Injury Control Research Center, West Virginia University, Morgantown, West Virginia, USA.
Eur J Emerg Med. 2012 Jun;19(3):167-70. doi: 10.1097/MEJ.0b013e32834a27f6.
Our study attempted to describe the differences in circumstances, risk groups, and severity of road traffic injuries (RTIs) among injured children (1-15 years) and adults (≥16 years) coming to the tertiary-care hospital, Karachi, Pakistan.
Past medical records from June 2006 to May 2007 of injured patients coming to the Emergency Department of the Aga Khan University Hospital, Karachi were reviewed. Data were recorded regarding the basic epidemiological features, hospital stay, body parts that are injured, and severity of injuries.
Of 411 RTI patients, males outnumbered females by a ratio of 4 : 1 accounting for 81% (n = 333) of injured. Among pedestrians (82; 20%), females were injured more than males (38 vs. 16%; P < 0.01). When compared with adults, injured children were mostly pedestrians (18 vs. 36%; P = 0.01) and presented with severe Glasgow Coma Scale (GCS) (9 vs. 18%; P = 0.02). Among adults, most RTIs were caused by two wheelers crashing with four wheelers (16 vs. 19%; P = 0.01). Motor vehicle occupants (adjusted odds ratio: 3.04; 95% confidence interval: 1.382-6.668) were more likely to have severe GCS (GCS < 8) even after adjusting for injury severity.
The study may assist local authorities in Karachi to prioritize interventions to address common injuries among those who are at a high risk for RTIs. Further quantitative and qualitative studies are needed to assess the factors leading to RTIs among pedestrians in Karachi.
本研究旨在描述巴基斯坦卡拉奇三级护理医院收治的儿童（1-15 岁）和成人（≥16 岁）道路交通伤害（RTI）患者的情况、风险群体和严重程度的差异。
回顾 2006 年 6 月至 2007 年 5 月期间到卡拉奇阿迦汗大学医院急诊科就诊的受伤患者的既往病历。记录基本流行病学特征、住院时间、受伤身体部位和损伤严重程度的数据。
在 411 名 RTI 患者中，男性患者多于女性，比例为 4:1，占 81%（n=333）。在行人中（82 人，20%），女性受伤人数多于男性（38 比 16%；P<0.01）。与成人相比，受伤儿童大多为行人（18 比 36%；P=0.01），且格拉斯哥昏迷量表（GCS）评分严重（9 比 18%；P=0.02）。在成人中，最常见的 RTI 是两轮车与四轮车相撞（16 比 19%；P=0.01）。机动车辆乘员（调整后的优势比：3.04；95%置信区间：1.382-6.668）即使在调整损伤严重程度后，也更有可能出现严重的 GCS（GCS<8）。
本研究可能有助于卡拉奇地方当局确定优先干预措施，以解决那些高风险 RTI 患者的常见伤害。需要进一步进行定量和定性研究，以评估导致卡拉奇行人 RTI 的因素。
