fatima Billoo House officer, Dow University of Health Sciences, Karachi, Pakistan.
  • Rehan Billoo House officer Jinnah Postgraduate Medical Centre, Karachi, Pakistan.
  • Marium Billoo Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

Keywords:

Road Traffic injuries‎, Road accidents‎, road traffic accidents, mortality‎, Bike injuries

Abstract

Objectives:

RTIs are one of the most common conditions seen in the emergency department. Therefore we conducted this study to evaluate the main characteristics, etiology, and patterns of road traffic injuries (RTIs) in the emergency department of the tertiary care hospital.

Methods:

We conducted a cross-sectional study in the emergency department of the tertiary care hospital from January to August 2022. A structured pre-validated questionnaire was used to collect the data of the patients. Informed consent was taken from the patients who fulfilled the inclusion criteria. The questionnaire collected details related to the socio-economic features, reasons for RTIs, and the pattern of the injuries. The data was entered on the SPSS version 20 and descriptive analysis was run.

Results:

A total of 203 patients were enrolled in the study. Almost half of the patients, 101(49.8%) patients were from the age category of 18-30. The majority of the patients were males, 158 (77.8%) patients. The most common vehicle involved was a motorbike resulting in 78.3% of the cases. The majority of RTIs occurred on the main road with 179(88.2%) cases. The most common sites of injuries were the lower limb (135 (66.5%), upper limb [49 (24.1%)[and head [105 (51.7%%)].

Conclusion:

In the majority of the RTIs, motorbikes were the main factor. Major reasons for the RTIs include the irresponsible behavior of the speeding driver, careless road crossing the people, and breaking the signals which lead to serious injuries.

 

References

‎1.‎ Mitra S, Sarkar AP, Saren AB, Haldar D, Saha I, Sarkar GN. Road traffic injuries: A study on severity ‎and outcome among inpatients of a tertiary care level hospital of West Bengal, India. Journal of ‎Emergencies, trauma, and Shock. 2018;11(4):247.‎

‎2.‎ Afolabi OJ, Gbadamosi K. Road traffic crashes in Nigeria: causes and consequences. Transport & ‎Logistics: the International Journal. 2017;17(42):2406-1069.‎

‎3.‎ Organization WH. Global status report on road safety 2013: supporting a decade of action: ‎summary. World Health Organization, 2013.‎

‎4.‎ Naci H, Chisholm D, Baker TD. Distribution of road traffic deaths by road user group: a global ‎comparison. Injury prevention. 2009;15(1):55-9.‎

‎5.‎ Lucumay NJ, Sawe HR, Mohamed A, Sylvanus E, George U, Mfinanga JA, et al. Pre-referral ‎stabilization and compliance with WHO guidelines for trauma care among adult patients referred to an ‎urban emergency department of a tertiary referral hospital in Tanzania. BMC emergency medicine. ‎‎2019;19:1-6.‎

‎6.‎ Sadia R, Kamal A, Jami H. Role of aggressive and adaptive anger expression in prediction of ‎accidents among Pakistani drivers. FWU Journal of Social Sciences. 2018;12(1):127-37.‎

‎7.‎ Campbell SM, Stramondo JA. The complicated relationship of disability and well-being. Kennedy ‎Institute of Ethics Journal. 2017;27(2):151-84.‎

‎8.‎ Kohler RE, Tomlinson J, Chilunjika TE, Young S, Hosseinipour M, Lee CN. “Life is at a standstill” ‎Quality of life after lower extremity trauma in Malawi. Quality of life research. 2017;26:1027-35.‎

‎9.‎ Ghaffar A, Hyder AA, Masud TI. The burden of road traffic injuries in developing countries: the 1st ‎national injury survey of Pakistan. Public health. 2004;118(3):211-7.‎

‎10.‎ Razzak JA, Luby SP. Estimating deaths and injuries due to road traffic accidents in Karachi, ‎Pakistan, through the capture-recapture method. International journal of epidemiology. 1998;27(5):866-‎‎70.‎

‎11.‎ Muhammad K, Shaikh S, Ashraf J, Hayat S. Characteristics, reasons and patterns of Road Traffic ‎Injuries presenting in emergency department of a tertiary care public hospital in Karachi. Pakistan Journal ‎of Medical Sciences. 2022;38(4Part-II):862.‎

‎12.‎ Heydari S, Hoseinzadeh A, Ghaffarpasand F, Hedjazi A, Zarenezhad M, Moafian G, et al. ‎Epidemiological characteristics of fatal traffic accidents in Fars province, Iran: a community-based survey. ‎Public health. 2013;127(8):704-9.‎

‎13.‎ Ahmed A, Raza M, Ahmed F, Ghani A, Malik L. A Retrospective Analysis of the Pattern and Severity ‎of Injuries in Victims of Road Traffic Accidents in Karachi, Pakistan during 2010-2011. Emergency Med. ‎‎2013;3:144.‎

‎14.‎ Ali MA, Arif MM, Arif A, Fatima T. Roads Traffic Accidents: An Epidemiological Study of Road ‎Traffic Accidents in Tertiary Care Hospital. Annals of Punjab Medical College (APMC). 2016;10(3):157-61.‎

‎15.‎ Jooma R, Ali Shaikh M. Epidemiology of Karachi road traffic crash mortality in 2013. JPMA: Journal ‎of Pakistan Medical Association. 2015;65(1):548.‎

‎16.‎ Waseela M, Laosee O. Determinants of road traffic injury among adult motorcyclists in Malé, ‎Maldives. Asia Pacific Journal of Public Health. 2015;27(3):277-85.‎

‎17.‎ Chauhan A, Ahmed N, Singh JV, Singh VK, Singh A, Kumar S. Epidemiology of road traffic injuries in ‎a tertiary care Centre of Lucknow. Indian journal of community health. 2014;26(2):181-6.‎

‎18.‎ Khan FM, Jawaid M, Chotani H, Luby S. Pedestrian environment and behavior in Karachi, Pakistan. ‎Accident Analysis & Prevention. 1999;31(4):335-9.‎

‎19.‎ Kumar¹ R, Muzamil¹ M, Mahmood¹ K, Bhatti¹ A, Minhas¹ S, Kumar¹ V. Frequency of motor bike ‎injuries, helmet vs non helmet wearing in Karachi Pakistan. 2016.‎

Published

2023-03-29

How to Cite

Ali, R., Ghimire, S., Paudel, S., Billoo, F., Billoo, R., & Billoo, M. (2023). Clinical characteristics, risk factors, and patterns of Road Traffic Injuries (RTIs) presenting in ‎emergency department of a tertiary care hospital. Updates in Emergency Medicine, 2(2). Retrieved from http://uiemjournal.com/index.php/main/article/view/43

Issue

Section

Research Study

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