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对一家三级护理医院收治的道路交通事故病例进行的流行病学研究。

An epidemiological study of road traffic accident cases admitted in a tertiary care hospital.

作者信息

Pathak S M, Jindal A K, Verma A K, Mahen A

机构信息

DADH, HQ 54 Infantry Div, C/o 99 APO, India.

Professor, Department of Community Medicine, Armed Forces Medical College, Pune-411040, India.

出版信息

Med J Armed Forces India. 2014 Jan;70(1):32-5. doi: 10.1016/j.mjafi.2013.04.012. Epub 2013 Aug 30.

Abstract

BACKGROUND

Road traffic accidents are a leading cause of mortality and morbidity globally. In India, more than a million are injured annually and about a lakh are killed in road traffic accidents.(1) It causes the country to lose around 55,000 crores annually which is 2-3% of Gross Domestic Production (GDP).(2) This cross sectional study was conducted to elucidate the role of various factors involved in road traffic accidents.

METHODS

Road traffic accident cases admitted to a tertiary care hospital between 01 Oct 2009 and 28 Feb 2011 were included in the study. A total of 182 patients were studied. Information was collected through questionnaire, hospital records and on-site visit. OPD cases, comatose patients and deaths were excluded.

RESULTS

Two-wheelers were the commonest vehicle involved in vehicular accidents. Most accidents happened at a speed of 40-60 km/h (37.9%). Most of the patients were aged between 20 and 30 years. Majority had a driving experience of less than 5 years. Monsoons witnessed 46.7% cases. Most cases occurred between 6 and 10 pm. Among severe injuries, the commonest was lower limb fractures (19.8%).

CONCLUSION

There are multiple factors associated with road traffic accidents which due to the lack of road safety measures in the country are playing their role. It is the need of the hour to address this issue and formulate comprehensive, scientific and practical rules and regulations as well as evaluate its enforcement.

摘要

背景

道路交通事故是全球死亡和发病的主要原因。在印度,每年有超过100万人在道路交通事故中受伤,约10万人死亡。(1)这使该国每年损失约5500亿卢比,占国内生产总值(GDP)的2 - 3%。(2)本横断面研究旨在阐明道路交通事故中各种相关因素的作用。

方法

纳入2009年10月1日至2011年2月28日期间在一家三级护理医院收治的道路交通事故病例。共研究了182例患者。通过问卷调查、医院记录和现场走访收集信息。排除门诊病例、昏迷患者和死亡病例。

结果

两轮车是交通事故中最常见的涉事车辆。大多数事故发生时的速度为40 - 60公里/小时(37.9%)。大多数患者年龄在20至30岁之间。大多数人的驾驶经验不足5年。季风季节发生的病例占46.7%。大多数病例发生在下午6点至10点之间。在重伤中,最常见的是下肢骨折(19.8%)。

结论

道路交通事故与多种因素相关,由于该国缺乏道路安全措施,这些因素正在发挥作用。当下迫切需要解决这一问题,制定全面、科学和实用的规章制度,并评估其执行情况。

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