Fatal road traffic accidents and their relationship with head injuries: An epidemiological survey of five years
نویسندگان
چکیده
In depth studies of fatal vehicular accidents provide valuable data for implementing effective emergency services to reduce the trauma related mortality and strengthening legal measures in peak hours of fatal accidents. We aimed to study, pattern of injuries especially fatal traumatic brain injuries occurring in vehicular accidents. Postmortem reports and clinical records of victims of road traffic accident autopsied during the period of 2001-2005 at Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, New Delhi, were analyzed retrospectively. Out of total 7008 medico legal autopsies conducted during the study period, 2472 (35.27 %) were of vehicular accidents. The male/female ratio was 7.49:1. Commonest age group affected was between 21-40 years involving 1341 (54.24%) cases. Pre-hospital mortality was in 985 (39.84 %) cases. Fatal traumatic brain injuries were seen in 1699 (68.73%) cases. Skull fractures were found in 1183 (69.63%) cases of head injury; most common bone fractured was temporal bone (n=559, 47.25%). The commonest variety of intracranial hemorrhage was subdural hemorrhage (n=1514, 89.11%). The craniotomy was done in 297 (17.48%) cases; maximum mortality (41.07%) was seen within 4-14 days. Most commonly injured abdominal organ was liver (n=532, 21.52%). No significant difference was evident in incidence of fatal vehicular accident on weekends and weekdays. However November month took maximum toll of deaths (n=273, 11.04%) of total vehicular accident fatalities in five year duration. 53.20% of fatal accident occurred between 6 PM and 6 AM. The results of study emphasize the need to improve the pre hospital care with provision of trauma services at site and to establish neurosurgical facilities with trauma registry.
منابع مشابه
Fatal road traffic accidents in Yazd province, Iran during 2011-2015
Objective: The rate of road traffic accidents in Iran per capita and for the number of vehicles is much higher than the average in the world. The present study was conducted to investigate road traffic accidents in Yazd province during 2011-2015.Methods: The present study is a descriptive-analytic study in which data were obtained from data collection forms related to deaths from driving ...
متن کاملO5: Technical Accident Reconstruction-What Can be Learned to Improve Medical Treatment in Trauma Patients
Annually, more than 1 million people were killed in road traffic accidents worldwide every year and an uncounted number were severe injured. In 2012 fatal injuries caused by road traffic accidents are under the top ten lists of causes of death in the world. It´s expected that in the near future road traffic accidents become one of the main causes of death in the world. Most of these fatal injur...
متن کاملEpidemiological Study of Fatal Road Accidents in Eastern Iran in a Five-Year Period
Background and Objectives: Road accidents are regarded as one of the most critical global health issues. In Iran, road accidents are the second cause of death, followed by cardiovascular diseases. The present study was conducted with the aim of the epidemiological evaluation of deaths caused by road accidents in Torbat Heydariyeh City, Iran, between 2013 and 2017. Methods: This is a cross-sec...
متن کاملEpidemiological Profile of Extremity Fractures and Dislocations in Road Traffic Accidents in Kashan, Iran:a Glance at the Related Disabilities
Background: Apart from the mortality, road traffic injuries are associated with significant morbidities. This study has aimed to examine the pattern of traffic accident-related extremity fractures/dislocations and their related disabilities. Methods: A retrospective hospital-based study was conducted to assess the characteristics of limb fractures/dislocations among road traffic accident victi...
متن کاملFive-Year Epidemiological Study and Estimation of Accidents Distribution in Construction Industry Workers in Yazd City by the Year 2011 by Applying Time Series Model
Background & Aims: Occupational accidents are known as one of the most important causes of disabilities and mortality in developed and developing countries. Construction industry is one of the most high risk occupations which its hazardous are not known completely. In addition to occupational accidents, construction workers are faced many diseases factors such as asbestos, silicon, fumes and no...
متن کامل