Singh Ranjana, Singh Hemant Kumar, Gupta S C, Kumar Yogesh
Associate Professor, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India.
Assistant Professor/Statistician, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India.
Indian J Community Med. 2014 Jan;39(1):30-4. doi: 10.4103/0970-0218.126353.
Expansion in road network, motorization, and urbanization in the country has been accompanied by a rise in road accidents leading to road traffic injuries (RTIs). Today RTIs are one of the leading causes of deaths, disabilities, and hospitalizations with severe socioeconomic costs across the world.
The following study analyses the: Age and sex distribution of injured in road traffic accidents (RTAs).Circumstances leading to RTA.Pattern and severity of injuries sustained in RTAs cases.
Retrospective record-based study.
The aim of this study was to audit retrospectively the circumstances, severity, and pattern of injury sustained by vehicle occupants presenting to the Saraswathi Institute of Medical Sciences (SIMS) hospital Hapur, for a period of one year. Data were collected using the case sheets of 347 patients from the medical records section of hospital and analyzed using SPSS computer software version 16.0. Results are interpreted in terms of percentage, mean, chi-square, and z-test.
The pattern and severity of injuries sustained by 347 vehicle occupants admitted to the emergency department of SIMS, Hapur were retrospectively documented. Male victims 258 (74.35%) were more commonly involved than females 89 (25.65%) and majority of victims 141 (40.63%) were in age group of 20-30 years. Urban victims 222 (64.00%) outnumbered rural. The most frequently injured body regions were the extremities 499 (53.54%), followed by maxillofacial180(19.31%).. Out of total 802 external injuries, the most common type of injury was lacerations 307 (38.28%), abrasions 306 (38.15%)and followed by bruises 154 (19.20%). Multiple external injuries were more common on upper limb 216 (26.93%), lower limbs 210 (26.18%) and face 170 (21.20%), while crush injuries were more predominently seen in both the limbs. While laceration were common on face 120 (38.83%). Injuries to the chest 19 (2.36%), abdomen13 (1.61%), and spine 11 (1.36%) were seen in roughy equal proprotion of victims. The bones on right side 55 (55.55%) were more commonly fractured which is statistically significant. Skull injuries were mostly found on frontal 77 (47.53%), followed by parietal bone 33 (20.37%), mostly on right side.
RTAs constitute a major public health problem in our setting. Urgent preventive measures targeting at reducing the occurrence of RTAs are necessary to reduce the morbidity and mortality resulting from these injuries.
该国道路网络的扩张、机动车化和城市化伴随着道路交通事故的增加，导致道路交通伤害（RTIs）。如今，道路交通伤害是全球死亡、残疾和住院的主要原因之一，造成了巨大的社会经济成本。
以下研究分析了：道路交通事故（RTAs）中受伤者的年龄和性别分布。导致道路交通事故的情况。道路交通事故案例中受伤的类型和严重程度。
基于回顾性记录的研究。
本研究的目的是回顾性审核在哈布尔萨拉斯瓦蒂医学科学研究所（SIMS）医院就诊的车辆驾乘人员在一年时间内受伤的情况、严重程度和类型。使用医院病历科3位47名患者的病历表收集数据，并使用SPSS 16.0版计算机软件进行分析。结果以百分比、均值、卡方检验和Z检验进行解释。
回顾性记录了哈布尔SIMS急诊科收治的347名车辆驾乘人员受伤的类型和严重程度。男性受害者258名（74.35%）比女性89名（25.65%）更常见，大多数受害者141名（40.63%）年龄在20至30岁之间。城市受害者222名（64.00%）多于农村受害者。最常受伤的身体部位是四肢499处（53.54%）,其次是颌面部位180处（19.31%）。在总共802处外伤中，最常见的损伤类型是撕裂伤307处（38.28%）、擦伤306处（38.15%），其次是瘀伤154处（19.20%）。多处外伤在上肢216处（26.93%）、下肢210处（26.18%）和面部170处（21.20%）更为常见，而挤压伤在四肢更为多见。面部撕裂伤常见120处（38.83%）。胸部受伤19处（2.36%）、腹部受伤13处（1.61%）和脊柱受伤11处（1.36%）的受害者比例大致相同。右侧骨骼骨折55处（55.55%）更为常见，具有统计学意义。颅骨损伤大多发生在额骨77处（47.53%），其次是顶骨33处（20.37%），大多在右侧。
在我们的研究环境中，道路交通事故构成了一个主要的公共卫生问题。必须采取紧急预防措施以减少道路交通事故的发生，从而降低这些伤害导致的发病率和死亡率。
