Hospital-based surveillance for Road Traffic Injuries (RTIs) in a tertiary care hospital

Authors

DOI:

https://doi.org/10.47203/IJCH.2024.v36i06.024

Keywords:

Epidemiology, Factors, Rescue Time, Road Traffic Accidents

Abstract

Road traffic accidents (RTAs) lead to significant mortality, morbidity and economic loss in India. The present study aims to characterize epidemiology of Road traffic injuries (RTIs) with information from multiple data sources and to describe factors associated with RTIs. Patients admitted with RTIs in a tertiary care hospital were included in this cross-sectional observational study. Hospital records, case sheets of RTA victims and interview of the participants with a questionnaire were used for collecting data. Majority (29%) of road traffic accidents occurred between 4pm and 8 pm, with 60% self-fall or skid. Around 23.8% consumed alcohol, 63.3% exceeded speed limit, 85% rescued within 30 minutes, 57% transported to hospital by government ambulance, 30% reached tertiary care directly, 6.5% had reduced GCS score. Young adult male were the major victims of RTAs with speed violation as a common risk behavior. The findings suggest a need for implementation of speed violation detection systems to bring down the occurrence of RTAs.

Downloads

Download data is not yet available.

References

World Health Organization. Global status report on road safety 2018. Geneva, Switzerland: World Health Organization; 2018. Available from: https://iris.who.int/handle/10665/277370

“World Bank (2019). Guide for Road Safet5y Opportunities and Challenges: Low- and Middle-Income Countries Country Profiles. Washington, DC., USA: World Bank.”

WHO. Mortality and global health estimates [Internet]. www.who.int. 2019. Available from: https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates

India: Health of the Nation’s States the India State-Level Disease Burden Initiative Available from: https://main.icmr.nic.in/sites/default/files/reports/2017_India_State_Level_Disease_Burden_Initiative_Full_Report.pdf

Razzak, J.A., Shamim, M.S., Mehmood, A. et al. A successful model of road traffic injury surveillance in a developing country: process and lessons learnt. BMC Public Health 2012;12:357

National Programme for Prevention and Management of Trauma and Burn Injuries (NPPMTBI) [cited 2024 Dec 12]. Available from: https://main.mohfw.gov.in/sites/default/files/Prog%20brief%20Trauma%20component%20.pdf

Razzaghi A, Soori H, Kavousi A, Abadi A, Khosravi A, Alipour A. Risk factors of deaths related to road traffic crashes in World Health Organization regions: A systematic review. Archives of Trauma Research. 2019;8(2):57-86.

Babu BV, John KR, Manickam P, Kishore J, Singh R, Mangal DK, Joshi A, Bairwa M, Sharma Y. Development and Implementation of Integrated Road Traffic Injuries Surveillance - India (IRIS-India): A Protocol. Adv J Emerg Med. 2019;4(2):e35.

Road accidents in India road accidents in India road accidents in India [internet]. 2021. Available from: https://morth.nic.in/sites/default/files/RA_2021_Compressed.pdf

Kumar S, Mahima, Srivastava DK, Kharya P, Sachan N, Kiran K. Analysis of risk factors contributing to road traffic accidents in a tertiary care hospital. A hospital based cross-sectional study. Chinese journal of traumatology. 2020;23(03):159-62.

Hadaye RS, Rathod S, Shastri S. A cross-sectional study of epidemiological factors related to road traffic accidents in a metropolitan city. Journal of family medicine and primary care. 2020;9(1):168-72.

Singh R, Sachdeva MK, Koushal V, Aggarwal S, Kaman L, Singh A, Kumar A, Bala N, Ranjan P. Injury pattern of road traffic accident cases attending trauma centre of tertiary care hospital of North India. Journal of family medicine and primary care. 2023;12(10):2434-9.

Ministry of Road Transport & Highways, Government of India [Internet]. morth.nic.in. [cited 2024 Dec 12]. Available from: https://morth.nic.in/sites/default/files/RTYB_Publication_2019_20%20(1).pdf

Thomas MB, Pandey AK, Gautam D, Gopinathan S, Panolan S. Economic Burden of Accidents and Injuries in India: What Does 75th Round of National Sample Survey Imply?. Indian journal of community medicine. 2024;49(1):181-8.

Adeyemi OJ, Arif AA, Paul R. Exploring the relationship of rush hour period and fatal and non-fatal crash injuries in the US: A systematic review and meta-analysis. Accident Analysis & Prevention. 2021;163:106462.

Balasubramanian V, Sivasankaran SK. Analysis of factors associated with exceeding lawful speed traffic violations in Indian metropolitan city. Journal of Transportation Safety & Security. 2021;13(2):206-22.

Chandrasekharan A, Nanavati AJ, Prabhakar S, Prabhakar S. Factors Impacting Mortality in the Pre-Hospital Period After Road Traffic Accidents in Urban India. Trauma Mon. 2016;21(3):e22456.

Sharma N, Kumar Sv V, Mangal DK, Sharma Y, Bairwa M, Babu BV. Pattern of Road Traffic Injuries and Their Pre-hospitalization Factors Reported at a Public Tertiary Healthcare Facility and Rural Private Healthcare Facility in Rajasthan, India. Cureus. 2023;15(5):e39390.

Chouhan SS, Kathuria A, Sekhar CR. Examining risky riding behavior in India using Motorcycle rider behavior questionnaire. Accid Anal Prev. 2021 Sep;160:106312.

Downloads

Published

2024-12-31

How to Cite

1.
Mehanathan PB, Kalyanaraman S, Prabha MS, Erusan RR, Muthuraj LP. Hospital-based surveillance for Road Traffic Injuries (RTIs) in a tertiary care hospital. Indian J Community Health [Internet]. 2024 Dec. 31 [cited 2025 Jan. 5];36(6):886-92. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2914

Issue

Section

Short Article

Dimensions Badge