Retrospective Study of Road Traffic Accident (RTA) Injury Case Profile in North Andhra

  • Mohan Patro P Faculty, Professor Dept. of General Surgery, GIMSR (Gitam Institute of Medical Sciences & research), India
  • Kodandarao Kuna Faculty, Dept. of General Surgery, GIMSR (Gitam Institute of Medical Sciences & research), India
  • K. Satyavara Prasad Director, Vishakha Institute of Medical Sciences(VIMS), Prof. & HOD, Dept. of Neurosurgery, King George Hospital-Andhra Medical College, Visakhapatnam, India
  • Tejareddy . Faculty, Dept. of General Surgery, GIMSR (Gitam Institute of Medical Sciences & research), India
Keywords: RTA,Case,Accident.

Abstract

Introduction & background – In the light of increasing rise of vehicular traffic and the accident rate causing great loss to the economy, effective measures have to be taken to control it and to treat the injured victims. Aim – to study the case profile of road traffic accident (RTA) injured patients reported at the trauma care center, King George Hospital (KGH), Visakhapatnam, situated in North Andhra along the National Highway – 5 (NH-5). Material & Methods – it is a study of data related to trauma cases reported at the trauma care center, KGH for the period 2011 – 2018. It is a retrospective study of about 6532 inpatients out of which 3451 are RTA injury cases. And compared with similar studies of other parts of India. Results & discussion - About 10% are IP admissions and death rate ranges from 3 – 4%. 13 – 30% of IP admissions underwent emergency surgery at trauma OT. About 90% are MLC the cases and death rate has been decreasing from 2011 to 2018 even with increasing number of accidents. [23]Alcohol intoxicated cases constitute about 17 – 46%, are high in this study which is about 15% in other studies. Age group involved is 21 – 50 years young driving two wheelers, mostly occurred from 7PM to 1AM in the ratio of 1:3 morning to evening which conforms with other studies. Most of the total trauma cases are due to road traffic accidents followed by cases due to falls. Head injury is the commonest RTA injury followed by poly trauma which includes soft tissue and bone & joint injury. Conclusions - Most fatal accidents are preventable and a comprehensive multi programme approach can mitigate most of them. Cashless treatment policy in emergency trauma victims is obligatory. Controlled incremental release of traffic at junctions can prevent accidents. [18]Helmet and seat belt usage must be made compulsory on state and national highways. L and U road bends must be elimated along highways.De-addiction centers have to be opened at all highway hospitals.

References

References
1. Dr. Vineet Bal, Dr. Tejinder Singh, Dr Tejbir Singh, Dr Shyam Sunder Deepthi - An epidemiological study of road traffic injuries reporting in casualty department of guru nanak dev hospital, Amritsar – JMSCR 2018;6(11):607-615.
2. Puneet Mishra, Anindo Majumdar, Mahesh Chandra Misra Shashi Kant, Sanjeev Kumar Gupta, Amit Gupta, Subodh Kumar - Epidemiological study of patients of road traffic injuries attending emergency department of trauma center in New Delhi - Indian Journal of Critical care Medicine – 2017;21(10): 678-683.
3. Dr. Solanki S. L., Mittal Hemlata - An epidemiological study of road traffic accident cases at a tertiary care hospital in Udaipur – Int J Cur Res Rev , Vol 8, Issue 7, April 2016.
4. S.M. Pathak, Maj, A. K. Jindal, Col, USM, A.K. Verma, Brig, and A. Mahen, Air Cmde - An epidemiological study of road traffic accident cases admitted in a tertiary care hospital – Med J Armed Forces India. 2014;70(1): 32-35.
5. Khare Neeraj, Gupta Sanjay K, Varshney Atul, Athavale AV - Epidemiological study of road traffic accident cases attending tertiary care hospital, in Bhopal Madhya Pradesh – National Journal of Community Medicine, Volume 3, issue 3, July – Sept 2012.
6. Transport Research Wing, Ministry of Road Transport and Highways, Motor transport statistics of India [Internet}, New Delhi; Governement of India; 2001 02 [cited on 2013 oct 15].
7. World Health Organization. Road Traffic Injuries. [Internet], 2013 Mar [cited 2013 Nov 22]
8. Batra Vs, Bedi RB. Effects of drunken driving on traffic safety. [Internet]. [cited on 2013 Nov 22].
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International Journal of Health and Clinical Research, 2019;2(3):1-13 e-ISSN: 2590-3241, p-ISSN: 2590-325X ____________________________________________________________________________________________________________________________________________
9. 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.
10. Mishra B. Sinha Mishra ND, Sukhla S, Sinha A. Epidemiological study off road traffic accident cases from western Nepal. Indian J Community Med 2010; 35:115-21.
11. Dsouza C, Rao V V, 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.
12. Pathak SM, Jindal Ak, Verma Ak, Mahen A. An epidemiological study of road traffic accident cases admitted in tertiary care hospital. Med J Armed Forces India2014;70:32-5.
13. 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.
14. 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.
15. Nilambar Jha, D.K. Srinivasa, Gautam Roy, S. Jagdish. Epidemilogical Study of Road Traffic Accident Cases Indian Journal of Community Medicine 2004; Vol. XXIX, No. 1, Jan-Mar.,: 20- 24.
16. P. Shruthi, V. T. Venkatesh, B. Viswakanth, C. Ramesh, P.L. Sujatha, I. R. Dominic Analysis of Fatal Raod Traffic Accidents in a Metropolitan City of South India J Indian Acad Forensic Med. October-December 2013, Vol. 35, No. 4.
17. Banerjee KK, Agarwal BB, Kohli A. Agarwal NK. Study of head injury victims in fatal road traffic accidents in Delhi. Indian J Med Sci. 1998; 52(9); 395-398.
18. Michale Johnson R. McCarthy MC, Miller SF. People JB. Craniofacial trauma in injured motorcyclists; the impact of helmet usage. J Trauma 1995; 38(6):876-8.
19. Vimla Thomas, Lavanys Sridhar Epidemiologic profile of road traffic accident cases admitted in tertiary care hospital. Int J med Pharm Sci. Feb 2013; 03 (06):30-36.
20. Gururaj G, Shastry KVR, Chandramouli AB, Subbakrishna DK, Kraus JF (2005) Traumatic brain injury. National Institute of Mental Health and neuro Sciences, Publication no. 61.
Source of Support:Nil Conflict of Interest: Nil
21. Manisha Ruikar, National statistics of Road Traffic Accidents in India; Journal of Orthopaedics, Traumatology and Rehabilitation 2013 vol. 6(1);1-4
22. Mehta S. P. An epidemiological study of road traffic accident cases admitted in Safdarjang hospital, New Delhi, Indian J Med Res. 1968;56(4):456-466.
23. Sood S. Survey of factors influencing injury among riders involved in motorized two-wheeler accidents in India: a prospective study of 302 cases. J Trauma 1988;28(4):530-534.
24. Mishra B., Sinha N., Shukla S.K., Sinha A. K. Epidemiological study of road traffic accident cases from western Nepal. Indian J Community Med. 2010;35(1):115-121.
25. Kiran E.R., Saralaya K.M., Vijaya K. A prospective study on road traffic accidents. J Punjab Acad Forensis Med Toxicol. 2004;4:12-16.
26. Jha N., Srinivasa D.K., Roy G., Jagdish S. Epidemiological study of road traffic accident cases: a study from South India. Ind J Community Medicine. 2004;29(1):20-24.
27. Gunjan B., Ganveer, Tiwari R. R. Injury pattern among non-fatal road traffic accident cases: a cross sectional study in central India. Ind J Med Sci. 2005;59(1):9-12.
28. Dandona R, Mishra A. Death due to road traffic crashes in Hyderabad city in India: Need for strengthening surveillance Natl Med j India 2004;17:74-9.
29. Epidemiology of road traffic accident in Hyderabad- deccan, Andra Pradesh, India. Available on:http://www.ihsnet.org.in/burden of disease/road traffic accident htm updated on May 3rd 2003.
30. Jha N. Epidemiological study of road traffic accident cases: A study from eastern Nepal : Region Health forum WHO South – East Asia Region : vol.8:2004.
31. Nantulya MV. Reich MR, The neglected epidemic: Road Traffic Injuries in developing countries. BMJ 2002; 324:1139-41
32. P Mondal, A Kumar. A silent tsunami on Indian road: A comprehensive Analysis of epidemiological aspect of road traffic accidents. BJM 2011;1(1):14- 23.
33. Mehta SP. An epidemiological study of Road Traffic accident cases admitted in Safdargang Hospital, New Delhi. Indian Journal of Medical Research 1968;56(4):456-66.
34. Abhishek S. An epidemiological study of road traffic accident cases at tertiary care hospital in rural Haryana. IJCM2011;23(2):53-55.
Published
2019-03-31